ANKLE FOOT ORTHOSES
Swagatika
SMO
• Supra Maleolar
Orthosis
• Low profile design
that crosses the ankle
• Less invasive trim
lines than a standard
AFO
• Covers about 80% of
the surface area of
foot
TYPES
• Static Ankle foot orthoses
• Not solid AFO
• Articulated – that provides desired/ regulated
amount of movement
• It may also be used for progressive increases
or decreases in sagittal plane ROM and control
TYPES (functional)
• 1. Metal bars or conventional
• 2. Total Contact
• 3. Floor reaction
• 4. Un weighting
• 5. Immobilizing
Static AFO
Articulating AFO
Conventional/Metallic AFO
• Low cost
Disadvantages:-
Heavy
Contains mechanical stirrup,
ankle joints…wear and tear,
Is external ,hence less effective
Total Contact AFOs
• provide sleek, intimate fit with
total contact to provide better
control
• May be thermoplastic and
thermosetting
• higher patient acceptance due to
light weight & concealment (150-
200gms);
• may be hotter ,if not perforated
• more common today
Floor reaction AFO/FRO
• Uses floor
reaction force
through toe
aspect of foot
plate to prevent
forward tibial
progression &
subsequent knee
collapse
Unweighting AFO
• May be patella tendon bearing (PTB) ,i,e. specific
weight bearing
or
• total surface bearing, TSB (inverted cone with
lace closure) to unweight the ankle foot using
prosthetic principles
TSB unweighting AFO and specific
weight bearing AFO
Immobilizing AFO
• Commonly used with a lower extremity
deficiency when ankle immobilization is
desired
• – distal tibia/ fibula fracture
• – foot bone fractures
• – tendocalcaneus rupture
• – Diabetic Foot (Charcot Foot)
Immobilizing AFO
Crow walker
Cam Walker
Questions