Patients up to 110lb / 50kg
Spastic diplegic, and quadriplegic cerebral palsy; Spinal cord pathology, Challenging neurological and developmental conditions
Clinical Problem: Childhood crouch (flexion gait moment) hamstring and gastroc-soleus spasticity with rear, mid and/or forefoot deformities, shortened hamstring and gastroc-soleus
Common Clinical Measurements:
R1: some dynamic limitation
R2: popliteal > 30° knee flexion; gastroc-soleus < 5° dorsiflexion
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 plantarflexion, (or dorsiflexion) in mid-stance.
Third: early heel rise or no heel rise (crouch with no heel contact)
Ultraflex Solution: Custom molded therapeutic KO and ADR™ AFO – UltraSafe Gait with the UltraQuick Release™ and posterior calf and
pretibial shell for a total day/night crouch solution
Clinical Goals: Improve base of support and dynamic stability and balance, create knee extension moment in mid to late stance for more upright gait , lengthen hamstring and gastroc-soleus.
Evaluation/Casting: Standard for articulated KAFO. Read more on casting considerations
Evaluation/Ordering Information: Clinical and technical support: (800) 220-6670
Fax: (610) 906-1420, firstname.lastname@example.org
AFO ADR™ Components Only
lateral Joint Ultraflex Universal Joint
medial Joint UltraSafeGait™
>55lb/25kg but < 110lb/50kg :
lateral & medial Joint UltraSafeGait™
UltraSafeStep™ medial Ultraflex Universal Joint lateral
KO Component Only
Conservatively maintain and increase muscle length of
hamstring and gastroc-soleus, preserve and improve ROM
Ultraflex Custom Fabrication:
Above listed components and ADR™ Measurement Form
Choice of interface: Custom interface available in a wide range of designs (transfer papers) and colors
AFO ADR™ Component Channel Adjustments-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.