Re: DYNAMIC/TONE REDUCING AFOs
Chris Drake
Description
Collection
Title:
Re: DYNAMIC/TONE REDUCING AFOs
Creator:
Chris Drake
Date:
3/11/1998
Text:
In message <00f501bd484b$a6154200$69149f82@RoyBowers>, Roy Bowers
< <Email Address Redacted> > writes
>Greetings to everyone from a newcomer to the OANDP-L list, writing from
>Glasgow,
>Scotland.
>
>I am interested in obtaining good information on tone reducing (influencing?)
>orthoses (i.e. DAFO's, etc.)
Difficult that one, as I don't believe there is such a thing.
> Can anyone please recommend good published articles
I don't think there is any *Good * papers, not ones that actually prove
that an orthosis can reduce tone. I can get my head round the fact that
Supra Malleola Orthoses(SMO's) can manage tone but reduce??????????
So the term Dynamic Ankle Foot Orthosis is really a misleading term.
I've read many US papers, but as usual they are mainly waffle and full
of subjective results. I am open however to be convinced otherwise. One
good paper showing me that they reduce tone and I will eat my words and
apologise to one and all.
>in textbooks or journals, or any good resources on the WWW?
I've attached a word file in .rtf format with some suggested papers, all
of which are in your library.
>
>In addition to clinical guidelines on the use of these orthoses,
Clinical guidelines, well where do I start. I use SMO's purely for
control in the medila and lateral plane, which means for stabilisation
of the foot and ankle to offer a young child a stable base of support.
This means the child will have full ROM in D/Flex, P/flex but will have
instability aroiund the ankle complex. I don't use them if there is any
problems of P/Flex or incresed tone. I don't use lumps and bumps but I
do use an insole inside which I usually fit an intrinsic heel post. You
must make sure that there are no fixed deformities.
>and technical
>information on their fabrication, I am looking for scientific evidence as to
>their efficacy, but would also appreciate hearing about Orthotists personal
>experiences with these devices.
I use 2mm Homoplymer or Co-polymer and these are vacum formed. The trim
lines are the most important and the medial and lateral extensions must
wrap arounfd the sub-talor joint and lock over the head of the talus.
Beacuse of the fact the material is 2mm thick it allows the wings around
the forefoot to be opened up for application. I then fit a an unbacked
velcro strap over the top to prevent them from opening up. Padding is
important if the child is boney and don't be worried about fitting
padding.
>
>With many thanks, and best wishes
>
Hopefully this will help and also stimulate some dicussion
Chris Drake
--
Chris Drake The Moods of The People are
not Dictated by Government
<Email Address Redacted> (Richard Benson, 1996)
< <Email Address Redacted> > writes
>Greetings to everyone from a newcomer to the OANDP-L list, writing from
>Glasgow,
>Scotland.
>
>I am interested in obtaining good information on tone reducing (influencing?)
>orthoses (i.e. DAFO's, etc.)
Difficult that one, as I don't believe there is such a thing.
> Can anyone please recommend good published articles
I don't think there is any *Good * papers, not ones that actually prove
that an orthosis can reduce tone. I can get my head round the fact that
Supra Malleola Orthoses(SMO's) can manage tone but reduce??????????
So the term Dynamic Ankle Foot Orthosis is really a misleading term.
I've read many US papers, but as usual they are mainly waffle and full
of subjective results. I am open however to be convinced otherwise. One
good paper showing me that they reduce tone and I will eat my words and
apologise to one and all.
>in textbooks or journals, or any good resources on the WWW?
I've attached a word file in .rtf format with some suggested papers, all
of which are in your library.
>
>In addition to clinical guidelines on the use of these orthoses,
Clinical guidelines, well where do I start. I use SMO's purely for
control in the medila and lateral plane, which means for stabilisation
of the foot and ankle to offer a young child a stable base of support.
This means the child will have full ROM in D/Flex, P/flex but will have
instability aroiund the ankle complex. I don't use them if there is any
problems of P/Flex or incresed tone. I don't use lumps and bumps but I
do use an insole inside which I usually fit an intrinsic heel post. You
must make sure that there are no fixed deformities.
>and technical
>information on their fabrication, I am looking for scientific evidence as to
>their efficacy, but would also appreciate hearing about Orthotists personal
>experiences with these devices.
I use 2mm Homoplymer or Co-polymer and these are vacum formed. The trim
lines are the most important and the medial and lateral extensions must
wrap arounfd the sub-talor joint and lock over the head of the talus.
Beacuse of the fact the material is 2mm thick it allows the wings around
the forefoot to be opened up for application. I then fit a an unbacked
velcro strap over the top to prevent them from opening up. Padding is
important if the child is boney and don't be worried about fitting
padding.
>
>With many thanks, and best wishes
>
Hopefully this will help and also stimulate some dicussion
Chris Drake
--
Chris Drake The Moods of The People are
not Dictated by Government
<Email Address Redacted> (Richard Benson, 1996)
Citation
Chris Drake, “Re: DYNAMIC/TONE REDUCING AFOs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/210385.
