ToeOff responses

Mark Raabe

Description

Title:

ToeOff responses

Creator:

Mark Raabe

Date:

11/19/2001

Text:

Dear List,
Please find following the responses from the ToeOff question of last week.
I have a pt./client with existing ToeOff AFOs, both have delaminated within
5 months.
Pt./Client is reluctant to return to conventional AFOs once the replacement
program has expired.
Have heard that Camp is coming out with mark 2 of the ToeOff next year.
Does anyone have any suggestion regarding a suitable alternative to the
ToeOff - keeping in mind the pt./client's attraction to the light weight and
cosmetic advantages that the ToeOff provides.

Townsend design in bakersfield, ca make a nice lightweight composite
afo......It is al little on the pricey side...I have used about 6 to date
and most patients have been pleased.

Just continue to exchange them with Camp.

may want to try townsend AFOs, very lightweight, extremely strong, multiple
joint selections, and custom made

I have used many Toe Offs in the past couple of years. I have had only one
to delaminate. That person is a very active hair stylist who owns her own
business. She is on her feet constantly. The replacment brace is working
fine without any problems or signs of delamination. I have had a few Toe
Offs that were dry of resin at the junction of the upright and footplate. I

inspect each brace for this problem and have Camp to replace it before
fitting to pt. I am interested to know how much the pt weighs and if you
instructed them to not climb stairs with just the forefoot on the step and
if you could go up a size as the larger the brace the thicker the laminate
on the strut. I am very selective of the type of person I use a Toe Off on.

I use them for foot drop and very mild hyperextension. I haven't tried any
of the other carbonfiber AFOs so I can't give you any feedback on them, but
I look forward to seeing what responces you get from the list.

I have experienced the same problem and need a similar solution. I saw an
add today for something similar. Keep me abreast of any discoveries and I'll
do the same.

Since this submission I have been alerted to the Tyco AMAFO, this seems to
be very similar to the ToeOff however with a PP tibial shell allowing
greater adjustment, (cosmesis is the concern there!). Will be receiving info
in the mail. As for my pts./clients one weighed 100kg which I think I
wouldn't fit again however all others were within reasonable weight ranges.
Activity level is, I think, the other important factor to consider.
Thank you to all that replied
Mark Raabe, Dip. App. Sci. P&O
Orthotist/Prosthetist
OrthoSynergy Pty. Ltd.

                          

Citation

Mark Raabe, “ToeOff responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/217979.