The material cost is lower but perhaps more importantly the time required for fabrication is approximately one third less.
Floor reaction afo fabrication.
The heel needs to be all the way back and in.
A second main difficulty with this orthosis has been its lack of adjustability in the degree of ankle equinus and consequently the amount of knee extension moment control.
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To slide the foot and leg into the frafo plantarflex the ankle point the toes down through the top of the orthosis see figure 4.
A floor reaction afo is generally used with patients affected by neurological conditions such as spina bifida cerebral palsy brain injury spinal cord injury and post polio paralysis.
A ground floor reaction ankle foot orthosis grafo or frafo is a type of custom fabricated molded plastic afo capable of triplanar control of the foot ankle complex.
In these cases the floor reaction afo functions to maintain the affected joints in proper alignment to accentuate knee extension at midstance and compensate.
This video describes its parts principle of fro uses advantages and disadvantages.
Generally formed from polypropylene there are several variations on the grafo but all include an anterior shell which captures the tibia proximally.
Like many afo designs the grafo improves frontal plane stability and is.
Make sure the heel is fully seated.