Afo ankle foot orthosis floor reaction custom molded purpose of the device to provide ground reaction forces to the knee which assist in stabilizing the knee during ambulation.
Floor reaction afo fabrication.
Generally formed from polypropylene there are several variations on the grafo but all include an anterior shell which captures the tibia proximally.
To slide the foot and leg into the frafo plantarflex the ankle point the toes down through the top of the orthosis see figure 4.
A second main difficulty with this orthosis has been its lack of adjustability in the degree of ankle equinus and consequently the amount of knee extension moment control.
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In these cases the floor reaction afo functions to maintain the affected joints in proper alignment to accentuate knee extension at midstance and compensate.
A ground floor reaction ankle foot orthosis grafo or frafo is a type of custom fabricated molded plastic afo capable of triplanar control of the foot ankle complex.
This video describes its parts principle of fro uses advantages and disadvantages.
Make sure the heel is fully seated.
If the floor reaction afo has a detachable anterior panel loosen the straps on the side of the panel 3.
The material cost is lower but perhaps more importantly the time required for fabrication is approximately one third less.
A floor reaction afo is generally used with patients affected by neurological conditions such as spina bifida cerebral palsy brain injury spinal cord injury and post polio paralysis.