This comprehensive guide explores these devices, their applications, and key considerations when selecting the appropriate support.
Ankle-Foot Orthoses (AFOs): Enhancing Stability and Function
Conditions Treated with AFOs
AFOs are braces designed to support the foot and ankle, helping manage a wide range of conditions. Choosing between an off-the-shelf carbon fibre AFO, a Richie Brace, or a custom-made 3D-printed AFO depends on the patient’s unique needs. Common conditions treated with AFOs include:
- Foot Drop – Difficulty lifting the front part of the foot, often due to neurological disorders.
- Cerebral Palsy – A group of disorders affecting movement and muscle tone.
- Stroke – AFOs help with foot drop and provide ankle support during rehabilitation.
- Multiple Sclerosis – Assists with foot drop and enhances mobility.
- Posterior Tibial Tendon Dysfunction (PTTD) – Affects the tendon supporting the arch, leading to flatfoot.
- Chronic Ankle Instability – AFOs and Richie Braces help prevent further injury in people with chronic ankle pain and instability.
- Muscular Dystrophy – AFOs assist with mobility and help maintain muscle function.
- Spinal Cord Injuries – Provides essential lower limb support, improving mobility.
- Arthritis – Reduces ankle pain and enhances joint stability.
Types of AFOs We Provide
At Entire Podiatry, we offer both custom-made and off-the-shelf AFOs to suit different medical needs and patient preferences.
1. Off-the-Shelf AFOs
These pre-manufactured orthoses are ready for immediate use and can be adjusted for a better fit. They provide a cost-effective and convenient solution for many conditions.
2. Custom-Made AFOs
For patients requiring a more personalized solution, we create custom AFOs using advanced 3D scanning technology. These are made from PA11 (Polyamide-Nylon), a strong and durable material.
• Maximum height limit: 38 cm due to 3D printer constraints.
• Weight limit: Not recommended for individuals over 120 kg.
For patients exceeding these limits, polypropylene serves as a reliable alternative, offering robust support while maintaining customizability.
3. Richie Braces
We also supply both off-the-shelf and custom-made Richie Braces. These combine foot orthosis with ankle support, making them versatile for treating conditions such as chronic ankle instability and posterior tibial tendon dysfunction (PTTD).
Richie Brace: A Versatile AFO Solution
The Richie Brace is a custom ankle-foot orthosis designed to treat complex foot and ankle conditions.
Benefits:
- Improved Function – Restores natural foot and ankle movement, enhancing mobility and reducing pain.
- Versatility – Compatible with various footwear types.
- Custom Fit – Designed to match individual foot and ankle contours.
Common Conditions Treated:
- Foot Drop – Helps lift the foot during walking.
- PTTD – Supports the arch and reduces tendon strain.
- Chronic Ankle Instability – Prevents recurrent sprains.
Considerations:
- Customisation Time – Requires a fitting process, leading to a waiting period before use.
- Higher Cost – Reflects the level of customisation and materials used.
- Footwear Requirements – Due to the brace’s support, shoes must be accommodating.
UCBLs and SMOs: Specialized Orthotic Solutions
- UCBLs (University of California Biomechanics Laboratory Orthotics): Rigid, full-contact foot orthotics designed to control severe flat feet and excessive pronation.
- SMOs (Supramalleolar Orthoses): Braces that extend just above the ankle, often prescribed for children with low muscle tone or foot instability. They allow more movement than AFOs while still providing necessary control.
Material Comparison for AFOs
The materials used in AFOs impact their performance, durability, and comfort. Below is a comparison of PA11 (used in our custom AFOs), polypropylene (used in Richie Braces and off-the-shelf models), and carbon fibre (used in off-the-shelf AFOs).
|
Material |
Used In |
Properties | Advantages | Disadvantages | Common Conditions Treated |
|
PA 11 (Polyaminde-Nylon) |
3D-Printed |
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|
|
|
Polypropylene (Plastic) |
Richie Braces and Off-The-Shelf |
|
|
|
|
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Carbon Fibre |
|
|
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Footwear Options for AFOs
Selecting the right footwear is crucial for comfort and functionality.
Off-the-Shelf Shoes
We offer a range of shoes designed to accommodate AFOs, available in various sizes, widths, depths, and styles.
Key Features of Suitable Footwear:
- Wide and Deep Shoes – Provides ample space for the AFO.
- Adjustable Closures – Velcro, laces, or zippers allow a secure fit.
- Removable Insoles – Creates extra space for better comfort.
- Rigid Heel Counter – Enhances support and stability.
Custom-Made Shoes & Modifications
For patients with specific medical needs, we offer custom-made shoes and modifications, particularly for:
- Diabetes – Prevents ulcers and accommodates foot deformities.
- Arthritis – Reduces joint pain and improves mobility.
- Leg Length Discrepancies – Balances gait and prevents compensatory issues.
- Neuromuscular Disorders – Provides specialized support for conditions like Duchenne Muscular Dystrophy.
Example: For patients with Duchenne Muscular Dystrophy, we design soft shoe socks with anti-skid soles and custom inlays, prioritising pressure relief and comfort.
Why Choose Entire Podiatry for Your AFO and Footwear Needs?
Expertise
Our team of podiatrists and orthotists is dedicated to providing the best possible solutions for each patient.
Advanced Technology
We use cutting-edge 3D scanning and printing technology for custom-made AFOs, ensuring precision and comfort.
Comprehensive Care
From consultation to fitting and follow-up, we provide thorough, patient-centered care.
Footwear Solutions
We offer both custom-made and off-the-shelf footwear designed to work seamlessly with AFOs, ensuring maximum comfort and function.
If you or a loved one could benefit from an AFO or require specialised footwear, our team is here to help. Contact us via the enquiry form below, or visit one of our nine clinics across Brisbane, Gold Coast and Moreton Bay to schedule a consultation. Let us help you achieve better mobility and a higher quality of life.
