A very satisfied Allard customer,
Most patients would be happy to just be able to walk again. How wonderful
that your patient wants to run. With running, there will be more stresses
on materials and the soft tissues. I would consider a custom molded plastic
AFO with Tamarac dorsi-assist ankle joints with no plantar flexion stop.
You may consider adding a soft interface for the platar surface of the foot,
but this will make it more bulky and hot. KW
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Custom Prepreg AFO should be considered. These can be designed to be energy
storing and returning.
Hallo
I should suggest that carbon fiber orthosis is a good solution for this
patient.
We have some expierence of carbon fiber orthosis fitting for peroneus
paralysis patient and stroke patient.
Jean Paul Nielson and Marmaduke Loke at Dynamic Bracing Solutions offer one,
I believe. They have a website.
Du kan fint bruge en ToeOFF til aktive patienter, men det
er meget vigtigt at du retter foden op, hvis der er nogen form for
fejlstillning i denne. Jeg kan fint anbefale at du bruger et
Individuelt indlæg, som påsættes fodpladen på ToeOFFén.
Med hensyn til polstring vil jeg også anbefale den nye Comfort-Kit.
I have been using Kinetic Research’s (Florida) “noodle” carbon graphite afo
for my runners and many other patients. It is perfect for controlling
inversion and dropfoot isolated peroneal nerve paralysis as it has a lateral
strut and full foot plate. It is also more comfortable as the cuff is
posterior. Just like prosthetic feet, the thin, lightwt prepreg carbon
gives energy return and it is remarkably smooth with great dynamic action.
They have some premade, but if he is very active and running you should do
custom and give them his activity level and weight. Patients really like
them, and they are low profile and light. Talk to Wade the owner.
http://www.readypreg.com/
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The Centri Dynamic Walk is available from Fillauer and other distributors.
Yes,
I just had a runner with dropfoot that we succerssfullyl fit with the AFO
from Fillauer. It is called the DYNAMIC WALK and works quite well.
Yes a “Toe Off” made by Allard is designed for this. A foot orthosis is
advisable with this system though.
I have also made systems with Tamarrack dorsi assist ankle joints and a
internal removable foot orthosis that can be adjusted as needed.
Hello Maria,
Have Karr make you a noodle style AFO. We have many people running on them.
If you do not want to make it in your lab, we can do it for you.
We have people running marathons in ToeOFF
Good Afternoon Maria,
In response to your question there is a device from Centri called the
Dynamic Walk orthosis. This device is an ‘off the shelf’ model that works
extremely well for the patient to run in. I have used them on patients from
13-60 years of age with excellent results. I am attaching their website link
and a link to you tube showing a young patient fitting, for your review.
Good Luck!!
SO he needs a strong PLS, shouldn’t be any big deal. If he’s a big kid and
needs something real durable I would suggest going with a laminated
composite PLS with Kevlar and Fiberglass placed such that you will have the
flexibility you need and plenty of strength. You don’t want any carbon in
this which would make it rigid, not strong. There’s a difference.
I believe that a Blue Rocker design Toe off may be a very good option for
you patient. I have a patient Whom I fitted with the Blue Rocker Toe off and
he is very active and plays tennis with it.
Hello
You might try a Dictus since there is no spasticity. ( it is low profile,
can be worn with running shoes will allow PF and give a DF assist) Vivian CO
MA BPt
Our athletic patients really like the Step-Smart brace.
Check it out at www.insightful-products.com
Consider a carbon fiber posterior spring leaf AFO. The carbon fiber can be
laid up to allow energy store and return. You may have to play with the
layup to get it to be just right. Keep the posterior strut flat (not curved
around the achilles area which gives it greater strength) so it can flex and
extend uniformly which will store and return the energy.
Maria, I have used the Ossur light AFO for running as the carbon strut is
posterior. The people that I have used it on were not overly heavy and were
recreational runners. Hopefully this helps.
Hello Maria,
Yes, we have enabled many people the ability to run for over a decade.
Please view the videos on our website.
www.DynamicBracingSolutions.net
>
Have you tried one of the carbon toe off type afos? Or just a regular
hinged with tamarak joints. He won’t get push off, but would be able to run
on it.
Check out DynamicBracingSolutions.com Kevin
Allard, Inc. makes the Toe-off AFO and it has been used in many races and
even some marathons!
Try it.
www.Allard-USA.com