Hello all,
Has anyone found a particularly successful way to control ambulation with excessive dorsiflexion (heel-walking) throughout the gait cycle? Even thought we may completely maintain a neutral or dorsiflexed position of the ankle, a few patients simply rock back onto the heel of the AFO and weight-bear/ambulate with very minimal or no contact of the AFO toe-plate with the ground. We have tried wedging the shoe to further encourage knee flexion and to push the center of gravity forward, but some continue to simply rock back onto this as well. Any ideas or tricks?
Thanks,
Lance Hoag, C.O.
Director of Orthotics
Center for Orthotic & Prosthetic Care
