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Dynamic Ankle-Foot Orthosis (DAFO)

Year 2011, Volume: 10 Issue: 2, 7 - 13, 01.10.2011

Serap Alsancak Senem Güner

Abstract

the approaches commonly used in the treatment of children with cerebral palsy. Due to the personalized footplate with its very thin and flexible structure, DAFO is a supramalleoler orthosis is that supports the dynamic arch of the foot, provides the stabilization of the subtalar joint and helps tone inhibition. When compared with the other developed foot-ankle orthoses, Standard Ankle-Foot Orhosis (AFO), Tone Reduction AFO and Neurophysiologic AFO, that help walking and enhance other functions, DAFO gets an
advantageous position in terms of dynamic impact
on balance, support arches and providing full
theme

Keywords

Ankle-Foot Orthosis Dynamic Ankle

References

  • Stanger M, Oresic S. Rehabilitation approaches for children with cerebral palsy: overview. J Child Neurol. 2003;18(1):79-88.
  • Romkes J, Brunner R. Comparison of a dynamic and a hinged ankle–foot orthosis by gait analysis in patients with hemiplegic cerebral palsy. Gait & Posture. 2002;15(1):18-24.
  • Carlson JM, Day B, Berglund G. Double short flexure type orthotic ankle joints. J Prosthet Orthot. 1990;4:289-300.
  • Supan TJ, Hovorka CF. A Review of Thermoplastic Ankle-foot Orthoses Adjustments/Replacement in Young Cerebral Palsy and Spina Bifida Patients. J Prosthet Orthot. 1995;7:15-22.
  • Middleton EA, Hurley GRB, Mcllwain JS. The role of rigid and hinged polypropylene ankle-foot orthoses in the management of cerebral palsy: A case study. Prosthet Orthot Int. 1988;12:129-135.
  • Bensman AS, Lossing W. A new ankle-foot orthosis combining the advantages of metal and plastics. Orthot Prosthet. 1979;33:3-10
  • Hylton N. Postural and functional impact of dynamic ankle-foot orthoses and foot orthoses in a pediatric population. JPO 1989;2:40–53.
  • Mueller K and McPoil T. Effect of a tone-inhibiting dynamic ankle-foot orthosis on the foot-loading pattern of a hemiplegic adult: a preliminary study. J Prosthet Orthot 1992; 4: 86–92.
  • Cassade DAFO Ins. Note from Dynamic Splinting Workshop. Ferndale, Washington: Cassade DAFO Ins; 1998.
  • Diamond MF, Ottenbacher KJ. Effect of tone-inhibiting dynamic ankle-foot orthosis on stride characteristics of an adult with hemiparesis. Phys Ther. 1990;70:423-430.
  • Dieli J, Ayyappa E, Hornbeak S. The effect of dynamic AFOs on three hemiplegic adults. J Prosthet Orthot. 1997;9:82-89.
  • Hassani S, Roh J, Ferdjallah M, Reiners K, Kuo K, Smith P, Harris G. Rehabilitative orthotics evaluation in children with diplegic cerebral palsy: kinematics and kinetics. Conf Proc IEEE Eng Med Biol Soc. 2004;4874-6.
  • Lam WK, Leong JC, Li YH, Hu Y, Lu WW. Biomechanical and electromyographic evaluation of ankle foot orthosis and dynamic ankle foot orthosis in spastic cerebral palsy. Gait Posture 2005;22:189-197.
  • Jesinkey K, Naslund A, Hirschfeld H. Initiation of reaching when standing with and without DAFOs in children with spastic diplegia. Advances in Physiotherapy 2005:7(4);144-153.
  • Morris C. A review of the efficacy of lower-limb orthoses used for cerebral palsy.. Developmental Medicine & Child Neurology 2002;44:205-211.
  • Geboers J.F.M,Wetzelaer W.L.H, Seelen H.A.M, Spaans F and Drost M.R. Ankle-foot orthosis has limited effect on walking test parameters among patients with peripheral ankle dorsiflexor paresis. J Rehabil Med,. vol. 2002;34:80-85.
  • White H, Jenkins J, Neace W, Tylkowski C, Walker J. Clinically prescribed orthoses demonstrate an increase in velocity of gait in children with cerebral palsy: a retrospective study. Developmental Medicine & Child Neurology 2002;44:227-23.
  • Geboers J.F, Drost M.R, Spaans F, Kuipers H, and Seelen H.A. Immediate and long-term effects of ankle- foot orthosis on muscle activity during walking: A randomized study of patients with unilateral foot drop. Arch Phys Med Rehabilitation 2002;83:240-245.
  • Radtka SA, Skinner SR, Dixon DM, Johanson ME. A comparison of gait with solid, dynamic, and no ankle- foot orthoses in children with spastic cerebral palsy. Phys Ther 1997;77:395-409.
  • Mueller K, Cornwall M, McPoil T, Mueller D, Barnwell J. Effect of a tone-inhibiting dynamic ankle-foot orthosis on the foot-loading pattern of a hemiplegic adult: a preliminary study. J Pediatr Orthop 1992;4:86- 92.

DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’

Year 2011, Volume: 10 Issue: 2, 7 - 13, 01.10.2011

Serap Alsancak Senem Güner

Abstract

Serebral paralizili çocukların tedavisinde oldukça sık kullanılan ortez yaklaşımlarından biri de Dinamik Ayak-Bilek Ortezi olarak bilinen DAFO’dur. DAFO oldukça ince ve esnek yapısı ile kişiye uygun oluşturulmuş tabanlığı sayesinde ayağın dinamik arklarını destekleyen, subtalar eklemde stabilizasyonu sağlayan, tonus inhibisyonuna yardımcı olan supramalleoler bir ortezdir. Geliştirilen diğer yürüme ve fonksiyonları artırmaya yardımcı ayak-bilek ortezleri, Standart AFO, Tonus Azaltıcı AFO (Tone Reduction AFO) ve Nörofizyolojik AFO ile karşılaştırılan çalışmalar; dinamik denge üzerindeki etkisi, arkları desteklemesi, tam teması sağlaması, DAFO’yu bu ortezlerden avantajlı konuma getirmektedir

Keywords

Ayak-Bilek Ortezi Dinamik

References

  • Stanger M, Oresic S. Rehabilitation approaches for children with cerebral palsy: overview. J Child Neurol. 2003;18(1):79-88.
  • Romkes J, Brunner R. Comparison of a dynamic and a hinged ankle–foot orthosis by gait analysis in patients with hemiplegic cerebral palsy. Gait & Posture. 2002;15(1):18-24.
  • Carlson JM, Day B, Berglund G. Double short flexure type orthotic ankle joints. J Prosthet Orthot. 1990;4:289-300.
  • Supan TJ, Hovorka CF. A Review of Thermoplastic Ankle-foot Orthoses Adjustments/Replacement in Young Cerebral Palsy and Spina Bifida Patients. J Prosthet Orthot. 1995;7:15-22.
  • Middleton EA, Hurley GRB, Mcllwain JS. The role of rigid and hinged polypropylene ankle-foot orthoses in the management of cerebral palsy: A case study. Prosthet Orthot Int. 1988;12:129-135.
  • Bensman AS, Lossing W. A new ankle-foot orthosis combining the advantages of metal and plastics. Orthot Prosthet. 1979;33:3-10
  • Hylton N. Postural and functional impact of dynamic ankle-foot orthoses and foot orthoses in a pediatric population. JPO 1989;2:40–53.
  • Mueller K and McPoil T. Effect of a tone-inhibiting dynamic ankle-foot orthosis on the foot-loading pattern of a hemiplegic adult: a preliminary study. J Prosthet Orthot 1992; 4: 86–92.
  • Cassade DAFO Ins. Note from Dynamic Splinting Workshop. Ferndale, Washington: Cassade DAFO Ins; 1998.
  • Diamond MF, Ottenbacher KJ. Effect of tone-inhibiting dynamic ankle-foot orthosis on stride characteristics of an adult with hemiparesis. Phys Ther. 1990;70:423-430.
  • Dieli J, Ayyappa E, Hornbeak S. The effect of dynamic AFOs on three hemiplegic adults. J Prosthet Orthot. 1997;9:82-89.
  • Hassani S, Roh J, Ferdjallah M, Reiners K, Kuo K, Smith P, Harris G. Rehabilitative orthotics evaluation in children with diplegic cerebral palsy: kinematics and kinetics. Conf Proc IEEE Eng Med Biol Soc. 2004;4874-6.
  • Lam WK, Leong JC, Li YH, Hu Y, Lu WW. Biomechanical and electromyographic evaluation of ankle foot orthosis and dynamic ankle foot orthosis in spastic cerebral palsy. Gait Posture 2005;22:189-197.
  • Jesinkey K, Naslund A, Hirschfeld H. Initiation of reaching when standing with and without DAFOs in children with spastic diplegia. Advances in Physiotherapy 2005:7(4);144-153.
  • Morris C. A review of the efficacy of lower-limb orthoses used for cerebral palsy.. Developmental Medicine & Child Neurology 2002;44:205-211.
  • Geboers J.F.M,Wetzelaer W.L.H, Seelen H.A.M, Spaans F and Drost M.R. Ankle-foot orthosis has limited effect on walking test parameters among patients with peripheral ankle dorsiflexor paresis. J Rehabil Med,. vol. 2002;34:80-85.
  • White H, Jenkins J, Neace W, Tylkowski C, Walker J. Clinically prescribed orthoses demonstrate an increase in velocity of gait in children with cerebral palsy: a retrospective study. Developmental Medicine & Child Neurology 2002;44:227-23.
  • Geboers J.F, Drost M.R, Spaans F, Kuipers H, and Seelen H.A. Immediate and long-term effects of ankle- foot orthosis on muscle activity during walking: A randomized study of patients with unilateral foot drop. Arch Phys Med Rehabilitation 2002;83:240-245.
  • Radtka SA, Skinner SR, Dixon DM, Johanson ME. A comparison of gait with solid, dynamic, and no ankle- foot orthoses in children with spastic cerebral palsy. Phys Ther 1997;77:395-409.
  • Mueller K, Cornwall M, McPoil T, Mueller D, Barnwell J. Effect of a tone-inhibiting dynamic ankle-foot orthosis on the foot-loading pattern of a hemiplegic adult: a preliminary study. J Pediatr Orthop 1992;4:86- 92.
There are 20 citations in total.

Details

Other ID JA87AJ73MP
Journal Section Research Article
Authors

Serap Alsancak This is me

Senem Güner This is me

Publication Date October 1, 2011
Submission Date October 1, 2011
Published in Issue Year 2011 Volume: 10 Issue: 2

Cite

APA Alsancak, S., & Güner, S. (2011). DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’. Ankara Sağlık Hizmetleri Dergisi, 10(2), 7-13.
AMA Alsancak S, Güner S. DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’. ASHD. October 2011;10(2):7-13.
Chicago Alsancak, Serap, and Senem Güner. “DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’”. Ankara Sağlık Hizmetleri Dergisi 10, no. 2 (October 2011): 7-13.
EndNote Alsancak S, Güner S (October 1, 2011) DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’. Ankara Sağlık Hizmetleri Dergisi 10 2 7–13.
IEEE S. Alsancak and S. Güner, “DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’”, ASHD, vol. 10, no. 2, pp. 7–13, 2011.
ISNAD Alsancak, Serap - Güner, Senem. “DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’”. Ankara Sağlık Hizmetleri Dergisi 10/2 (October 2011), 7-13.
JAMA Alsancak S, Güner S. DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’. ASHD. 2011;10:7–13.
MLA Alsancak, Serap and Senem Güner. “DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’”. Ankara Sağlık Hizmetleri Dergisi, vol. 10, no. 2, 2011, pp. 7-13.
Vancouver Alsancak S, Güner S. DİNAMİK AYAK BİLEK ORTEZİ ‘DAFO’. ASHD. 2011;10(2):7-13.