Spastic diplegic, and quadriplegic cerebral palsy (GMFCS levels 1- 4); Spinal cord pathology; Challenging neurological and developmental conditions
Clinical Problem: Early childhood crouch (flexion gait moment) hamstring and gastroc-soleus spasticity with flexible rear, mid and/or forefoot deformities
Common Clinical Measurements:
R1: popliteal > 30 ° knee flexion, gastroc < 5° dorsiflexion
R2: within normal limits
Weak hip extensors, quadriceps and gastroc-soleus.
Gait - First (Heel), Second (Ankle), Third (Toe) Rockers
First: Full mid or forefoot contact
Second: Too much hip flexion, knee flexion and ankle dorsiflexion in mid-stance.
Third: No heel rise (crouch with constant heel contact)
Ultraflex Solution: Custom Molded ADR™-AFO with anterior calf shell and SMO - UltraSafeGait™
Clinical goals: Improve first rocker, create knee extension moment in mid to late stance, block toe third rocker.
Evaluation/Casting: Standard for articulated AFO. Read more on Casting Considerations
Evaluation/Ordering Information: Clinical Technical Support
lateral joint Ultraflex Universal Joint
medial joint UltraSafeGait™
>55lb/25kg but < 110lb/50kg :
lateral & medial Joints UltraSafeGait™
Ultraflex Custom Fabrication:
Above listed components and UltraSafeGait™ Measurement Form
Choice of interface: Custom interface available in a wide range of designs (transfer papers) and colors.
ADR™ Component Channel Adjustments-Early Childhood Crouch:
Posterior Elastomer: Little to no compression needed.
Posterior Stop: Only if required for swing clearance and initial contact with heel.
Anterior Elastomer: Near to fully compressed.
Anterior Stop: Only if anterior elastomer compression alone does not create sufficient knee extension moment in mid to late stance.