SHADOW AFO/KAFO ORTHOMETRY FORM 2025

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Start slowly, only wearing your KAFO for a maximum of one hour on the first day. Increase the wearing time each day, by an extra 30 minutes to one hour until you are comfortable wearing your KAFO all day or as much as it is required.
General contraindications to using a stance control KAFO include significant knee spasticity, substantial impairment of patient cognition and/or motivation, knee flexion contractures exceeding 10 degrees and uncertain prospects for patient follow-up and compliance.
AFOs are the simplest devices, so they typically represent the lower cost range. KAFOs fall into the mid-range due to additional knee joint components and metal uprights.
Knee-Ankle-Foot Orthosis (KAFO) You may have been provided with a knee-ankle-foot orthosis, or KAFO, which has been designed to meet your individual needs. KAFOs are provided to compensate for muscle weakness, paralysis or skeletal problems which cause lower limb instability.
Blisters and Skin Irritation Orthotics can sometimes rub against the skin, causing blisters or irritation. This is more likely to occur if your orthotics are not fitted properly or if you wear shoes that are too tight.
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The most common areas that tend to cause irritation are the collars at the proximal and distal aspects of the AFO. The most common complaint is that the collars are simply too tight. This is frequently due to edema that increases leg and foot circumference.
Until recently the only KAFO that was available was fixed with a locking knee joint. While they provide the needed stability to the knee, it can lead to muscle atrophy (muscle wastage through inactivity). Other disadvantages include unnecessary energy expenditure and a non-cosmetic walk.

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