Pedi PHAT

The only carbon energy storing AFO.

Fitting guide:

The orthosis should be fit with a thick sock as an interfacing. The upper lateral aspect of the orthosis should extend over the apex of the Fibula head to insure that there is no pressure on the perineal nerve. Otherwise the orthosis should be modified appropriately to relieve this area. You can see the carbon composite structure inside of the orthosis. The flexible shell of the orthosis will become malleable with use but the core structure will not and can not be heat molded in any way. Padding can be used to relive any impingement noted. Remember, if the patient is not comfortable in the fit of the orthosis the functional benefit will be negligible. Upon initial evaluation of the fit, if impingement is noted, going to a larger size may be needed. This will give room for padding adjustments and can accommodate growth better.

With the initial donning of the orthosis, have the patient stand in place. Use assistive devices for stability as needed. Instruct the patient to maintain their heels on the floor and to bend their knees slightly, about 5 degrees. Have the patient do this a few times before attempting to walk. This helps the patient to realize that they can bend the orthosis and for the patient to feel the increasing nature of the resistance force. Before walking, ask/insure that the patient is comfortable and is not experiencing any impingement from the orthosis during weight bearing.

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Step 1: Size Selection:

The brace height should be as high on the back of the lower leg as possible. The length of the lever arm of this part of the brace is key for the braces to function properly. In a sitting position, with the knee bent at 90 degrees. Measure the distance from the hamstrings (bottom of the thigh, just behind the knee) to the bottom of the heel (or the floor, just behind the heel). The height of the brace should be less then the height of the leg measurement. The brace is able to be cut down up to 1/4 inch, if necessary.

The length of the foot section is measured from the back of the heel to the ball of the foot (not to the end of the toes). The measurement of the patient should not be more than 1/4 inch shorter or 1/2 inch longer than the length of the brace. Padding can be added if it will help to stay within these perimeters.

If the prefabricated brace is not able to fit properly, it will not function properly for the patient.

Select the most appropriate size based on the instructions above

Step 2: Strength selection:

Evaluate the strength of each leg separately. Have the patient stand on one leg, the one you are testing. Stabilize the patient as necessary. Ask the patient to raise the heel off the ground, going up on to their toes and hold.... If the patient is not able to raise the heel off the floor or is only able to raise the heel a small bit off the floor. They would need a firm spring to match their strength deficit. If the patient is able to raise more than half way or all the way but not able to hold position. They would need a moderate strength to match their deficit.

In cases of trying to control knee positioning ( hyper-extension, crouch gait, toe walking) a firm spring is recommended. In these cases the patient may have full strength (able to go up on their toes and hold position) during testing. In these cases, the firm strength of the spring is not replacing calf strength it is resisting it. As such a stronger strength is needed.

Select the most appropriate strength based on the instructions above

Step 3: Brace selection:

In selection of a single (unilateral) right or left brace make sure the right selection is noted. In cases of both (bilateral) right and left braces it is found to be better for both braces to be of the same strength. Usually going to the firmer strength. This commonly provides a better overall symmetry in gait (walking).

Select the most appropriate brace orientation based on the instructions above

Step 4: Call us!

Please call (515) 554-6132 to order your product.
Your ordering information is below:

Product name: Pedi PHAT

Brace size:

Brace strength:

Brace orientation:

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