Gait: Clinical Observation and Orthotic Intervention - PART 2

3. Mechanisms of Action of an AFO
Review: Biomechanical mechanisms of action of an AFO
Mechanisms of action and the GRF
Mechanisms of action and the GRF: The GRF in gait
Mechanisms of action and the GRF magic wand exercise
Mechanisms of action and the GRF part 4: Biomechanical mechanisms
Mechanisms of action - Quiz
Comparison of GRAFOs and hinged AFOs for a child with meningomyelocele (see paper in the PDF below for optional supplementary detail)
Comparison of GRAFOs and articulated AFOs in a child with myelomeningocele (Paper - supplementary information for video above)
Lesson 3 feedback (Mechanisms of Action)

4. Individualized AFO prescription decisions: Goals, Type and Design
State of current prescription practices and recommendations
Collaboration and goal setting practices for orthotic intervention
Survey - goal setting in practice
Goals and the ICF- Quiz
Decisions about AFO type and design: Part 1
Comparison of dorsiflexion motion allowed by solid and flexible AFOs for children with CP and equinus
Decisions about AFO type and design: Part 2
Survey - Reflections on AFO design
Lesson 4 feedback (Individualizing AFO type and design)

5. Individualized AFO prescription decisions: Design (Ankle angle in the AFO, assessment)
The angle of the ankle in the AFO
Individualizing the ankle angle in the AFO: Effects at the knee
Decisions about the ankle angle in the AFO (Part 1)
Decisions about the angle of the ankle in the AFO (Part 2)
Decisions about the ankle angle in the AFO (Part 3)
Worksheet: Considerations for determining the ankle angle in the AFO
Quiz: individualized AFO design
Lesson 5 feedback (individualized design: AA-AFO)

6. Individualized AFO prescription decisions: Optimization considerations and practices
ABCs of AFOs: A review of key concepts and introduction to this lesson
Individualizing trimlines and other design features (Part 1)
Individualizing trimlines and other design features (Part 2)
Quiz - Matching AFO-FC design and the individual (Open accompanying PDF below)
"Matching the AFO-FC design and the individual" worksheet (Accompanies Quiz)
Definitions and overview of the AFO-FC tuning literature
Reflections on "tuning" the AFO-FC
Considerations for tuning
Tuning considerations continued (footwear modifications for AFO-footwear combinations)
Quiz -- AFO design features and optimization
Lesson 6 feedback (Optimizing and evaluating AFO-FCs)

7. Evaluating and optimizing the AFO-FC
Evaluating AFO-FCs
Evaluation part 2
Quiz - Evaluating and optimizing the AFO-FC
Gait observation and orthotic evaluation worksheet for case studies
Case study 1 (Excessive knee flexion in stance phase), part 1: Barefoot gait
Case study 1 part 2: Physical examination findings and current AFOs
Case study 1 part 3: Evaluating and tuning the new AFO-FC
Case study 2 (Excessive knee extension in stance phase) part 1: Barefoot gait and physical examination
Case study 2, part 2: Current hinged AFOs and clinical decision-making
Case study 2, part 3: Evaluation and tuning of the new prescription
Summary - Simplified checklist for orthotic care
Lesson 7 feedback

8. Summary and conclusion
More practice with case examples
Summary and next steps
References for Sections 1-3: Introduction to orthoses and Mechanisms of action
References: Sections 4-6. Individualized prescription decisions (Goals, type, design, optimization)
References for section 7: Optimizing AFO-footwear combinations
Course (Part 2) feedback