"Toe off Orthosis"

"Toe off Orthosis"

Adrian Polliack

11/3/1999

>I was just wondering if anyone would like to comment on the Toe Off
>orthosis from Camp. Please comment with details good, bad or ugly. A
>patient/client of a colleague is inquiring.


Here at the Rancho Los Amigos Rehab Engineering Program we have had a
chance to try various Camp Toe-Off AFOs. It seems more appropriate to a
mild drop foot patient rather than someone needing the support usually
found in an anterior shell AFO, as it is quite flexible.

We had good success in fitting one on a patient who had worn out a co-poly
AFO with a very low trim (9 from bottom of foot). We made a similar trim
on the Toe-Off and he did well with it. We have also molded plastizote
based foot inserts to increase medial/lateral control of the foot for a
couple equinovarus patients. On another subject with drop foot, the
anterior portion of the Toe-Off was a poor fit to the prominent tibial
prominence and this became VERY uncomfortable to wear; skin breakdown
resulted.

All in all, its an interesting design but the off-the-shelf concept makes
fitting a challenge. Also, no post-forming is possible of course, as its a
thermoset. Our experienced is mixed.

Richard Fite, CP
Adrian Polliack, PhD

___________________________

Adrian A. Polliack, Ph.D.
Rancho Rehabilitation Engineering Program
7503 Bonita St Downey CA 90242 USA
email: <Email Address Redacted>
website: <URL Redacted>
tel: 562 401 7994
fax: 562 803 6117

Adjunct Asst Professor
Dept of Biomedical Engineering
University of Southern California
tel: 213 740 7237 (tel)
fax: 213 740-0343 (fax)

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