Practical 2

Question 1

Indications for DAFO?

Answer 1

Flexible pes planus, mild to moderate spastic diplegic or hemiplegic CP, Hypotonic CP

Question 2

Contraindications for a DAFO:

Answer 2

Toe walker, mod-high tone, ankle arthritis (rigid foot deformities)

Question 3

What does a UCBL do?

Answer 3

Controls Mid foot and Hind foot (subtalar and tarsal joints)

Question 4

Indications for UCBL:

Answer 4

Pronation control, flexible pes planus, OA of the hindfoot, posterior tib dysfunction, tarsal coalition, rearfoot valgus/varus,

Question 5

Contraindications for UCBL:

Answer 5

Toe walker, mod-high tone, ankle arthritis (rigid foot deformities)

Question 6

Indications for SMO or SMAFO:

Answer 6

Severe Pes Planus, Mild ankle instability, low (hypo) tone, Intermittent toe walkers, mild to moderate CP, tarsal coalition, post tib dysfunction

Question 7

Contraindications for SMO or SMAFO:

Answer 7

high tone (hypertonicity) , sagittal plane, weakness deformity, dominate toe walkers, equinovarus/valgus

Question 8

Contraindications for total contact AFOs:

Answer 8

edema fluctuations, insensitivity, wounds, or scars near trim lines

Question 9

Bilateral Metal Upright (bars) AFO indications:

Answer 9

Foot drop, Post-Polio, Neuropathic feet
Poor knee control in sagittal plane
Ankle varus/valgus
Foot drop with uncontrolled edema
Poor skin below the knee

Question 10

Bilateral Metal Upright (bars) AFO Contraindications:

Answer 10

Patient’s concerns with bulk/weight

Limits shoe wear

Question 11

Free motion/articulated/hinge AFO indications:

Answer 11

Posterior tib tendon dysfunction

Subtalar or talar joint instabilities

Question 12

Free motion/articulated/hinge AFO Contraindications:

Answer 12

Weak Quads, Sagital plane ankle weakness

High impact sports

Question 13

Free motion/articulated/hinge AFO motion:

Answer 13

Allows sagittal plane motion free DF and PF

Limits coronal plane instabilities

Question 14

Action of Dorsiflexion assist AFO:

Answer 14

Assist in clearance of the toes while allowing for some PF
Variable DF Assist
Allows for controlled foot flat stance phase

Question 15

Indications for dorsiflexion assist AFO:

Answer 15

DF weakness

Question 16

Contraindications for Dorsiflexion assist AFO

Answer 16

Contraindicated in moderate to severe tone levels or in individuals with altered knee control

Question 17

Posterior Stops in AFO indications:

Answer 17

Structural collapse of the ankle foot, severe spacticity,

Question 18

Posterior Stops in AFO contraindications:

Answer 18

inadequate hip strength, absent quads, fluctuating edema, fixed/contracted spastic gastrocs

Question 19

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO indications:

Answer 19

Ankle instability/weakness in more than one plane
Equino varus
Moderate-severe pes plano valgus
Mild-moderate genu recurvatum

Question 20

SAFO=Solid Ankle Foot Orthosis=a non articulated AFO contraindications:

Answer 20

edema

skin issues

Question 21

Indications for posterior leaf spring:

Answer 21

Mild –Moderate Foot drop (LMN flaccid paralysis of dorsiflexors) and knee hyperextension

Question 22

Contraindications for posterior leaf spring:

Answer 22

moderate to severe spasticity, coronal plane ankle instability, ankle dorsiflexion limitations/fused joint, severe knee instability

Question 23

Action of posterior leaf spring:

Answer 23

Limits plantar flexion to assist limb clearance in swing. Patient has to have adequate knee, hip, and ankle plantar flexor strength

Question 24

Indication for spiral AFO:

Answer 24

Ankle dorsiflexion weakness and/or plantar flexors ALONG with mild-moderate medial-lateral instability

Question 25

Contraindications for spiral AFO:

Answer 25

Inadequate hip strength, moderate to severe spasticity, severe medial lateral ankle instability, fluctuating edema

Question 26

Ground/Floor Reaction AFO indications:

Answer 26

crouched gait, Foot drop with knee instability, quadriceps weakness, MS, Spina Bifida patients

Question 27

Ground/Floor Reaction AFO contraindications:

Answer 27

Genu recurvatum, ACL, Severely ER Feet, patients that do not have adequate trunk control/balance or have flaccid/limited quad strength especially if used bilaterally

Question 28

KAFO indicated for:

Answer 28

knee, ankle, and foot instability
Post polio syndrome (PPS), genu recuvatum, weakness proximal to knee,
SCI, CVA, Spina Bifida
quads less than 3+/5

Question 29

Indications of stance control KAFO:

Answer 29

knee buckling flaccid paralysis of quads

Question 30

Contraindiacation of stance control KAFO:

Answer 30

contractures of knee/ankle, insufficient hip musculature, DF ROM