Knowledge (XXG)

Orthotics

Source πŸ“

1011:, the orthosis must take over the stability and stance phase control when walking. Different knee-securing functional elements are needed depending on the weakness of these muscles. In order to compensate for functional deviations with slightly weakness of these muscle groups, a free moving mechanical knee joint with the mechanical pivot point behind the anatomical knee pivot point can be sufficient. In the case of significant weakness, knee flexion when walking must be controlled by functional elements that mechanically secure the knee joint during the early stance phases between loading response and mid stance. Stance phase control knee joints which lock the knee in the early stance phases and release it for knee flexion during the swing phase can be used here, with these joints, a natural gait pattern can be achieved despite mechanically securing against unwanted knee flexion. In these cases, locked knee joints are often used, and while they have a good safety function, the knee joint remains mechanically locked during the swing phase while walking. Patients with locked knee joints have to manage the swing phase with a stiff leg, which only works if the patient develops compensatory mechanisms, such as by raising the body's center of gravity in the swing phase ( 997:, the orthosis has to transfer large forces that the strong muscle group would otherwise take over. These forces are transmitted in a similar way to a ski boot during downhill skiing via the functional elements of the foot part, ankle joint and lower leg shell. Dynamic functional elements are preferable for the ankle joint as static functional elements would completely block the dorsiflexion, which would have to be compensated for by the upper body, resulting in an increased energy cost when walking. The functional element's resistance to protect against unwanted dorsiflexion should be able to be adapted according to the weakness of the plantar flexors. In the case of very weak plantar flexors, the functional element's resistance against undesired dorsiflexion must be very high in order to compensate for the functional deviations this causes. Adjustable functional elements allow the resistance to be adjusted exactly to the weakness of the muscle, and scientific studies recommend adjustable resistance in patients with paralysis or weakness of the plantar flexors. 508: β€“ they are in the foreground of an optimal supply and are individually manufactured. If the physical examination of a patient is carried out precisely, the clinical picture often shows a combination of several functional deviations. Each functional deviation can be slight or severe. The combination of the functional deviation and its characteristics leads to a detailed indication. A major advantage of custom-made products is that the various necessary orthotic functions when doing the configuration of the orthotics can be optimally matched to the determined functional deviations. Another advantage of custom-made products is that each orthosis is made to fit the individual body shape of the patient. Custom-fabricated products were traditionally made by following a trace of the extremity with measurements to assist in creating a well-fitted device. Subsequently, the advent of plastics and later even more modern materials such as 1109:, different functional elements to compensate for their weakness can be integrated into the ankle joint; if both muscle groups are affected, the elements should be integrated into one orthotic joint. The necessary dynamics and resistance to movements in the ankle can be adapted via adjustable functional elements in the ankle joint of the orthosis, which allows it to compensate for muscle weaknesses, provide safety when standing and walking, and still allow as much mobility as possible. For example, adjustable spring units with pre-compression can enable an exact adaptation of both static and dynamic resistance to the measured degree of muscle weakness. Studies show the positive effects of these new technologies. It is of great advantage if the resistances for these two functional elements can be set separately. 1858: 926:. The forefoot lever required for energy-saving walking in the gait phases from mid-stance to pre-swing cannot be activated by the plantar flexors. This leads to excessive dorsiflexion in the ankle joint in terminal stance and a loss of energy while walking. The center of gravity of the body lowers towards the end of the stance phase and the knee of the contralateral leg is flexed excessively. With each step, the center of gravity must be raised above the leg by straightening the excessively flexed knee. Since the plantar flexors originate above the knee joint, they also have a knee-extension effect in the stance phase. 1152:
polypropylene are still called "DAFO" (dynamic ankle-foot orthosis), "SAFO" (solid ankle-foot orthosis) or "Hinged AFO". DAFOs are not stable enough to transfer the high forces required to balance the weak plantar flexors when standing and walking, and SAFOs block the mobility of the ankle joint. A "Hinged AFO" only allowed for the compensation that could be achieved with the orthotic joints of the time, for example, they commonly block plantar flexion, as the joints cannot simultaneously transmit the large forces that are required to compensate for muscle deviations while also offering the necessary dynamics.
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unlocked knee joint can provide only minor compensation for paralysis-related issues while standing and walking, an orthotic knee joint with a rearward displacement of the pivot point can be installed in order to increase safety. However, even with this, a KAFO with a non-locked knee joint should only be used in cases of minor paralysis of the knee and hip extensors. With more severe paralysis and low levels of strength in these muscle groups, there is a significant risk of falling. A typical designation for a KAFO with a unlocked knee joint is, among other things, "KAFO with knee joint for movement control".
1432: 330: 795:, rapid care with an orthosis is necessary. Often areas of the brain are affected that contain "programs" for controlling the musculoskeletal system. With the help of an orthosis, physiological standing and walking can be relearned, preventing long term health consequences caused by an abnormal gait pattern. According to Vladimir Janda, when configuring the orthotic it is important to understand that the muscle groups are not paralyzed, but are controlled by the brain with wrong impulses, and this is why a muscle function test can lead to incorrect results when assessing the ability to stand and walk. 257: 550:. The orthotist creates another detailed physical examination and compares it with the prescription from the physician. The orthotist describes the configuration of the orthosis, which shows which orthotic functions are required to compensate for the functional deviation of the neuromuscular or skeletal system and which functional elements must be integrated into the orthosis for this. Ideally, the necessary orthotic functions and the functional elements to be integrated are discussed in an interdisciplinary team between physician, 1759: 1132: 1482: 1327: 723: 784: 979:
of the drop foot orthosis type is therefore not suitable for the care of patients with weakness in other muscle groups, as these patients require additional functional elements to be taken into account. Initial contact with the heel should be achieved by lifting the foot through the orthosis, and if the dorsiflexors are very weak, control of the rapid drop of the forefoot should be taken over by dynamic functional elements that allow for adjustable resistance of
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order to be able to walk efficiently, without stumbling, and without compensating mechanisms, the joint should allow knee flexion of approximately 60Β° in the swing phase. The first promising developments of automatic knee joints, or stance phase locking knee joints, emerged in the 1990s. In the beginning there were automatic mechanical constructions that took over the locking and unlocking, now automatic electromechanical and automatic
983:. Orthoses should be adapted to the functional deviation of the dorsiflexors in order to correct the shock absorption of the heel rocker lever during loading response, but should not block plantar flexion of the ankle joint as this leads to excessive flexion in the knee and hip and an increase in the energy needed for walking. This is why static functional elements are not recommended when there are newer technical alternatives. 1992: 775:
groups. The compensatory gait is an unconscious reaction to the lack of security when standing or walking that usually worsens with increasing age; if the right functional elements are integrated into the orthosis to counter this, and maintain physiological mobility, the right motor impulses are sent to create new cerebral connections. The goal of an orthotic is the best possible approximation of the physiological gait pattern.
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transfer their weight away from the ulcer to facilitate treatment. The anterior support shell is designed with a lateral hinged attachment to take advantage of the medial tibial flare structure to enhance the weight-bearing properties of the orthosis. A flexible, polyethylene hinge attaches the support shell to the L-shaped member and straps securely attach the anterior support shell to the user's lower leg.
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patient's anatomy. Since the dynamics of the orthosis are executed via the orthotic joints, it is possible to manufacture the orthotic shells as stable and torsion-resistant, which is necessary for the quality and function of the orthosis. The orthosis thus offers the necessary stability to regain the security that has been lost due to paralysis when standing and walking.
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standing exercises, and this makes the work of mobilizing the patient at an early stage easier. With the right functional elements that maintain physiological mobility and provide security when standing and walking, the necessary motor impulses to create new cerebral connections can occur. Clinical studies confirm the importance of orthoses in stroke rehabilitation.
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in order to not stumble, the leg must be swung forward and out in a circular arc (circumduction) or the hip must be raised unnaturally to swing the stiff leg. Each of these incorrect gait patterns can lead to secondary diseases in the bone and muscle system, and such compensatory movement patterns lead to increased energy consumption when walking. The film
1850: 195: 527: β€“ they are used for fast supply in the case of diseases that occur frequently. They are manufactured industrially and in some cases can be adapted to the anatomical body conditions. Semi-finished products are also referred to as prefabricated products and custom fitted products, but in these cases it is not custom-fabricated. 869:. When determining the strength levels of the six major muscle groups as part of the patient's medical history, fatigue can be taken into account by using a standardized six-minute walking test. According to Vladimir Janda the muscle function test is carried out in combination with the six-minute walk test in the following steps: 865:
severity, can lead to considerable restrictions in everyday life. Persistent stress, such as from walking, causes a deterioration in muscle function and has a significant effect on the spatial and temporal parameters of walking, for example by significantly reducing the cadence and walking speed. Fatigue can be measured as
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Rehabilitation braces are used to limit the movement of the knee in both medial and lateral directions, these braces often have an adjustable range of motion, and can be used to limit flexion and extension following ACL reconstruction. They are primarily used after injury or surgery to immobilize the
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by realigning the knee joint. In this way a KO may help reduce osteoarthritis pain, however, there is no clear evidence about the most effective orthosis or the best approach to rehabilitation. A knee brace is not meant to treat an injury or disease on its own, but is used as a component of treatment
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acting on the foot joints while standing, walking or running. They may be either pre-moulded (also called pre-fabricated) or custom made according to a cast or impression of the foot. They are used by everyone from athletes to the elderly to accommodate biomechanical deformities and a variety of soft
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Relief Orthoses are used when there is degeneration to a joint (from "wear and tear" for example) or after an injury such as a torn ligament. Relief orthoses are also used after operations such as operations on the joint ligaments, other bony, muscular structures, or after a complete replacement of a
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The mechanical knee joint of a KAFO with locked and unlocked knee joint is locked when walking in the stance phase, providing the necessary stability and security for the user. The knee joint is then automatically unlocked in the swing phase, allowing the leg to be swung through without stumbling. In
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An unlocked knee joint can move freely both when standing and when walking, both in the stance phase and in the swing phase. In order for the leg to swing through without stumbling, knee flexion of approximately 60Β° is allowed; the user does not need to unlock the knee joint to sit. As a KAFO with an
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is additionally hindered in his urge to move by such orthoses. For centuries, KAFOs were built with mechanical knee joints that stiffened the knee of the paralyzed leg, and even today, such orthotic fittings are still common. Typical designations for a KAFO with a locked knee joint include "KAFO with
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A drop foot orthosis is an AFO that only has one functional element for lifting the forefoot in order to compensate for a weakness in the dorsiflexors. If other muscle groups, such as the plantar flexors, are weak, additional functional elements must be taken into account, making a drop foot orthosis
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fibers, and new knowledge about processing these materials into composite materials, the weight of orthotics has been reduced significantly. In addition to the weight reduction, these materials and technologies have created the possibility of making some areas of an orthosis so rigid that it can take
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are weak, an orthosis should lift the forefoot during the swing phase in order to reduce the risk of the patient stumbling. An orthosis that has only one functional element for lifting the forefoot in order to compensate for a weakness in the dorsiflexors is also known as a drop foot orthosis. An AFO
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Patients with paralysis due to cerebral palsy or traumatic brain injury are usually treated with an ankle-foot orthosis (AFO). Although in these patients the muscles are not paralyzed but being sent the wrong impulses from the brain, the functional elements used in the orthotics are the same for both
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An AFO can also be used to immobilize the ankle and lower leg in the presence of arthritis or a fracture. Ankle–foot orthoses are the most commonly used orthoses, making up about 26% of all orthoses provided in the United States. According to a review of Medicare payments from 2001 to 2006, the base
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systems are available that make standing and walking safer and more comfortable. Various terms are used for a KAFO with a locked and unlocked knee joint. Typical designations are "KAFO with automatic knee joint" or "KAFO with stance phase control knee joint". In scientific articles, the English term
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The mechanical knee joint is locked both when standing and also when walking (in both the stance and swing phases) in order to achieve the necessary stability. To sit, the user can unlock the knee joint. When walking with a locked knee joint it is difficult for the user to swing the leg forward and,
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to call for a new standardization of the terminology. With a focus on caring for children with cerebral palsy there is a recommendation to investigate the potential for gait pattern improvement via the design and manufacture of orthotics made of polypropylene. On the other hand, integrating orthotic
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This sequence of muscle function test and six-minute walk test is used to determine whether muscular fatigue can be induced. If the test reveals muscular fatigue, the strength levels and measured fatigue should be included in the planning of an orthosis, and when determining the functional elements.
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Patients with paralysis after stroke who are able to walk have the option of analysing the gait pattern in order to determine the optimal function of an orthosis. One way of assessing is the classification according to the "N.A.P. Gait Classification", which is a physiotherapeutic treatment concept.
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For the quality and function of a paralysis orthosis, it is important that the orthotic shell is in total-contact with the patient's leg to create an optimal fit, which is why a custom-made orthotic is often preferred. As reducing the weight of an orthosis significantly lessens the energy needed to
907:. The patient's foot cannot be sufficiently lifted during the swing phase while walking, as the necessary concentric work of the dorsiflexors can not be activated. There is a risk of stumbling, and the patient cannot influence the shock absorption when walking (gait phase, loading response), as the 657:
According to Vladimir Janda, a muscle function test is carried out to determine strength levels. The degree of paralysis is given for each muscle group on a scale from 0 to 5, with the value 0 indicating complete paralysis (0%) and the value 5 indicating normal strength (100%). The values between 0
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In the United States, while orthotists require a prescription from a licensed healthcare provider, physical therapists are not legally authorized to prescribe orthoses. In the U.K., orthotists will often accept referrals from doctors or other healthcare professionals for orthotic assessment without
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A knee orthosis (KO) or knee brace extends above and below the knee joint and is generally worn to support or align the knee. In the case of diseases causing neurological or muscular impairment of muscles surrounding the knee, a KO can prevent flexion, extension, or instability of the knee. If the
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can be integrated into the ankle joint of the orthosis depending on the degree of paralysis of the two muscle groups. It is of great advantage if the resistances for these two functional elements can be set separately. The functional elements to compensate for paralysis of the knee-securing muscle
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This assessment is a two step process, in the first step, the patient is viewed from the side of the leg to be assessed, either directly or via a video recording. In gait type 1 the knee angle is hyperextended, while in type 2 the knee angle is flexed. In the second step the patient is viewed from
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Upper-limb (or upper extremity) orthoses are mechanical or electromechanical devices applied externally to the arm, or segments of it, in order to restore or improve function or structural characteristics of the arm segments enclosed in the device. In general, musculoskeletal problems that may be
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A soft brace, sometimes called soft support or a bandage, belong to the field of orthoses and are supposed to protect the joints from excessive loads. Soft braces are also classified according to regions of the body. In sport, bandages are used to protect bones and joints, and prevent and protect
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A custom-made ankle/foot orthosis can be used for the treatment of patients with foot ulcers, it is a rigid L-shaped support member with a rigid anterior support shell on an articulated hinge. The plantar portion of the L-shaped member has at least one ulcer-protecting hollow to allow the user to
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are integrated into the knee joint of the orthosis via knee-securing functional elements. A KAFO can use a variety of combinations of different variants in the stiffness of the foot shell, the different variants of the functional elements of a dynamic ankle joint, the variants in the shape of the
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A custom-made AFO can compensate for functional deviations of muscle groups, it should be configured according to the patient data through a function and load calculation so that it meets the functional and load requirements. In calculating or configuring an AFO, variants are optimally matched to
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are weak, there is an increased risk of falling when walking, as between loading response to the mid-stance the knee extensors control knee flexion inadequately, or not at all. To control the knee, the patient develops compensatory mechanisms that lead to an incorrect gait pattern, for example by
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is supplied with wrong impulses from the central nervous system, which leads to uncertainty when standing and walking, an unconscious compensatory gait can occur. When configuring an orthosis functional elements that can restore safety when standing and walking must be used in these cases; a foot
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An important basic requirement for regaining the ability to walk is that the patient trains early on to stand on both legs safely and well balanced. An orthosis with functional elements to support balance and safety when standing and walking can be integrated into physical therapy from the first
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In addition, an orthosis can be individually configured through the use of orthosis joints. In this way, the combination of the orthotic joints and the adjustability of the functional elements can be adjusted to compensate for any existing functional deviations that have resulted from the muscle
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mold of the body part in question. This method is still extensively used throughout the industry. By introducing composite materials made of carbon fiber materials and aramid fibers embedded in an epoxy resin matrix, the weight of modern orthoses is extremely reduced. With this technique, modern
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are supplied with incorrect impulses from the central nervous system. This can lead to insufficient foot lifting during swing phase of walking, and in these cases, an orthosis that only has functional elements to support the dorsiflexors can be helpful. Such an orthosis is also called drop foot
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The International Committee of the Red Cross published its manufacturing guidelines for ankle–foot orthoses in 2006, and, unfortunately, today's terminologies are still based those guidelines and therefore require a particularly high level of explanation. The intent was to provide standardized
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in order to determine the necessary functions of an orthosis, just as in the case of diseases or injuries to the spinal/peripheral nervous system. However, patients with multiple sclerosis may experience muscular fatigue as well. The fatigue can be more or less pronounced and, depending on the
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involving the T10 to L3 vertebrae, and a body jacket may be used to stabilize more involved fractures of the spine. There are several types of orthoses for managing cervical spine pathology. The halo brace is the most restrictive cervical thoracic orthosis in use; it is used to immobilize the
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Prophylactic braces are used primarily by athletes participating in contact sports. Evidence indicates that prophylactic knee braces, like the ones football linemen wear that are often rigid with a knee hinge, are ineffective in reducing anterior cruciate ligament tears, but may be helpful in
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The production of a custom-made orthotic also allows the integration of orthotic joints, which means the dynamics of the orthotic can be matched exactly with the pivot points of the patient's anatomical joints. As a result, the dynamics of the orthosis take place exactly where dictated by the
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Because new technologies are not widely used, AFOs are often made from polypropylene-based plastic, mostly in the shape of a continuous "L" shape, with the upright part behind the calf and the lower part under the foot, however, this only offers the rigidity of the material. AFOs made of
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Both custom-fabricated products and semi-finished products are used in long-term care and are manufactured or adapted by the orthotist or by trained orthopedic technicians according to the prescription. In many countries the physician or clinician defines the functional deviations in his
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Functional braces are designed for use by people who have already experienced a knee injury and need support while recovering from it, or to help people who have pain associated with arthritis. They are intended to reduce the rotation of the knee, support stability, reduce the chance of
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weakness. The goal of a high-quality orthotic fitting is to adjust the functional elements so precisely that the orthosis provides the necessary support while restricting the dynamics of the lower extremities as little as possible to preserve the remaining functionality of the muscles.
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One way of classifying gait is according to the "Amsterdam Gait Classification", which describes five gait types. To assess the gait pattern, the patient is viewed directly, or via a video recording, from the side of the leg being assessed. At the point when the leg is
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The functional elements of an orthosis ensure the flexion and extension movements of the ankle, knee and hip joints. They correct and control the movements and secure the joints against undesired incorrect movements, and help avoid falls when standing or walking.
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orthoses can achieve perfect stiffness in the areas where this is necessary (e.g., the connection between the ankle and knee joint) and flexibility in the areas where flexibility is required (e.g., in the area of the forefoot on the foot part of an orthosis).
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An orthotist is a specialist responsible for the customising, manufacture, and repair of orthoses. The manufacture of modern orthoses requires both artistic skills in modeling body shapes and manual skills in processing traditional and innovative materialsβ€”
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of the dorsiflexors is limited. After initial heel contact the forefoot either slaps too quickly on the floor via the heel rocker, which creates an audible noise, or the foot does touch the floor with forefoot first, which disrupts gait development.
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terminology, orthoses are classified by an acronym describing the anatomical joints they support. Some examples include KAFO, or knee-ankle-foot orthoses, which span the knee, ankle, and foot; TLSO, or thoracic-lumbar-sacral orthoses, supporting the
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of the knee, the letter "b" is added to the gait type. Patients are thus classified as gait types 1a, 1b, 2a or 2b. The goal of orthotic fitting for patients who are able to walk is the best possible approximation of the physiological gait pattern.
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It is now possible to combine the required rigidity of the orthotic shells with the dynamics in the ankle, with this, other new technologies, and the possibility of producing lightweight but rigid orthoses, new demands have been made of orthotics:
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alleviated by the use of upper limb orthoses include those resulting from trauma or disease (arthritis for example). They may also benefit individuals who have a neurological impairment from a stroke, spinal cord injury, or peripheral neuropathy.
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Knee orthosis with toothed gear segment joints for the care of patients e.g. after a cruciate ligament tear. (Designation of the orthosis according to the body parts included in the orthosis fitting: the knee, English abbreviation: KO for knee
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over the forces of the weakened muscles (e.g. the connection from the ankle joint to the frontal contact surface on the shin), while at the same time leaving areas requiring less support very flexible (e.g. the flexible part of the forefoot).
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Kerkum YL, Harlaar J, Buizer AI, van den Noort JC, Becher JG, Brehm MA (May 2016). "An individual approach for optimizing ankle-foot orthoses to improve mobility in children with spastic cerebral palsy walking with excessive knee flexion".
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individual requirements for the functional elements of the ankle joint, for the stiffness of the foot shell, and for the shape of the lower leg shell. The size of these components is selected by matching their resilience to the load data.
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procedures for the manufacture of high-quality modern, durable and economical devices to people with disabilities throughout the world. However, with the new technologies available, the main types mentioned are in need of revision today.
589:). They are intended to correct or improve functional limitations or to replace functions that have been lost as a result of the paralysis. Functional leg length differences caused by paralysis can be compensated for by using orthosis. 1147:
published in its 2006 Manufacturing Guidelines for Ankle-Foot Orthoses, with the aim of providing people with disabilities worldwide standardized processes for the production of high-quality, modern, durable and economical devices.
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The plantar flexors contribute significantly to being able to stand upright by actuating the forefoot lever and thereby increasing the standing area when standing. This group of muscles moves the foot in the direction of plantar
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HKAFO is the abbreviation for hip-knee-ankle-foot orthoses; which is the English name for an orthosis that spans the hip, the knee, the ankle and the foot. In the treatment of paralyzed patients, a HKAFO is used when there is a
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joints with modern functional elements into the production of older technologies using polypropylene is unusual because the orthotic shells made of polypropylene either could not transfer the high forces or would be too soft.
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orthosis. When configuring a foot lifter orthosis, adjustable functional elements for setting the resistance can be included, which make it possible to adapt the passive lowering of the forefoot (plantar flexion) to the
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The combination of strength levels of the muscle groups determines the type of orthosis (AFO or KAFO) and the functional elements necessary to compensate for restrictions caused by the reduced muscular strength levels.
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exaggerated activation of the plantar flexors, leading into hyperextension of the knee, or when initial contact is with the forefoot and not the heel in order to prevent the knee-flexing effect of the heel rocker.
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Jewett hyperextension body brace fitted to adolescent female patient in full support body suit. (Designated TLSO as the orthosis fits the thoracic, lumbar and sacroiliac regions, making for a thoraco-lumbo-sacral
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and other paralyzes of the dorsiflexors and plantar flexors. (Designation of the orthosis according to the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot
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Aoife, Healy; Roozbeh, Naemi; Nachiappan, Chockalingam (30 June 2014). "The Effectiveness of Footwear and Other Removable Off-loading Devices in the Treatment of Diabetic Foot Ulcers: A Systematic Review".
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Gatt, Alfred; Grech, Mark; Chockalingam, Nachiappan; Formosa, Cynthia (17 May 2017). "A Preliminary Study on the Effect of Computer-Aided Designed and Manufactured Orthoses on Chronic Plantar Heel Pain".
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or to optimize performance in sport. At present, the scientific literature does not provide sufficient high quality research to allow for strong conclusions on their effectiveness and cost-effectiveness.
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ligaments or cartilage of the knee are affected, a KO can provide stabilization to the knee by replacing their functions. For instance, knee braces can be used to relieve pressure from diseases such as
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While there was a multitude of AFOs with differing designs in clinical practice, there was also a clear lack of details regarding the design and the materials used for manufacture, leading Eddison and
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AFO is the abbreviation for ankle-foot orthoses, which is the English name for an orthosis that spans the ankle and foot. In the treatment of paralyzed patients, they are mainly used when there is a
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hyperextension, and increase the agility and strength of the knee. The majority of these are made of elastic. They are the least expensive of all braces and are easily found in a variety of sizes.
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along with drugs, physical therapy and possibly surgery. When used properly, a knee brace may help an individual to stay active by enhancing the position and movement of the knee or reducing pain.
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An ankle joint based on new technology is the connection between the foot shell and the lower leg shell and at the same time contains all the necessary adjustable functional elements of an AFO.
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Eddison, Nicola; Benyahia, Salma; Chockalingam, Nachiappan (19 July 2021). "The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies".
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Negrini, Stefano; Minozzi, Silvia; Bettany-Saltikov, Josette; Chockalingam, Nachiappan; Grivas, Theodoros B.; Kotwicki, Tomasz; Maruyama, Toru; Romano, Michele; Zaina, Fabio (18 June 2015).
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Kobayashi T, Leung AK, Akazawa Y, Hutchins SW (March 2013). "The effect of varying the plantarflexion resistance of an ankle-foot orthosis on knee joint kinematics in patients with stroke".
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are weak, the muscles of the forefoot lever are either inadequately activated or not activated at all. The patient has no balance when standing and has to support themself with aids such as
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Determination of the strength levels of the large muscle groups, taking into account the muscular fatigue typical of MS patients using the example of the muscle group of the dorsal extensors
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can be fluid. An example is compensating for a leg length discrepancy, equivalent to replacing a missing part of a limb. Another example is the replacement of the forefoot after a forefoot
533: β€“ these include short-term orthoses or bandages for a limited duration of therapy and are manufactured industrially. Finished products are also referred to as off-the-shelf products. 1693:(JIA) custom-made and pre-fabricated foot orthoses may also reduce foot pain. Foot orthoses may also be used in conjunction with properly fitted orthopedic footwear in the prevention of 637:
The dorsiflexors move the foot through concentric muscle work around the axis of the ankle in the direction of dorsiflexion and control the plantar flexion through eccentric muscle work.
4848: 1771:. They mostly consist of textiles, some of which have supportive elements. The supporting functions are low compared to paralysis and relief orthoses, though they are sometimes used 2205: 3067: 4961: 4858: 4189:(July 2013). "The effectiveness of footwear as an intervention to prevent or to reduce biomechanical risk factors associated with diabetic foot ulceration: A systematic review". 373:. The use of the International Standard is promoted to reduce the widespread variation in the description of orthoses, which is often a barrier to interpreting research studies. 98: 632:
Description of the functions of the large muscle groups used to define the functional elements of a paralysis orthosis intended to compensate for restricted muscle functions.
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The Amsterdam Gait Classification facilitates the assessment of the gait pattern in CP patients and patients with traumatic brain injury and helps to determine the gait type
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of the knee or hip extensors. They have two orthotic joints: an ankle joint between the foot and lower leg shells and a knee joint between the lower leg and thigh shells.
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All orthoses that affect the foot, the ankle joint, the lower leg, the knee joint, the thigh or the hip joint belong to the category of orthoses for the lower extremities.
4889: 1497:. (Designation of the orthosis according to the body parts included in the orthosis fitting: knee, ankle and foot, English abbreviation: KAFO for knee-ankle-foot orthoses) 1360:
Provides dynamics in the ankle but prevents the physiological plantar flexion caused by the heel lever, as the movement of the orthosis takes place behind the ankle joint
2352:"Optimizing spring hinged ankle foot orthoses for patients with neurological gait disorders using separate adjustability of plantarflexion and dorsiflexion resistance" 1898: 3693:
Alnajjar, Fady; Zaier, Riadh; Khalid, Sumayya; Gochoo, Munkhjargal (28 December 2020). "Trends and Technologies in Rehabilitation of Foot Drop: A Systematic Review".
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KAFO is the abbreviation for knee-ankle-foot orthoses, which spans the knee, ankle and foot. In the treatment of paralyzed patients, a KAFO is used when there is a
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Ankle-foot orthosis (AFO) manufactured using old technology from polypropylene in a variant that is also called "Hinged AFO". It can be used to support an isolated
384:. This treatment is often made from a combination of a prosthesis to replace the forefoot and an orthosis to replace the lost muscular function (ortho prosthesis). 353: 4863: 3885:
Eddison N, Chockalingam N (April 2013). "The effect of tuning ankle foot orthoses-footwear combination on the gait parameters of children with cerebral palsy".
1437:
AFO with stiff carbon fiber frame and dynamic ankle joint for adjustable stiffness through separately adjustable spring resistance in plantar- and dorsiflexion
2468:"Stiffness modification of two ankle-foot orthosis types to optimize gait in individuals with non-spastic calf muscle weakness β€“ a proof-of-concept study" 1857: 1440:
Designation of the orthosis according to the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot orthoses.
3191:"Association between perceived fatigue and gait parameters measured by an instrumented treadmill in people with multiple sclerosis: a cross-sectional study" 653:
The hip extensors stretch the hip joint in the direction of the hip extension and, at the same time, extend the knee in the direction of the knee extension.
4701: 2948:
Nudo RJ, Barbay S (2009). "The Mechanisms and Neurophysiology of Recovery from Stroke". In Stein J, Harvey RL, Macko RF, Winstein CJ, Zorowitz RD (eds.).
5052: 1139:, but it will block plantar flexion. This AFO cannot transmit the high forces required to counterbalance weak plantar flexors while standing and walking. 3791:"Do research papers provide enough information on design and material used in ankle foot orthoses for children with cerebral palsy? A systematic review" 1706: 2857:
Esquenazi A (2008). "Assessment and orthotic management of gait dysfunction in individuals with brain injury". In Hsu JD, Michael JW, Fisk JR (eds.).
2792:
Rodda J, Graham HK (November 2001). "Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm".
690:. In these patients, knowledge of the strength levels of the large muscle groups is necessary to configure the orthotic for the necessary functions. 1291:"Hinged" simply means a flexible connection between the two parts of the orthosis. The joint itself does not offer any further functional elements. 1144: 5087: 4951: 4853: 585:
orthoses are used for partial or complete paralysis, as well as complete functional failure of muscles or muscle groups, or incomplete paralysis (
2114:"Suggested Guidelines for the Prescription of Orthotic Services, Device Delivery, Education, and Follow-up Care: A Multidisciplinary White Paper" 5194: 3242:"Prevalence of Walking-Related Motor Fatigue in Persons With Multiple Sclerosis: Decline in Walking Distance Induced by the 6-Minute Walk Test" 1892:
Spinal orthoses may also be used in the treatment of spinal fractures. A Jewett brace, for instance, may be used to aid healing of an anterior
1650:
A custom ankle-foot orthotic (AFO) specifically designed and fabricated based on a runner's individual foot and ankle anatomy and biomechanics.
1508:
KAFOs can be roughly divided into three variants, depending on whether the mechanical knee joint is: locked, unlocked or locked and unlocked.
802:
Patients with paralysis after a stroke are often treated with an ankle-foot orthosis (AFO), as after a stroke stumbling can occur if only the
4058: 4031: 3677: 3537: 3496: 3417: 3377: 3339: 3301: 3097: 3007: 2957: 2896: 2868: 2771: 2721: 2073:"A systematic review to determine best practice reporting guidelines for AFO interventions in studies involving children with cerebral palsy" 2055: 4920: 2648:"The Effects of Varying Ankle Foot Orthosis Stiffness on Gait in Children with Spastic Cerebral Palsy Who Walk with Excessive Knee Flexion" 1618: 1543:
Stance Control Orthoses SCO is often used, but as this term differs from the ICS classification, one of the first two terms is preferable.
687: 3764: 2216: 1697:. A real-time weight bearing orthotic can be created using a neutral position casting device and the Vertical Foot Alignment System VFAS. 823:
According to this classification, the gait pattern is assessed in the mid-stance phase and described as one of four possible gait types.
337:
Orthotic devices are classified into four areas of the body according to the international classification system (ICS): orthotics of the
5163: 3023:
Owen E (September 2010). "The importance of being earnest about shank and thigh kinematics especially when using ankle-foot orthoses".
5057: 4956: 4910: 787:
The N.A.P. Gait classification facilitates the assessment of the gait pattern in stroke patients and helps to determine the gait type
5256: 2746: 1453:
Depending on which functional elements are integrated in the ankle joint used, such an orthosis can enable the following functions:
488: 241: 74: 4504: 4077:, Rooney JE, "Method and apparatus for the treatment of plantar ulcers and foot deformities", issued 20 Septembere 2005 2592:"Ankle foot orthoses in cerebral palsy: Effects of ankle stiffness on trunk kinematics, gait stability and energy cost of walking" 4755: 1019:). Stance phase control knee joints and locked joints can both be mechanically "unlocked" so the knee can be flexed to sit down. 625:
is needed to determine the strength levels of the affected leg's six major muscle groups and the orthosis's necessary functions.
594: 509: 3555:"How can push-off be preserved during use of an ankle foot orthosis in children with hemiplegia? A prospective controlled study" 2762:
Fatone S (2009). "Chapter 31: Orthotic Management in Stroke". In Stein J, Harvey RL, Macko RF, Winstein CJ, Zarowitz RD (eds.).
570:
with incomplete paraplegia (lesion height L3) with a knee-ankle-foot orthosis with an integrated stance phase control knee joint
5158: 4694: 1869:, a condition describing an abnormal curvature of the spine, may in certain cases be treated with spinal orthoses, such as the 4284: 329: 5072: 5016: 3617:"Modifying ankle foot orthosis stiffness in patients with calf muscle weakness: gait responses on group and individual level" 3447:
Kerkum YL (2016). "The effect of ankle foot orthosis stiffness on trunk movement and walking energy cost in cerebral palsy".
2524:"Modifying ankle foot orthosis stiffness in patients with calf muscle weakness: gait responses on group and individual level" 819:
lifter orthosis is not suitable as it only compensates for the functional deviations caused by weakness of the dorsiflexors.
466: 3672:. AAOS Atlas of Orthoses and Assistive Devices. Philadelphia: John D. Hsu, John W. Michael, John R. Fisk. pp. 487–500. 5123: 4884: 4760: 1690: 4391: 4376: 5297: 4925: 2981:
Neurological early rehabilitation using the example of a stroke β€“ analyzes for the development of quality assurance
1833: 1393:
plus the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot orthoses
1285:
plus the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot orthoses
1237:
plus the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot orthoses
1189:
plus the body parts included in the orthosis fitting: ankle and foot, English abbreviation: AFO for ankle-foot orthoses
404: 159: 3485:
Meadows B, Bowers RJ, Owen E (2008). "Biomechanics of the hip, knee and ankle". In Hsu JD, Michael JW, Fisk JR (eds.).
216: 106: 4930: 4905: 4734: 4442:"A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions" 2976:
Die neurologische FrΓΌhrehabilitation am Beispiel Schlaganfall β€“ Analysen zur Entwicklung einer QualitΓ€tssicherung
1079:
Despite the necessary rigidity, the orthoses should not block the functionality of the muscles, but rather promote it.
1012: 670:
Physical examination for paralysis due to diseases or injuries to the spinal cord and/or the peripheral nervous system
256: 131: 4616:
Nickel VL, Perry J, Garrett A, Heppenstall M (October 1968). "The halo. A spinal skeletal traction fixation device".
3068:"Report of a Consensus Conference on the Orthotic Management of Stroke Patients, Non-Articulated Ankle-Foot Ortheses" 451: 3593: 5282: 5199: 4991: 4827: 4739: 4687: 1950: 1842:
Measurement of pelvic tilt during physical examination to determine whether spinal orthoses are indicated to treat
1682: 980: 828: 462: 60: 3553:
Desloovere K, Molenaers G, Van Gestel L, Huenaerts C, Van Campenhout A, Callewaert B, et al. (October 2006).
470: 455: 117: 102: 4915: 4770: 4144:
Hawke F, Burns J, Radford JA, du Toit V (July 2008). "Custom-made foot orthoses for the treatment of foot pain".
1004: 933: 138: 860:, the degree of strength of the six major muscle groups of the affected leg should be determined as part of the 835:
of the knee. If instead the patient stands on the inner edge of the foot (eversion), which is associated with a
349:, and orthotics for the head. Orthoses are also classified by function: paralysis orthoses and relief orthoses. 5302: 5277: 5092: 5067: 4095:"A case-series study to explore the efficacy of foot orthoses in treating first metatarsophalangeal joint pain" 2711: 1878: 1520: 975: 900: 4048: 2300:"Effect of carbon-composite knee-ankle-foot orthoses on walking efficiency and gait in former polio patients" 1889:, compliance is hampered by patient concerns about appearance and movement restrictions caused by the brace. 1628:
Otherwise correct the shape and/or function of the body, to provide easier movement capability or reduce pain
1468:
Adjustable resistance for stabilization when standing and walking for weak plantar flexors with energy return
5206: 5153: 5148: 5077: 4186: 1935: 1156: 1131: 1016: 4260:
Whiteside S, Allen MJ, Barringer WJ, Beiswenger WD, Brncick MD, Bulgarelli TD, et al. (January 2007).
2974: 1163:
New studies now show the better possibilities for improving the gait pattern through the new technologies.
145: 5189: 5128: 5082: 1758: 739: 703: 546:) and derives the indication from this, e.g. orthotic to restore safety when standing and walking after a 310: 3486: 3407: 4780: 1665: 959:
help control of the knee against unwanted flexion when walking between loading response and mid-stance.
400: 309:
is "an externally applied device used to influence the structural and functional characteristics of the
280: 2591: 1564:
lower leg shell, and the functional elements of a knee joint to compensate for the user's limitations.
205: 4074: 2351: 127: 5287: 5113: 5097: 5062: 4996: 4453: 4306:
Duivenvoorden T, Brouwer RW, van Raaij TM, Verhagen AP, Verhaar JA, Bierma-Zeinstra SM (March 2015).
3175:
Alterations in Temporal-Spatial Gait Parameters in People with Multiple Sclerosis–a Systematic Review
3126: 2659: 1674: 994: 919: 861: 743: 622: 543: 1446:- dynamic ankle joint with precompressed spring elements to control plantarflexion and dorsiflexion 722: 658:
and 5 indicate a percentage reduction in muscle function. All strength levels below five are called
5246: 4765: 4264:. Alexandria (VA): American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. 1930: 1694: 1481: 562: 415:
are involved in orthotic manufacture. Orthotics also combines knowledge of anatomy and physiology,
292: 3839: 1705: 783: 754:
the knee angle and the contact of the foot with the ground are assessed. The five gait types are:
5179: 5001: 4729: 4598: 3987: 3910: 3867: 3726: 3271: 3048: 2817: 2619: 2379: 2187: 1494: 1486: 1040: 908: 857: 808: 770:
Type 5, the knee angle is flexed and foot contact is complete, this is also known as crouch gait.
751: 711: 675: 567: 358: 3115:"Motor fatigue measurement by distance-induced slow down of walking speed in multiple sclerosis" 209: 5292: 5133: 5036: 4986: 4797: 4633: 4567: 4481: 4403: 4368: 4337: 4242: 4206: 4167: 4126: 4054: 4027: 3979: 3902: 3859: 3820: 3753: 3718: 3710: 3673: 3667: 3648: 3574: 3533: 3492: 3464: 3413: 3373: 3335: 3297: 3263: 3222: 3173: 3154: 3093: 3040: 3003: 2953: 2930: 2892: 2864: 2809: 2767: 2742: 2717: 2687: 2611: 2563: 2545: 2499: 2435: 2371: 2329: 2321: 2280: 2262: 2243:"Functional outcome after lengthening with and without deformity correction in polio patients" 2179: 2171: 2135: 2094: 2051: 1678: 1444:- ventral shell with torsionally rigid reinforcement to focus the dynamics on the ankle joint 764:
Type 3, the knee angle is hyperextended and foot contact is incomplete (only on the forefoot).
408: 298: 3931: 2020: 621:
In the case of paralysis due to disease or injury to the spinal/peripheral nervous system, a
5226: 5221: 5118: 5031: 4775: 4625: 4590: 4557: 4547: 4539: 4471: 4461: 4327: 4319: 4262:
Practice analysis of certified practitioners in the disciplines of orthotics and prosthetics
4234: 4198: 4157: 4149: 4116: 4106: 3969: 3894: 3851: 3810: 3802: 3702: 3638: 3628: 3566: 3456: 3253: 3212: 3202: 3144: 3134: 3113:
Phan-Ba R, Calay P, Grodent P, Delrue G, Lommers E, Delvaux V, et al. (13 April 2012).
3032: 2922: 2801: 2677: 2667: 2603: 2553: 2535: 2489: 2479: 2425: 2417: 2363: 2311: 2270: 2254: 2163: 2125: 2112:
Fisk JR, DeMuth S, Campbell J, DiBello T, Esquenazi A, Lin RS, et al. (February 2016).
2084: 1882: 1772: 1646: 1539: 1431: 848: 836: 694:
Physical examination for paralysis due to diseases or injuries to the central nervous system
551: 517: 370: 362: 2646:
Kerkum YL, Buizer AI, van den Noort JC, Becher JG, Harlaar J, Brehm MA (23 November 2015).
1326: 4935: 3406:
Meadows B, Bowers RJ, Owen E (12 July 2016) . "Biomechanics of the hip, knee, and ankle".
3240:
Leone C, Severijns D, DoleΕΎalovΓ‘ V, Baert I, Dalgas U, Romberg A, et al. (May 2016).
2522:
Waterval, Niels F. J.; Nollet, Frans; Harlaar, Jaap; Brehm, Merel-Anne (17 October 2019).
1960: 1955: 1870: 1574: 1502: 1049: 1008: 990: 956: 943: β€“ if the knee flexors are weak, it is more difficult to flex the knee in pre-swing. 896: 866: 832: 659: 602: 416: 314: 949: β€“ if the hip flexors are weak, it is more difficult to flex the knee in pre-swing. 4562: 4527: 4500: 4457: 3130: 2663: 1669:
tissue conditions. Foot orthoses are effective at reducing pain for people with painful
1076:
Despite the necessary rigidity, the orthoses should not block the mobility of the ankle.
5184: 4792: 4476: 4441: 4332: 4307: 4121: 4094: 3815: 3790: 3643: 3616: 3217: 3190: 3149: 3114: 2682: 2647: 2558: 2523: 2494: 2467: 2275: 2242: 1893: 1768: 1729: 1611: 1594: 1036: 767:
Type 4, the knee angle is flexed and foot contact is incomplete (only on the forefoot).
735: 699: 598: 271: 152: 66: 4238: 3527: 1991: 5271: 5021: 4787: 4629: 4602: 4010:
Prosthetics and orthotics β€“ Vocabulary β€“ Part 3: Terms relating to orthoses
3871: 3730: 2805: 2623: 2383: 1970: 1940: 1897:
cervical spine, usually following fracture, and was developed by Vernon L. Nickel at
1885:. As scoliosis most commonly develops in adolescent females who are undergoing their 1686: 3991: 3914: 3554: 3275: 3052: 2821: 1664:) are devices inserted into shoes to provide support for the foot by redistributing 1204:
Provides functional elements against a drop foot and for stabilization when standing
5138: 5006: 4966: 4543: 4323: 4292: 4202: 4153: 3570: 3460: 2926: 2421: 2367: 2191: 1874: 1516: 1357:
Stabilization when standing and walking for weak plantar flexors with energy return
803: 679: 674:
Paralysis may be caused by injury to the spinal or peripheral nervous system after
513: 420: 3706: 1996: 1485:
Knee-ankle-foot orthosis for the treatment of patients e.g. with paraplegia after
1306:
Does not provide safety when standing and walking if the plantar flexors are weak.
4594: 4466: 3974: 3957: 3926: 3924: 3526:
Michael JW (2008). "Lower limb orthoses". In Hsu JD, Michael JW, Fisk JR (eds.).
3139: 3036: 2672: 1255:
Does not provide safety when standing and walking if the plantar flexors are weak
5216: 4288: 3806: 1886: 1655: 1083: 440: 412: 31: 3855: 2607: 2350:
Sabbagh, D.; D'Souza, S.; SchΓ€fer, C.; Fior, J.; Gentz, R. (1 September 2022).
5211: 5026: 4724: 4710: 4411: 4356: 4026:. Philadelphia: John D. Hsu, John W. Michael, John R. Fisk. pp. 373–378. 3633: 3207: 2540: 2484: 2258: 2130: 2113: 2089: 2072: 1965: 1838: 1087: 731: 381: 377: 342: 318: 3983: 3898: 3714: 3468: 3258: 3241: 2549: 2375: 2325: 2266: 2175: 2167: 1116:
can also be used for slight weakness of the knee-securing muscle groups, the
698:
Paralysis caused by diseases or injuries to the central nervous system (e.g.
593:
walk with it, the use of light weight and highly resilient materials such as
1945: 1925: 1866: 1843: 1725: 1670: 1622: 1414:
Blocks both plantar flexion and dorsiflexion, with all negative consequences
1207:
Blocks both plantar flexion and dorsiflexion, with all negative consequences
1136: 904: 582: 516:
as materials of choice for construction necessitated the idea of creating a
393: 338: 261: 35: 4571: 4485: 4407: 4372: 4341: 4246: 4210: 4171: 4130: 4111: 3906: 3863: 3824: 3722: 3652: 3578: 3267: 3226: 3158: 3044: 2934: 2813: 2691: 2615: 2567: 2503: 2439: 2333: 2284: 2183: 2139: 2098: 628: 4637: 4357:"Knee braces: current evidence and clinical recommendations for their use" 4005: 2590:
Meyns P, Kerkum YL, Brehm MA, Becher JG, Buizer AI, Harlaar J (May 2020).
2316: 2299: 831:, if it is the letter "a" is added to the gait. This is associated with a 644:
The knee extensors extend the knee in the direction of the knee extension.
5143: 4162: 923: 761:
Type 2, the knee angle is hyperextended and the foot contact is complete.
4008:. International Organization for Standardization (ISO). September 2020. 27:
Medical specialty that focuses on the design and application of orthoses
17: 4822: 4552: 3172:
DeCeglie S, Dehner S, Ferro S, Lamb R, Tomaszewski L, Cohen ET (2016).
2430: 1849: 1568:
Hip-knee-ankle-foot orthosis (HKAFO) in the field of paralysis orthoses
1272: 586: 539: 260:
A pair of AFO (Ankle Foot Orthosis) braces being used to aid bilateral
116:
if you can. Unsourced or poorly sourced material may be challenged and
2298:
Brehm, Ma; Beelen, A; Doorenbosch, Cam; Harlaar, J; Nollet, F (2007).
1430: 1377: 1376: 1325: 1271: 1223: 1175: 3748: 3746: 3744: 3742: 3740: 2466:
Ploeger HE, Waterval NF, Nollet F, Bus SA, Brehm MA (7 August 2019).
1912: 1750:
leg and are larger in size than other braces, due to their function.
1235:
Designation of the orthosis according to one function: D for dynamic
1064: 1032: 888:
Functional deviations in the case of paralysis of large muscle groups
792: 707: 547: 366: 1399:
Designation is misleading as other orthoses also have this function
1224: 1176: 1112:
An AFO with functional elements to compensate for a weakness of the
1001:
Functional elements in paralysis of knee extensors and hip extensors
647:
The knee flexors bend the knee in the direction of the knee flexion.
3002:. Stuttgart New York: Renata Horst. pp. 12–15, 63, 66 and 77. 1187:
Designation of the orthosis according to one function: S for solid
30:
For the branch of medicine dealing with artificial body parts, see
4869:
International Classification of Functioning, Disability and Health
4674: 1856: 1848: 1837: 1757: 1704: 1645: 1598: 1490: 1480: 1477:
Knee-ankle-foot orthosis (KAFO) in the field of paralysis orthoses
1462:
Adjustable resistance for shock absorption during loading response
1130: 1026: 847: 782: 721: 683: 627: 561: 346: 255: 4274:
Centers for Medicare and Medicaid Services, PSPS Files 2001–2006.
1411:
Stabilization when standing and walking for weak plantar flexors.
1546:
Different functional elements to compensate for weakness of the
1342:
Spring made from flexible material behind (posterior) the ankle
1027: 605:
is indispensable for the manufacture of a custom-made orthosis.
4683: 4669: 4093:
Welsh BJ, Redmond AC, Chockalingam N, Keenan AM (August 2010).
3932:"Prosthetics and orthotics: Part 3: Terms relating to orthoses" 1101:
Depending on the combination of the degree of paralysis of the
1063:
Through the use of modern materials, such as carbon fibers and
4440:
Healy A, Farmer S, Pandyan A, Chockalingam N (14 March 2018).
3532:(4 ed.). Philadelphia: Mosby Elsevier. pp. 343–355. 3491:(4 ed.). Philadelphia: Mosby Elsevier. pp. 299–309. 1283:
Designation of the orthosis according to one function: Hinged
1128:
unsuitable for patients with weakness in other muscle groups.
758:
Type 1, the knee angle is normal and foot contact is complete.
746:
in order to determine the necessary functions of an orthosis.
434: 188: 81: 40: 4679: 4308:"Braces and orthoses for treating osteoarthritis of the knee" 2710:
Nollet F, Noppe CT (2008). Hsu JD, Michael J, Fisk J (eds.).
2046:
Hohmann, Dietrich; Uhlig, Ralf; Mannerfelt, Lennart (1990).
1023:
Ankle–foot orthoses (AFO) in the field of paralysis orthoses
321:
are professionals who specialize in designing these braces.
3615:
Waterval NF, Nollet F, Harlaar J, Brehm MA (October 2019).
2206:"Standards of proficiency β€“ Prosthetists / orthotists" 1143:
In 2006, before these new technologies were available, the
4427:
Orthotics: clinical practice and rehabilitation technology
3296:. Hoboken, New Jersey: David A. Winter. pp. 236–239. 2050:(8., neu bearb. und erw. Aufl ed.). Stuttgart: Enke. 650:
The hip flexors bend the hip joint toward the hip flexion.
1701:
Ankle–foot orthoses (AFO) in the field of relief orthoses
617:
Determination of strength levels for physical examination
4659: 2838:
Grunt S. "Geh-Orthesen bei Kindern mit Cerebralparese".
1742:
resisting medial and lateral collateral ligament tears.
4664: 3789:
Eddison N, Mulholland M, Chockalingam N (August 2017).
1388:
Designation of the orthosis according to one function:
1337:
Designation of the orthosis according to one function:
987:
Functional elements in paralysis of the plantar flexors
963:
Functional elements in paralysis of large muscle groups
113: 4654: 4618:
The Journal of Bone and Joint Surgery. American Volume
3958:"Clinical Benefits of Stance Control Orthosis Systems" 1015:
limping) or by swinging the orthotic leg to the side (
4859:
Convention on the Rights of Persons with Disabilities
4047:
Wolters BW (2008). Hsu JD, Michael J, Fisk J (eds.).
3840:"Ankle Foot Orthoses: Standardisation of terminology" 1309:
Blocks plantar flexion with all negative consequences
873:
First muscle function test (without muscular fatigue)
4655:
International Society of Prosthetists and Orthotists
3363: 3361: 3359: 3357: 3355: 3353: 3351: 2071:
Ridgewell E, Dobson F, Bach T, Baker R (June 2010).
972:
Functional elements in paralysis of the dorsiflexors
5172: 5106: 5045: 4979: 4944: 4898: 4877: 4841: 4815: 4808: 4748: 4717: 4392:"Braces and splints for musculoskeletal conditions" 3370:
Gehen verstehen – Ganganalyse in der Physiotherapie
3075:
International Society for Prosthetics and Orthotics
1345:A DAFO often also known as "Posterior Leaf Spring" 1031:Ankle-foot orthosis for the care of patients after 879:
Second muscle function test (with muscular fatigue)
285: 4665:British Association of Prosthetists and Orthotists 4429:. New York: Churchill Livingstone. pp. 11–12. 4053:. Philadelphia: Mosby Elsevier. pp. 379–389. 2863:. Philadelphia: Mosby Elsevier. pp. 441–447. 2716:. Philadelphia: Mosby Elsevier. pp. 411–417. 1737:Prophylactic, functional and rehabilitation braces 1719:Knee orthoses (KO) in the field of relief orthoses 1303:Provides a functional element against a drop foot. 1252:Provides a functional element against a drop foot. 3294:Biomechanics and Motor Control of Human Movements 2403: 2401: 2399: 2397: 2395: 2393: 1823:Upper-extremity orthoses (with special functions) 1408:Provides functional elements against a drop foot. 1354:Provides functional elements against a drop foot. 4528:"Braces for idiopathic scoliosis in adolescents" 3090:N.A.P. β€“ Therapieren in der NeuroorthopΓ€die 3000:N.A.P. β€“ Therapieren in der NeuroorthopΓ€die 2517: 2515: 2513: 2027:. International Organization for Standardization 1899:Rancho Los Amigos National Rehabilitation Center 1853:Halo brace used to immobilize the cervical spine 4670:The Orthotics & Prosthetics Virtual Library 4660:American Academy of Orthotists and Prosthetists 3956:Zacharias, Britta; Kannenberg, Andreas (2012). 3521: 3519: 3517: 3515: 3480: 3478: 3401: 3399: 3397: 3395: 3393: 3391: 3389: 2461: 2459: 2457: 2455: 2453: 2451: 2449: 811:of the dorsal flexors during loading response. 742:, the gait pattern is analysed as part of the 3936:International Organization for Standardization 3621:Journal of Neuroengineering and Rehabilitation 3442: 3440: 3438: 3436: 3332:Gait Analysis Noraml and Pathological Function 3287: 3285: 3195:Journal of Neuroengineering and Rehabilitation 2987:(PhD thesis) (in German). UniversitΓ€t Hamburg. 2705: 2703: 2701: 2641: 2639: 2637: 2635: 2633: 2528:Journal of NeuroEngineering and Rehabilitation 301:that focuses on the design and application of 112:Please review the contents of the article and 34:. For the specialist in orthotic devices, see 4864:Declaration on the Rights of Disabled Persons 4695: 4425:Redford JB, Basmajian JV, Trautman P (1995). 3325: 3323: 3321: 3319: 3317: 3315: 3313: 2882: 2880: 2787: 2785: 2783: 2585: 2583: 2581: 2579: 2577: 2241:Emara, Khaled M.; Khames, Ahmed (June 2008). 8: 3529:AAOS Atlas of Orthoses and Assistive Devices 3488:AAOS Atlas of Orthoses and Assistive Devices 2860:AAOS Atlas of Orthoses and Assistive Devices 2713:Orthoses for persons with postpolio syndrome 1295:Designation given by the Red Cross in 2006: 1244:Designation given by the Red Cross in 2006: 1196:Designation given by the Red Cross in 2006: 305:, sometimes known as braces or calipers. An 4675:PFA Footcare Association (Canadian Chapter) 4312:The Cochrane Database of Systematic Reviews 4146:The Cochrane Database of Systematic Reviews 1593:Control, guide, limit and/or immobilize an 1524:Swiss lock" or "KAFO with drop lock lock". 1420:Resistance in Plantarflexion not adjustable 1261:Resistance in Plantarflexion not adjustable 469:. Unsourced material may be challenged and 75:Learn how and when to remove these messages 5252: 5053:Augmentative and alternative communication 4812: 4702: 4688: 4680: 4390:Gravlee JR, Van Durme DJ (February 2007). 4050:Knee orthoses for sports-related disorders 1535:KAFO with locked and unlocked knee joint - 1519:impressively shows how the main character 1465:Adjustable resistance to prevent drop foot 1366:Stiffness in Plantarflexion not adjustable 1315:Stiffness in Plantarflexion not adjustable 1213:Stiffness in Plantarflexion not adjustable 4561: 4551: 4475: 4465: 4331: 4191:Journal of Diabetes and Its Complications 4161: 4120: 4110: 3973: 3814: 3642: 3632: 3257: 3216: 3206: 3148: 3138: 2681: 2671: 2557: 2539: 2493: 2483: 2429: 2315: 2274: 2129: 2088: 1915:are an example of orthoses for the head. 1715:cost of an AFO was about $ 500 to $ 700. 1577:of the pelvic stabilizing trunk muscles. 1423:Resistance in Dorsiflexion not adjustable 1318:Resistance in Dorsiflexion not adjustable 1264:Resistance in Dorsiflexion not adjustable 876:Six-minute walk test directly followed by 718:Cerebral palsy and traumatic brain injury 489:Learn how and when to remove this message 242:Learn how and when to remove this message 3962:JPO Journal of Prosthetics and Orthotics 3838:Eddison N, Chockalingam N (March 2021). 2952:. New York: Springer. pp. 123–134. 2833: 2831: 2766:. New York: Springer. pp. 522–523. 2596:European Journal of Paediatric Neurology 2015: 2013: 2011: 2009: 2007: 1369:Stiffness in Dorsiflexion not adjustable 1216:Stiffness in Dorsiflexion not adjustable 1169: 1145:International Committee of the Red Cross 328: 297:'to straighten, to align') is a 5088:Disproportionality in special education 4589:. Publish Ahead of Print (2): e93–e98. 4532:Cochrane Database of Systematic Reviews 3887:Prosthetics and Orthotics International 3025:Prosthetics and Orthotics International 2077:Prosthetics and Orthotics International 1983: 1673:, and may be effective for people with 1601:or body segment for a particular reason 1450:Not mentioned by the Red Cross in 2006 1403:Not mentioned by the Red Cross in 2006 1349:Not mentioned by the Red Cross in 2006 814:In cases where the muscle group of the 4507:from the original on 25 September 2010 4355:Paluska SA, McKeag DB (January 2000). 1604:Restrict movement in a given direction 827:the front to determine if the foot is 3246:Neurorehabilitation and Neural Repair 2889:Motorisches Strategietraining und PNF 2345: 2343: 2215:. London. August 2013. Archived from 1767:injuries. Bandages should also allow 1589:Relief orthosis may also be used to: 989: β€“ in order to compensate for a 376:The transition from an orthosis to a 7: 4587:Journal of Prosthetics and Orthotics 3092:. Stuttgart New York: Renata Horst. 2950:Stroke Recovery & Rehabilitation 2764:Stroke Recovery & Rehabilitation 1442:Plus further descriptions, such as: 467:adding citations to reliable sources 5195:Disability in children's literature 4024:Orthoses in total joint replacement 3754:"ICRC AFO Manufacturing Guidelines" 2213:Health and Care Professions Council 5058:Emotional or behavioral disability 4379:from the original on 14 July 2014. 4099:Journal of Foot and Ankle Research 3795:Journal of Children's Orthopaedics 2739:Manuelle Muskelfunktionsdiagnostik 2472:Journal of Foot and Ankle Research 2304:Journal of Rehabilitation Medicine 2048:OrthopΓ€dische Technik: 22 Tabellen 25: 4239:10.2174/1573399810666140918121438 3770:from the original on 7 March 2016 791:In the case of paralysis after a 56:This article has multiple issues. 5251: 5242: 5241: 4630:10.2106/00004623-196850070-00009 4285:"Knee braces for osteoarthritis" 3695:Expert Review of Medical Devices 2806:10.1046/j.1468-1331.2001.00042.x 1990: 1797:Clavicular and shoulder orthoses 1297:AFO with Tamarack Flexure Joint 1082:Despite the necessary rigidity, 916:Paralysis of the plantar flexors 856:In the case of paralysis due to 439: 193: 178: 86: 45: 4499:Lansang Jr RS (18 March 2009). 1660:Foot orthoses (commonly called 1614:forces for a particular purpose 1528:KAFO with unlocked knee joint - 930:Paralysis of the knee extensors 734:patients with paralysis due to 64:or discuss these issues on the 5073:Disability and LGBT identities 4544:10.1002/14651858.CD006850.pub3 4324:10.1002/14651858.CD004020.pub3 4203:10.1016/j.jdiacomp.2013.03.001 4185:Healy, Aoife; Naemi, Roozbeh; 4154:10.1002/14651858.CD006801.pub2 3571:10.1016/j.gaitpost.2006.08.003 3461:10.1016/j.gaitpost.2016.07.070 3330:Perry J, Burnfield JM (2010). 2927:10.1016/j.gaitpost.2016.03.001 2422:10.1016/j.gaitpost.2012.07.028 2368:10.1016/j.gaitpost.2022.07.101 1456:provides dynamics in the ankle 953:Paralysis of the hip extensors 538:prescription, e.g. paralysis ( 431:Prescription and manufacturing 219:and remove irrelevant content. 114:add the appropriate references 1: 4885:Services for mental disorders 3707:10.1080/17434440.2021.1857729 2794:European Journal of Neurology 1995:The dictionary definition of 1691:juvenile idiopathic arthritis 1689:(bunions). For children with 1512:KAFO with locked knee joint - 941:Paralysis of the knee flexors 893:Paralysis of the dorsiflexors 217:relocate relevant information 4890:Services for disabled people 4595:10.1097/JPO.0000000000000382 4467:10.1371/journal.pone.0192094 3975:10.1097/jpo.0b013e3182435db3 3594:"The new generation of AFOs" 3140:10.1371/journal.pone.0034744 3037:10.3109/03093646.2010.485597 2673:10.1371/journal.pone.0142878 1834:Halo-gravity traction device 1814:Forearm-wrist-thumb orthoses 1789:Types of upper-limb orthoses 1633:Ulcer healing orthoses (UHO) 1003: β€“ in the case of weak 947:Paralysis of the hip flexors 212:on an aspect of the subject. 5173:Arts, media, culture, sport 3807:10.1302/1863-2548.11.160256 3669:Orthoses for cerebral palsy 2156:Foot & Ankle Specialist 2021:"Prosthetics and orthotics" 1817:Forearm-wrist-hand orthoses 1625:after the removal of a cast 688:Charcot-Marie-Tooth disease 286: 99:reliable medical references 5319: 5200:Disability in horror films 4992:Activities of daily living 3856:10.1016/j.foot.2020.101702 2608:10.1016/j.ejpn.2020.02.009 2247:International Orthopaedics 1951:Neuromechanics of orthoses 1831: 1653: 506:Custom-fabricated products 427:requiring a prescription. 391: 29: 5237: 4396:American Family Physician 4361:American Family Physician 3634:10.1186/s12984-019-0600-2 3208:10.1186/s12984-015-0028-2 2541:10.1186/s12984-019-0600-2 2485:10.1186/s13047-019-0348-8 2259:10.1007/s00264-007-0322-0 2131:10.7205/MILMED-D-15-00542 2090:10.3109/03093641003674288 1607:Assist movement generally 1090:should not be stimulated. 678:, or by diseases such as 554:, orthotist and patient. 501:Orthoses are offered as: 275: 105:or relies too heavily on 5093:Sexuality and disability 5068:Disability and disasters 4980:Structural and assistive 4503:. eMedicine from WebMD. 4227:Current Diabetes Reviews 4187:Chockalingam, Nachiappan 3899:10.1177/0309364612450706 3259:10.1177/1545968315597070 2358:. ESMAC 2022 Abstracts. 2168:10.1177/1938640017709906 1879:Charleston bending brace 1417:Alignment not adjustable 1363:Alignment not adjustable 1339:"Posterior Leaf Spring" 1312:Alignment not adjustable 1258:Alignment not adjustable 1210:Alignment not adjustable 333:Codification of Orthoses 5207:Disability in the media 5078:Disability and religion 5017:Personal Care Assistant 3368:GΓΆtz-Neumann K (2006). 3189:Kalron A (April 2015). 2891:. Georg Thieme Verlag. 1936:Comparison of orthotics 1887:adolescent growth spurt 1803:Functional arm orthoses 1762:Knee bandage/Knee brace 844:Multiple sclerosis (MS) 542:) of the calf muscles ( 510:carbon fiber composites 5190:Disability in the arts 5083:Disability and poverty 5022:Physical accessibility 4501:"Upper Limb Orthotics" 4112:10.1186/1757-1146-3-17 3178:. CMSC Annual Meeting. 1863: 1854: 1846: 1811:Forearm-wrist orthoses 1763: 1711: 1666:ground reaction forces 1651: 1498: 1435: 1390:FR for Floor reaction 1381: 1334:Posterior Leaf Spring 1330: 1276: 1228: 1180: 1140: 1045: 853: 788: 740:traumatic brain injury 727: 704:traumatic brain injury 633: 571: 525:Semi-finished products 354:International Standard 334: 264: 4781:driver rehabilitation 4075:US patent 6945946 3666:Novacheck TF (2008). 3372:. Stuttgart: Thieme. 2741:. Urban und Fischer. 2317:10.2340/16501977-0110 1860: 1852: 1841: 1832:Further information: 1761: 1708: 1649: 1484: 1434: 1380: 1329: 1275: 1227: 1179: 1134: 1030: 851: 786: 725: 631: 565: 332: 259: 5114:Models of disability 5098:Youth and disability 5063:Invisible disability 5012:Orthotics and braces 4997:Assistive technology 4809:Rights, law, support 4295:on 28 February 2012. 3412:. pp. 299–309. 3334:. Thorofare: SLACK. 1794:Upper-limb orthoses 1695:diabetic foot ulcers 1685:(MTP) joint pain or 1675:rheumatoid arthritis 1459:Adjustable alignment 862:physical examination 744:physical examination 623:physical examination 463:improve this section 345:, orthotics for the 5298:Rehabilitation team 4766:Learning disability 4458:2018PLoSO..1392094H 4414:on 4 December 2010. 4367:(2): 411–8, 423–4. 3409:Musculoskeletal Key 3131:2012PLoSO...734744P 2800:(Suppl 5): 98–108. 2664:2015PLoSO..1042878K 1946:Orthotic horseshoes 1931:Cognitive orthotics 1780:Upper limb orthoses 1683:metatarsophalangeal 1171: 558:Lower limb orthoses 341:, orthotics of the 206:a different subject 5180:Disability culture 5107:Disability studies 5002:Independent living 4730:Disability studies 3559:Gait & Posture 3449:Gait & Posture 3292:Winter DA (2009). 2973:Corsten T (2010). 2915:Gait & Posture 2410:Gait & Posture 2356:Gait & Posture 1864: 1855: 1847: 1764: 1712: 1652: 1642:Foot orthoses (FO) 1499: 1495:multiple sclerosis 1487:spinal cord injury 1436: 1382: 1331: 1277: 1229: 1181: 1170: 1141: 1046: 1041:multiple sclerosis 858:multiple sclerosis 854: 789: 728: 712:multiple sclerosis 676:spinal cord injury 634: 578:Paralysis orthoses 572: 568:spinal cord injury 552:physical therapist 335: 265: 5283:Orthopedic braces 5265: 5264: 5134:Neuroqueer theory 5037:Web accessibility 4987:Accessible toilet 4975: 4974: 4828:Disability rights 4823:Ableism/disablism 4060:978-0-323-03931-4 4033:978-0-323-03931-4 4006:"ISO 8549-3:2020" 3679:978-0-323-03931-4 3539:978-0-323-03931-4 3498:978-0-323-03931-4 3419:978-0-323-03931-4 3379:978-3-13-132373-6 3341:978-1-55642-766-4 3303:978-0-470-39818-0 3099:978-3-13-146881-9 3066:Bowers R (2004). 3009:978-3-13-146881-9 2959:978-1-933864-12-9 2898:978-3-13-151351-9 2870:978-0-323-03931-4 2773:978-1-933864-12-9 2723:978-0-323-03931-4 2222:on 6 October 2013 2124:(2 Suppl): 11–7. 2118:Military Medicine 2057:978-3-432-82508-3 1679:plantar fasciitis 1474: 1473: 531:Finished products 499: 498: 491: 423:and engineering. 343:upper extremities 339:lower extremities 299:medical specialty 296: 284: 252: 251: 244: 234: 233: 187: 186: 163: 79: 16:(Redirected from 5310: 5255: 5254: 5245: 5244: 5227:Special Olympics 5119:Inspiration porn 5032:Universal design 4833:Pejorative terms 4813: 4776:Physical therapy 4704: 4697: 4690: 4681: 4642: 4641: 4613: 4607: 4606: 4582: 4576: 4575: 4565: 4555: 4523: 4517: 4516: 4514: 4512: 4496: 4490: 4489: 4479: 4469: 4437: 4431: 4430: 4422: 4416: 4415: 4410:. Archived from 4387: 4381: 4380: 4352: 4346: 4345: 4335: 4303: 4297: 4296: 4291:. Archived from 4281: 4275: 4272: 4266: 4265: 4257: 4251: 4250: 4221: 4215: 4214: 4182: 4176: 4175: 4165: 4141: 4135: 4134: 4124: 4114: 4090: 4084: 4083: 4082: 4078: 4071: 4065: 4064: 4044: 4038: 4037: 4019: 4013: 4012: 4002: 3996: 3995: 3977: 3953: 3947: 3946: 3944: 3942: 3928: 3919: 3918: 3882: 3876: 3875: 3835: 3829: 3828: 3818: 3786: 3780: 3779: 3777: 3775: 3769: 3758: 3750: 3735: 3734: 3690: 3684: 3683: 3663: 3657: 3656: 3646: 3636: 3612: 3606: 3605: 3598:The O&P EDGE 3592:MuΓ±oz S (2018). 3589: 3583: 3582: 3550: 3544: 3543: 3523: 3510: 3509: 3507: 3505: 3482: 3473: 3472: 3444: 3431: 3430: 3428: 3426: 3403: 3384: 3383: 3365: 3346: 3345: 3327: 3308: 3307: 3289: 3280: 3279: 3261: 3237: 3231: 3230: 3220: 3210: 3186: 3180: 3179: 3169: 3163: 3162: 3152: 3142: 3110: 3104: 3103: 3088:Horst R (2011). 3085: 3079: 3078: 3072: 3063: 3057: 3056: 3020: 3014: 3013: 2998:Horst R (2011). 2995: 2989: 2988: 2986: 2970: 2964: 2963: 2945: 2939: 2938: 2909: 2903: 2902: 2887:Horst R (2005). 2884: 2875: 2874: 2854: 2848: 2847: 2835: 2826: 2825: 2789: 2778: 2777: 2759: 2753: 2752: 2737:Janda V (2000). 2734: 2728: 2727: 2707: 2696: 2695: 2685: 2675: 2658:(11): e0142878. 2643: 2628: 2627: 2587: 2572: 2571: 2561: 2543: 2519: 2508: 2507: 2497: 2487: 2463: 2444: 2443: 2433: 2405: 2388: 2387: 2347: 2338: 2337: 2319: 2295: 2289: 2288: 2278: 2238: 2232: 2231: 2229: 2227: 2221: 2210: 2202: 2196: 2195: 2150: 2144: 2143: 2133: 2109: 2103: 2102: 2092: 2068: 2062: 2061: 2043: 2037: 2036: 2034: 2032: 2017: 2002: 1994: 1988: 1883:Providence brace 1773:prophylactically 1671:high-arched feet 1540:electrohydraulic 1172: 837:valgus deformity 544:M. Triceps Surae 518:plaster of Paris 494: 487: 483: 480: 474: 443: 435: 315:skeletal systems 291: 289: 279: 277: 247: 240: 229: 226: 220: 197: 196: 189: 182: 181: 173: 170: 164: 162: 121: 90: 89: 82: 71: 49: 48: 41: 21: 5318: 5317: 5313: 5312: 5311: 5309: 5308: 5307: 5303:Skeletal system 5278:Muscular system 5268: 5267: 5266: 5261: 5233: 5168: 5102: 5041: 4971: 4945:Activist groups 4940: 4894: 4873: 4837: 4804: 4744: 4713: 4708: 4651: 4646: 4645: 4615: 4614: 4610: 4584: 4583: 4579: 4538:(6): CD006850. 4525: 4524: 4520: 4510: 4508: 4498: 4497: 4493: 4452:(3): e0192094. 4439: 4438: 4434: 4424: 4423: 4419: 4389: 4388: 4384: 4354: 4353: 4349: 4318:(3): CD004020. 4305: 4304: 4300: 4283: 4282: 4278: 4273: 4269: 4259: 4258: 4254: 4223: 4222: 4218: 4184: 4183: 4179: 4148:(3): CD006801. 4143: 4142: 4138: 4092: 4091: 4087: 4080: 4073: 4072: 4068: 4061: 4046: 4045: 4041: 4034: 4022:Lima D (2008). 4021: 4020: 4016: 4004: 4003: 3999: 3955: 3954: 3950: 3940: 3938: 3930: 3929: 3922: 3884: 3883: 3879: 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2044: 2040: 2030: 2028: 2019: 2018: 2005: 1989: 1985: 1980: 1975: 1961:Orthopedic cast 1956:Cervical collar 1921: 1910: 1904: 1871:Milwaukee brace 1836: 1830: 1828:Spinal orthoses 1791: 1782: 1756: 1739: 1721: 1703: 1658: 1644: 1635: 1583: 1581:Relief orthoses 1570: 1552:plantar flexors 1479: 1445: 1443: 1384: 1333: 1279: 1231: 1183: 1114:plantar flexors 1107:plantar flexors 1058:plantar flexors 1025: 995:plantar flexors 981:plantar flexion 974: β€“ if the 965: 932: β€“ if the 920:plantar flexors 918: β€“ If the 890: 867:muscle weakness 846: 833:varus deformity 816:plantar flexors 781: 720: 696: 672: 660:muscle weakness 619: 580: 560: 495: 484: 478: 475: 460: 444: 433: 417:pathophysiology 396: 390: 369:regions of the 327: 308: 248: 237: 236: 235: 230: 224: 221: 214: 198: 194: 183: 179: 174: 168: 165: 122: 111: 107:primary sources 91: 87: 50: 46: 39: 28: 23: 22: 15: 12: 11: 5: 5316: 5314: 5306: 5305: 5300: 5295: 5290: 5285: 5280: 5270: 5269: 5263: 5262: 5260: 5259: 5249: 5238: 5235: 5234: 5232: 5231: 5230: 5229: 5224: 5219: 5209: 5204: 5203: 5202: 5197: 5187: 5185:Disability art 5182: 5176: 5174: 5170: 5169: 5167: 5166: 5161: 5156: 5151: 5146: 5141: 5136: 5131: 5126: 5121: 5116: 5110: 5108: 5104: 5103: 5101: 5100: 5095: 5090: 5085: 5080: 5075: 5070: 5065: 5060: 5055: 5049: 5047: 5043: 5042: 5040: 5039: 5034: 5029: 5024: 5019: 5014: 5009: 5004: 4999: 4994: 4989: 4983: 4981: 4977: 4976: 4973: 4972: 4970: 4969: 4964: 4959: 4954: 4948: 4946: 4942: 4941: 4939: 4938: 4933: 4928: 4923: 4918: 4913: 4908: 4902: 4900: 4896: 4895: 4893: 4892: 4887: 4881: 4879: 4875: 4874: 4872: 4871: 4866: 4861: 4856: 4851: 4845: 4843: 4839: 4838: 4836: 4835: 4830: 4825: 4819: 4817: 4810: 4806: 4805: 4803: 4802: 4801: 4800: 4795: 4785: 4784: 4783: 4773: 4768: 4763: 4758: 4752: 4750: 4746: 4745: 4743: 4742: 4737: 4732: 4727: 4721: 4719: 4715: 4714: 4709: 4707: 4706: 4699: 4692: 4684: 4678: 4677: 4672: 4667: 4662: 4657: 4650: 4649:External links 4647: 4644: 4643: 4608: 4577: 4518: 4491: 4432: 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1634: 1631: 1630: 1629: 1626: 1619:rehabilitation 1615: 1612:weight-bearing 1608: 1605: 1602: 1582: 1579: 1569: 1566: 1555:groups of the 1478: 1475: 1472: 1471: 1470: 1469: 1466: 1463: 1460: 1457: 1451: 1448: 1438: 1427: 1426: 1425: 1424: 1421: 1418: 1415: 1412: 1409: 1404: 1401: 1386: 1383:AFO known as: 1373: 1372: 1371: 1370: 1367: 1364: 1361: 1358: 1355: 1350: 1347: 1335: 1332:AFO known as: 1322: 1321: 1320: 1319: 1316: 1313: 1310: 1307: 1304: 1299: 1293: 1281: 1278:AFO known as: 1268: 1267: 1266: 1265: 1262: 1259: 1256: 1253: 1248: 1242: 1233: 1230:AFO known as: 1220: 1219: 1218: 1217: 1214: 1211: 1208: 1205: 1200: 1194: 1185: 1182:AFO known as: 1118:knee extensors 1092: 1091: 1080: 1077: 1037:cerebral palsy 1024: 1021: 1005:knee extensors 964: 961: 934:knee extensors 909:eccentric work 889: 886: 881: 880: 877: 874: 845: 842: 809:eccentric work 780: 777: 772: 771: 768: 765: 762: 759: 736:cerebral palsy 719: 716: 700:cerebral palsy 695: 692: 671: 668: 655: 654: 651: 648: 645: 642: 638: 618: 615: 579: 576: 566:Patient after 559: 556: 535: 534: 528: 522: 497: 496: 447: 445: 438: 432: 429: 392:Main article: 389: 386: 326: 325:Classification 323: 306: 250: 249: 232: 231: 204:may relate to 201: 199: 192: 185: 184: 177: 175: 94: 92: 85: 80: 54: 53: 51: 44: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5315: 5304: 5301: 5299: 5296: 5294: 5291: 5289: 5286: 5284: 5281: 5279: 5276: 5275: 5273: 5258: 5250: 5248: 5240: 5239: 5236: 5228: 5225: 5223: 5220: 5218: 5215: 5214: 5213: 5210: 5208: 5205: 5201: 5198: 5196: 5193: 5192: 5191: 5188: 5186: 5183: 5181: 5178: 5177: 5175: 5171: 5165: 5162: 5160: 5157: 5155: 5152: 5150: 5147: 5145: 5142: 5140: 5137: 5135: 5132: 5130: 5127: 5125: 5122: 5120: 5117: 5115: 5112: 5111: 5109: 5105: 5099: 5096: 5094: 5091: 5089: 5086: 5084: 5081: 5079: 5076: 5074: 5071: 5069: 5066: 5064: 5061: 5059: 5056: 5054: 5051: 5050: 5048: 5046:Social issues 5044: 5038: 5035: 5033: 5030: 5028: 5025: 5023: 5020: 5018: 5015: 5013: 5010: 5008: 5005: 5003: 5000: 4998: 4995: 4993: 4990: 4988: 4985: 4984: 4982: 4978: 4968: 4965: 4963: 4960: 4958: 4955: 4953: 4950: 4949: 4947: 4943: 4937: 4934: 4932: 4929: 4927: 4924: 4922: 4919: 4917: 4914: 4912: 4909: 4907: 4904: 4903: 4901: 4897: 4891: 4888: 4886: 4883: 4882: 4880: 4876: 4870: 4867: 4865: 4862: 4860: 4857: 4855: 4852: 4850: 4847: 4846: 4844: 4840: 4834: 4831: 4829: 4826: 4824: 4821: 4820: 4818: 4814: 4811: 4807: 4799: 4796: 4794: 4791: 4790: 4789: 4788:Special needs 4786: 4782: 4779: 4778: 4777: 4774: 4772: 4771:Mainstreaming 4769: 4767: 4764: 4762: 4759: 4757: 4754: 4753: 4751: 4747: 4741: 4738: 4736: 4735:Medical model 4733: 4731: 4728: 4726: 4723: 4722: 4720: 4716: 4712: 4705: 4700: 4698: 4693: 4691: 4686: 4685: 4682: 4676: 4673: 4671: 4668: 4666: 4663: 4661: 4658: 4656: 4653: 4652: 4648: 4639: 4635: 4631: 4627: 4624:(7): 1400–9. 4623: 4619: 4612: 4609: 4604: 4600: 4596: 4592: 4588: 4581: 4578: 4573: 4569: 4564: 4559: 4554: 4549: 4545: 4541: 4537: 4533: 4529: 4522: 4519: 4506: 4502: 4495: 4492: 4487: 4483: 4478: 4473: 4468: 4463: 4459: 4455: 4451: 4447: 4443: 4436: 4433: 4428: 4421: 4418: 4413: 4409: 4405: 4401: 4397: 4393: 4386: 4383: 4378: 4374: 4370: 4366: 4362: 4358: 4351: 4348: 4343: 4339: 4334: 4329: 4325: 4321: 4317: 4313: 4309: 4302: 4299: 4294: 4290: 4286: 4280: 4277: 4271: 4268: 4263: 4256: 4253: 4248: 4244: 4240: 4236: 4232: 4228: 4220: 4217: 4212: 4208: 4204: 4200: 4196: 4192: 4188: 4181: 4178: 4173: 4169: 4164: 4163:1959.13/42937 4159: 4155: 4151: 4147: 4140: 4137: 4132: 4128: 4123: 4118: 4113: 4108: 4104: 4100: 4096: 4089: 4086: 4076: 4070: 4067: 4062: 4056: 4052: 4051: 4043: 4040: 4035: 4029: 4025: 4018: 4015: 4011: 4007: 4001: 3998: 3993: 3989: 3985: 3981: 3976: 3971: 3967: 3963: 3959: 3952: 3949: 3937: 3933: 3927: 3925: 3921: 3916: 3912: 3908: 3904: 3900: 3896: 3893:(2): 95–107. 3892: 3888: 3881: 3878: 3873: 3869: 3865: 3861: 3857: 3853: 3849: 3845: 3841: 3834: 3831: 3826: 3822: 3817: 3812: 3808: 3804: 3800: 3796: 3792: 3785: 3782: 3766: 3762: 3755: 3749: 3747: 3745: 3743: 3741: 3737: 3732: 3728: 3724: 3720: 3716: 3712: 3708: 3704: 3700: 3696: 3689: 3686: 3681: 3675: 3671: 3670: 3662: 3659: 3654: 3650: 3645: 3640: 3635: 3630: 3626: 3622: 3618: 3611: 3608: 3603: 3599: 3595: 3588: 3585: 3580: 3576: 3572: 3568: 3565:(2): 142–51. 3564: 3560: 3556: 3549: 3546: 3541: 3535: 3531: 3530: 3522: 3520: 3518: 3516: 3512: 3500: 3494: 3490: 3489: 3481: 3479: 3475: 3470: 3466: 3462: 3458: 3454: 3450: 3443: 3441: 3439: 3437: 3433: 3421: 3415: 3411: 3410: 3402: 3400: 3398: 3396: 3394: 3392: 3390: 3386: 3381: 3375: 3371: 3364: 3362: 3360: 3358: 3356: 3354: 3352: 3348: 3343: 3337: 3333: 3326: 3324: 3322: 3320: 3318: 3316: 3314: 3310: 3305: 3299: 3295: 3288: 3286: 3282: 3277: 3273: 3269: 3265: 3260: 3255: 3252:(4): 373–83. 3251: 3247: 3243: 3236: 3233: 3228: 3224: 3219: 3214: 3209: 3204: 3200: 3196: 3192: 3185: 3182: 3177: 3176: 3168: 3165: 3160: 3156: 3151: 3146: 3141: 3136: 3132: 3128: 3125:(4): e34744. 3124: 3120: 3116: 3109: 3106: 3101: 3095: 3091: 3084: 3081: 3076: 3069: 3062: 3059: 3054: 3050: 3046: 3042: 3038: 3034: 3031:(3): 254–69. 3030: 3026: 3019: 3016: 3011: 3005: 3001: 2994: 2991: 2982: 2978: 2977: 2969: 2966: 2961: 2955: 2951: 2944: 2941: 2936: 2932: 2928: 2924: 2920: 2916: 2908: 2905: 2900: 2894: 2890: 2883: 2881: 2877: 2872: 2866: 2862: 2861: 2853: 2850: 2845: 2841: 2834: 2832: 2828: 2823: 2819: 2815: 2811: 2807: 2803: 2799: 2795: 2788: 2786: 2784: 2780: 2775: 2769: 2765: 2758: 2755: 2750: 2748:3-437-46430-2 2744: 2740: 2733: 2730: 2725: 2719: 2715: 2714: 2706: 2704: 2702: 2698: 2693: 2689: 2684: 2679: 2674: 2669: 2665: 2661: 2657: 2653: 2649: 2642: 2640: 2638: 2636: 2634: 2630: 2625: 2621: 2617: 2613: 2609: 2605: 2601: 2597: 2593: 2586: 2584: 2582: 2580: 2578: 2574: 2569: 2565: 2560: 2555: 2551: 2547: 2542: 2537: 2533: 2529: 2525: 2518: 2516: 2514: 2510: 2505: 2501: 2496: 2491: 2486: 2481: 2477: 2473: 2469: 2462: 2460: 2458: 2456: 2454: 2452: 2450: 2446: 2441: 2437: 2432: 2427: 2423: 2419: 2415: 2411: 2404: 2402: 2400: 2398: 2396: 2394: 2390: 2385: 2381: 2377: 2373: 2369: 2365: 2362:: S152–S153. 2361: 2357: 2353: 2346: 2344: 2340: 2335: 2331: 2327: 2323: 2318: 2313: 2309: 2305: 2301: 2294: 2291: 2286: 2282: 2277: 2272: 2268: 2264: 2260: 2256: 2252: 2248: 2244: 2237: 2234: 2218: 2214: 2207: 2201: 2198: 2193: 2189: 2185: 2181: 2177: 2173: 2169: 2165: 2161: 2157: 2149: 2146: 2141: 2137: 2132: 2127: 2123: 2119: 2115: 2108: 2105: 2100: 2096: 2091: 2086: 2083:(2): 129–45. 2082: 2078: 2074: 2067: 2064: 2059: 2053: 2049: 2042: 2039: 2026: 2022: 2016: 2014: 2012: 2010: 2008: 2004: 2001:at Wiktionary 2000: 1999: 1993: 1987: 1984: 1977: 1972: 1971:Pet orthotics 1969: 1967: 1964: 1962: 1959: 1957: 1954: 1952: 1949: 1947: 1944: 1942: 1941:Dental braces 1939: 1937: 1934: 1932: 1929: 1927: 1924: 1923: 1918: 1916: 1914: 1908:Head orthoses 1907: 1905: 1902: 1900: 1895: 1890: 1888: 1884: 1880: 1876: 1872: 1868: 1859: 1851: 1845: 1840: 1835: 1827: 1822: 1820:Hand orthoses 1819: 1816: 1813: 1810: 1805: 1802: 1799: 1796: 1795: 1793: 1792: 1788: 1786: 1779: 1777: 1774: 1770: 1760: 1753: 1751: 1747: 1743: 1736: 1734: 1731: 1727: 1718: 1716: 1707: 1700: 1698: 1696: 1692: 1688: 1687:hallux valgus 1684: 1680: 1676: 1672: 1667: 1663: 1657: 1648: 1641: 1639: 1632: 1627: 1624: 1620: 1616: 1613: 1609: 1606: 1603: 1600: 1596: 1592: 1591: 1590: 1587: 1580: 1578: 1576: 1567: 1565: 1562: 1561:hip extensors 1558: 1553: 1549: 1544: 1541: 1536: 1532: 1529: 1525: 1522: 1518: 1513: 1509: 1506: 1504: 1496: 1492: 1491:poliomyelitis 1488: 1483: 1476: 1467: 1464: 1461: 1458: 1455: 1454: 1452: 1449: 1447: 1439: 1433: 1429: 1428: 1422: 1419: 1416: 1413: 1410: 1407: 1406: 1405: 1402: 1400: 1397: 1394: 1391: 1387: 1379: 1375: 1374: 1368: 1365: 1362: 1359: 1356: 1353: 1352: 1351: 1348: 1346: 1343: 1340: 1336: 1328: 1324: 1323: 1317: 1314: 1311: 1308: 1305: 1302: 1301: 1300: 1298: 1294: 1292: 1289: 1288:"Hinged-AFO" 1286: 1282: 1274: 1270: 1269: 1263: 1260: 1257: 1254: 1251: 1250: 1249: 1247: 1246:Flexible AFO 1243: 1241: 1238: 1234: 1226: 1222: 1221: 1215: 1212: 1209: 1206: 1203: 1202: 1201: 1199: 1195: 1193: 1190: 1186: 1178: 1174: 1173: 1168: 1164: 1161: 1158: 1153: 1149: 1146: 1138: 1133: 1129: 1125: 1123: 1122:hip extensors 1119: 1115: 1110: 1108: 1104: 1099: 1096: 1089: 1085: 1081: 1078: 1075: 1074: 1073: 1069: 1066: 1061: 1059: 1055: 1051: 1042: 1038: 1034: 1029: 1022: 1020: 1018: 1017:circumduction 1014: 1010: 1009:hip extensors 1006: 1002: 998: 996: 992: 988: 984: 982: 977: 973: 969: 962: 960: 958: 957:hip extensors 954: 950: 948: 944: 942: 938: 935: 931: 927: 925: 921: 917: 913: 910: 906: 903:results in a 902: 898: 894: 887: 885: 878: 875: 872: 871: 870: 868: 863: 859: 850: 843: 841: 838: 834: 830: 824: 820: 817: 812: 810: 805: 800: 796: 794: 785: 778: 776: 769: 766: 763: 760: 757: 756: 755: 753: 747: 745: 741: 737: 733: 724: 717: 715: 713: 709: 705: 701: 693: 691: 689: 685: 684:poliomyelitis 681: 677: 669: 667: 663: 661: 652: 649: 646: 643: 639: 636: 635: 630: 626: 624: 616: 614: 610: 606: 604: 600: 596: 590: 588: 584: 577: 575: 569: 564: 557: 555: 553: 549: 545: 541: 532: 529: 526: 523: 519: 515: 514:aramid fibers 511: 507: 504: 503: 502: 493: 490: 482: 472: 468: 464: 458: 457: 453: 448:This section 446: 442: 437: 436: 430: 428: 424: 422: 418: 414: 410: 406: 402: 395: 387: 385: 383: 379: 374: 372: 368: 364: 360: 355: 350: 348: 344: 340: 331: 324: 322: 320: 316: 312: 311:neuromuscular 304: 300: 294: 288: 282: 273: 269: 263: 258: 254: 246: 243: 228: 218: 213: 211: 207: 202:This article 200: 191: 190: 176: 172: 161: 158: 154: 151: 147: 144: 140: 137: 133: 130: β€“  129: 125: 124:Find sources: 119: 115: 109: 108: 104: 100: 95:This article 93: 84: 83: 78: 76: 69: 68: 63: 62: 57: 52: 43: 42: 37: 33: 19: 5149:Anthropology 5139:Deaf studies 5129:Crip as verb 5011: 5007:Mobility aid 4967:Reach Canada 4740:Social model 4621: 4617: 4611: 4586: 4580: 4535: 4531: 4521: 4511:15 September 4509:. 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Retrieved 2024: 1997: 1986: 1911: 1903: 1891: 1875:Boston brace 1865: 1800:Arm orthoses 1783: 1765: 1748: 1744: 1740: 1722: 1713: 1661: 1659: 1636: 1588: 1584: 1571: 1560: 1556: 1551: 1548:dorsiflexors 1547: 1545: 1534: 1533: 1527: 1526: 1521:Forrest Gump 1517:Forrest Gump 1511: 1510: 1507: 1500: 1441: 1398: 1395: 1392: 1389: 1344: 1341: 1338: 1296: 1290: 1287: 1284: 1245: 1239: 1236: 1197: 1191: 1188: 1165: 1162: 1157:Chockalingam 1154: 1150: 1142: 1126: 1121: 1117: 1113: 1111: 1106: 1103:dorsiflexors 1102: 1100: 1097: 1093: 1084:contractures 1070: 1062: 1057: 1054:dorsiflexors 1053: 1047: 1000: 999: 986: 985: 976:dorsiflexors 971: 970: 966: 955: β€“ the 952: 951: 946: 945: 940: 939: 929: 928: 915: 914: 901:dorsiflexors 892: 891: 882: 855: 825: 821: 815: 813: 804:dorsiflexors 801: 797: 790: 773: 748: 729: 697: 680:spina bifida 673: 664: 656: 620: 611: 607: 595:carbon fiber 591: 581: 573: 536: 530: 524: 505: 500: 485: 476: 461:Please help 449: 425: 421:biomechanics 409:CNC machines 397: 375: 351: 336: 302: 267: 266: 253: 238: 222: 215:Please help 210:undue weight 203: 166: 156: 149: 142: 135: 123: 103:verification 96: 72: 65: 59: 58:Please help 55: 5288:Orthopedics 5222:Paralympics 5217:Deaflympics 5027:Prosthetics 4718:Main topics 4553:2434/721317 4289:Mayo Clinic 2431:10397/11188 1754:Soft braces 1656:Shoe insert 1280:Hinged AFO 413:3D printing 128:"Orthotics" 97:needs more 32:Prosthetics 5272:Categories 5212:Parasports 4749:Approaches 4725:Disability 4711:Disability 3968:(1): 2–7. 3850:: 101702. 3627:(1): 120. 2921:: 104–11. 2840:Pediatrica 2534:(1): 120. 1978:References 1966:Back brace 1198:Rigid AFO 1088:spasticity 752:mid-stance 732:ambulatory 382:amputation 378:prosthesis 352:Under the 319:Orthotists 139:newspapers 61:improve it 5159:Education 5154:Geography 4798:education 4761:Inclusion 4603:238837441 4105:(1): 17. 3984:1040-8800 3872:219517122 3731:227234568 3715:1743-4440 3469:0966-6362 2624:212641072 2602:: 68–74. 2550:1743-0003 2478:(1): 41. 2384:252359961 2376:0966-6362 2326:0001-5555 2267:0341-2695 2226:5 October 2176:1938-6400 2031:11 August 1926:Orthotist 1901:in 1955. 1867:Scoliosis 1862:orthosis) 1844:scoliosis 1726:arthritis 1710:orthoses) 1662:orthotics 1623:fractures 1595:extremity 1137:foot drop 1044:orthoses) 905:drop foot 583:Paralysis 479:July 2023 450:does not 394:Orthotist 388:Orthotist 281:romanized 268:Orthotics 262:foot drop 225:July 2023 169:July 2023 67:talk page 36:Orthotist 5293:Podiatry 5247:Category 5164:Journals 5144:Eugenics 5124:Bodymind 4931:Students 4878:Services 4572:26086959 4563:10616811 4505:Archived 4486:29538382 4446:PLOS ONE 4408:17304865 4377:Archived 4373:10670507 4342:25773267 4247:25245020 4211:23643441 4172:18646168 4131:20799935 3992:75655968 3915:29917264 3907:22833518 3864:33036836 3825:28904631 3774:20 March 3765:Archived 3761:icrc.org 3723:33249938 3653:31623670 3579:16934470 3276:35067172 3268:26216790 3227:25885551 3159:22514661 3119:PLOS ONE 3077:: 87–94. 3053:38130573 3045:20738230 2935:27131186 2846:: 30–34. 2822:45860264 2814:11851738 2692:26600039 2652:PLOS ONE 2616:32147412 2568:31623670 2504:31406508 2440:22921491 2334:17896058 2285:17333186 2184:28513217 2140:26835739 2099:20384548 1998:calipers 1919:See also 1681:, first 1575:weakness 1503:weakness 1396:"FRAFO" 1120:and the 1050:weakness 1013:Duchenne 991:weakness 924:crutches 897:weakness 895: β€“ 829:inverted 641:flexion. 603:aluminum 599:titanium 359:thoracic 307:orthosis 303:orthoses 18:Orthosis 4899:Support 4638:5677293 4477:5851539 4454:Bibcode 4333:7173742 4122:2939594 3941:15 July 3816:5584494 3644:6798503 3504:29 July 3425:11 July 3218:4403837 3150:3326046 3127:Bibcode 2683:4658111 2660:Bibcode 2559:6798503 2495:6686412 2276:2323412 2192:4298371 2025:iso.org 1913:Helmets 1610:Reduce 1586:joint. 1240:"DAFO" 1192:"SAFO" 1052:of the 993:of the 899:of the 587:paresis 540:paresis 471:removed 456:sources 295:  283::  208:or has 153:scholar 118:removed 4816:Rights 4793:school 4636:  4601:  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Orthotists

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