Pediatrics: Adaptive Equipment: Lower Extremity Orthotics

Question 1

AFO’s: Ankle

Answer 1

• Set at 5-10 degrees of dorsiflexion to avoid genu-recurvatum

Question 2

Tone Reducing AFO

Answer 2

• Effects of spasticity are reduced

- Stretches and maintains length of heel cordite prevent or lessen contractures

Question 3

Floor reaction AFO

Answer 3

• Decreases crouched gait by preventing the Tibia from moving too far forward in stance
• Limits dorsiflexion and controls knee flexion

Question 4

KAFO: Knee

Answer 4

• Solid at 0-5 degrees or hinged

Question 5

KAFO: Patients

Answer 5

• Spina Bifida

- Muscular Dystrophy

Question 6

HKAFO: Patients

Answer 6

• Spina Bifida

- Spinal cord injuries

Question 7

Reciprocating Gait Orthosis

Answer 7

• HKAFO with molded body jacket

- Cable system allows for forward step with lateral weight shift

Question 8

Reciprocating Gait Orthosis: Patients

Answer 8

• Thoracic level spina bifida

- Thoracic level spinal cord injuries

Question 9

Pavlik Harness

Answer 9

• Congenital hip dysplasia

- Hips held in flexion and abduction to maintain femoral head in acetabulum