Spastic diplegic, and quadriplegic cerebral palsy; Spinal cord pathology; Post-stroke, Challenging neurological and developmental conditions
Clinical Problem: Late childhood crouch (flexion gait moment) hamstring and gastroc-soleus spasticity with rigid rear, mid and/or forefoot deformities
Common Clinical Measurements:
Range
R1: range equal to or < R2
R2: popliteal > 30° knee flexion; gastroc-soleus < 5° dorsiflexion
Strength
Weak hip extensors, quadriceps and gastroc-soleus.
Gait -First (Heel), Second (Ankle), Third (Toe) Rockers
First: Full mid or forefoot contact
Second: Too much hip flexion, knee flexion and ankle plantarflexion in mid-stance.
Third: early heel rise (crouch with no heel contact)
Ultraflex Solution: Custom Molded ADR™-AFO with anterio r calf shell - UltraSafeGait™
Clinical goals: Improve first rocker, create knee extension moment in mid to late stance.
Evaluation/Casting: Standard for articulated AFO. Read more on Casting Considerations
Evaluation/Ordering Information:
Clinical Technical Support
(800)220-6670
Fax: (610)906-1420
E-Mail: info@UltraflexSystems.com
Ordering Information:
Components Only
> 55lb/25kg but < 110lb/50 kg:
UltraSafeGait™ components medial and lateral
> 110lb/50 kg:
UltraSafeStep™ medial with Ultraflex Universal Joint lateral
Lateral & Medial Joint UltraSafeGait™
Ultraflex Custom Fabrication:
Above listed components and UltraSafeGait™ Measurement Form
Choice of interface: Custom interface available in a wide range of designs (transfer papers) and colors.
ADR™ Component Channel Adjustments-Late childhood crouch:
Posterior Elastomer: Little to no compression needed.
Posterior Stop: Only if required for swing clearance and initial contact with heel.
Anterior Elastomer: Near to fully compressed.
Anterior Stop: Only if anterior elastomer compression alone does not create sufficient knee extension moment in mid to late stance.
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