KA
FO
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
KNEE-ANKLE-FOOT
ORTHOSIS (KAFO)
Components are same as AFO. In addition to this there is upright
extended from knee joint to thigh. Thigh band are suspension
mechanism to which the uprights are attached.
Knee Joints Are: This are provided so wearer can sit and can have good
gait pattern to avoid stiff knee gait pattern.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
• 1) Straight set knee joint:
Allows free flexion and
prevents hyperextension.
Upper segment rotates in
single transverse axis. It is
used in combination with
drop lock to give stability. It
is cheap and easy to repair.
2)
• The polycentric Knee joint:
Use double axis system to
stimulate the
flexion/extension
movements of femur and
tibia at knee joint.
• Posterior Offset Knee 3)
Joint: This is given for
patients with minimal
quadriceps weakness,
since it keeps the
knee extended,
though there is not
enough stance
control. There must
be adequate power of
hip flexion and
extension and ability
to produce adequate
momentum to walk.
The placement of
joint is just behind the
4)
• Stance Control: The ideal
joint should have stability
during weight bearing and
flexion during the swing
phase of gait when it is non
weight bearing. This is more
energy efficient, decrease
the exaggerated movements
of hip when knee is locked.
STANCE CONTROL
KAFO
– The E-MAG Active is a stance control KAFO that is
calibrated to the patient’s step length. It is also simple
to re-calibrate the E-MAG Active if the patient’s step
length changes over time. The stance control function
will remain locked during weight bearing, then unlock
for swing phase. It simplifies gait training and allows for
varied cadence to help meet your patient’s specific
needs. A
gyroscope built into the KAFO monitors your patient’s step
length. During the fitting process, the E-MAG Active’s
calibrating feature allows it to recognize your patient’s gait
pattern.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
STANCE CONTROL KAFO
• Stance Control helps users achieve a more natural
gait compared to locked KAFOs, thereby reducing
compensatory movements that can lead to
degenerative conditions, excess energy
expenditure, and noncompliance. · Gyroscope
monitors the orientation of the user’s lower limb
(whether it is at initial contact or at terminal stance).
· Extraordinarily simple calibration allows the
Orthotist to customize the unlocking feature during
the fitting process. Varied flexion angled joints can
be used to ease locking/ unlocking of the orthotic
knee joint or accommodate knee contractures. ·
Optional manual locking/unlocking function
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
CRAIG SCOTT
KAFOS
Prescribed for adult paraplegia.
It includes either a shoe reinforced with transverse and
longitudinal plates.
Enables to stand patient with sufficient backward lean to
provide undue knee flexion and trunk flexion.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
KNEE LOCKS
Drop lock: it locks when knee extends. Use commonly
Free motion Lock: distal locking mechanism that automatically locks upon
reaching full knee extension.
Promotes full knee extension
Heavy duty lever release system can be added for
even easier unlocking
swiss Lock: It provides better stability.
The offset lock: Patient who has limited balance and dexterity.
A dual axis lock: may be adjusted every 6* use for better knee flexion
control.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
KNEE-ANKLE-FOOT
ORTHOSIS (KAFO)
Knee Braces: Knee Braces are prescribed in severe osteoarthritis
of the knee, to provide stability to knee joint.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
KNEE HINGE
BRACE
Hinged knee braces provide the strongest
amount of stability for the ligaments in the
knee. Hinged braces are ideal for day-to-day
activities and all sports for those who are
suffering from mild to moderate ligament
injuries or instabilities, meniscus injuries,
sprains or osteoarthritis.
For severe ligament injuries it is important to
select one of the rigid hinged braces. The rigid
hinged braces provide maximum protection
and typically do not have a sleeve or wrap.
Soft-hinged braces provide a moderate level of
support and combine hinge support with a
knee sleeve or wrap for compression.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
PATELLA K N E E
BRACE
Recommended for mild or moderate
ligament joint pain, sprains, strains,
meniscus tears, Osgood Schlatter
disease or patellar instabilities.
•Medial/Lateral polycentric
aluminum hinges
•Thigh and calf straps provide
additional support and
compression
•Sewn-in pad for additional
patellar support
•Compressive neoprene support
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
KNEE-ANKLE-FOOT
ORTHOSIS (KAFO)
1) C Brace:
Changing speed and direction is easier when you can put weight on a bent
knee. And, the idea of “orthotronics” means you have the combination of
electronic and mechanical systems working together to support your every
step. The C-Brace orthotronic mobility system is designed to provide the
highest level of support for patient so they can feel confident with every step.
Objectives:
Stumble Control: Sensors recognize uncontrolled knee flexion and create
immediate
stability so the patient can recover — and keep a stumble from turning into a
fall.
Greater Ease and Less Concentration: The gait cycle is controlled dynamically and
in real time — allowing patients to walk with greater ease and less need for
compensatory
Textbook of Rehabilitation: S Sunder, Susane O sullivan
movements.
FEATURES
OF C
BRACE
Stance Extension Damping: Progressive resistance
allows natural movement to occur without
uncontrolled and early knee and hip extension at
Terminal Stance, resulting in a more natural
movement without abrupt changes to the center of
gravity, lower back and lower limb joints.
Stance Flexion Damping: Controlled, partial knee
flexion while weight bearing allows the patient to
exhibit knee control when walking down hills and
ramps, descending stairs step over step, and while
sitting down into a chair.
Textbook of Rehabilitation: S
Sunder, Susane O sullivan
