KAFO SHORT SHORT COURSE 2018 - BAPO
Transcript of KAFO SHORT SHORT COURSE 2018 - BAPO
![Page 1: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/1.jpg)
KAFO SHORT SHORTCOURSE 2018
![Page 2: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/2.jpg)
Problem:We take
situations like this…
Try to avoid usinghyperextendedcasts if at allpossible
![Page 3: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/3.jpg)
And ask a (Potentially) grumpyguy, 200 miles away to make
this…
Be careful about ¾
footplates if you are thinking
about any form of GRF
manipulation
![Page 4: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/4.jpg)
Or this…
![Page 5: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/5.jpg)
![Page 6: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/6.jpg)
To this…
![Page 7: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/7.jpg)
![Page 8: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/8.jpg)
![Page 9: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/9.jpg)
![Page 10: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/10.jpg)
![Page 11: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/11.jpg)
![Page 12: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/12.jpg)
“Please make KAFO/AFO tocast“
…
What other pertinent info should we receive?
Discuss ☺
![Page 13: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/13.jpg)
DisadvantageNeeds two hands to openEasily soiledWear and tear on clothingThe lock may get wedged too tightly
Ring lockThe oldest method for locking a
simple hinge joint
Advantage
The lock is secure
if the lock ring is
strong enough.
![Page 14: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/14.jpg)
DisadvantageCan be operated by external influencesWearAccumulation of debrisOpen (Swiss) can damage clothing/fingers
Swiss/Bale (Covered) lockThe most commonly used joint
Bale is approx 40 years old
Advantage
Function with one
hand possible
Smooth Function
Can be opened
under load
![Page 15: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/15.jpg)
Bar LockThe Strongest Lock
Disadvantages
Need full extension to lock/unlock
Long locking mechanism
Can be influenced externally
Advantages
Positive
Compression
Full Width Lock
Reduced wear
![Page 16: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/16.jpg)
Wedge LockThe latest type of Joint
Disadvantages
Need full extension to lock/unlock
Long locking mechanism throw
Locking surface wear
Advantages
Positive
Improve
Clothing friendly
Stay clean
![Page 17: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/17.jpg)
Posterior OffsetThe most adaptable Joint
Disadvantages
Needs fuller assessment
Relies on GRF
Differential motion
Increased torsion (potential)
Advantages
Normalised gait
GRF Reliant
Needs Full Ax
Lockable?
![Page 18: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/18.jpg)
Lasar Posture Time
For every action there is an equal
and opposite…
F1 F3 F2
![Page 19: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/19.jpg)
Posterior OffsetThe most adaptable Joint
![Page 20: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/20.jpg)
![Page 21: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/21.jpg)
Why is this Important?
![Page 22: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/22.jpg)
Comfort, Habits and
patient wishes are still
important
Good
for
sitting
Good for
flexion control
if well rectified
Awkward to
don for some
![Page 23: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/23.jpg)
Why is this Important?
What does this slide show?
Shank Dependence/reflection
Toe Pitch
Waist
Raise
What does it show?
![Page 24: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/24.jpg)
Frehery
Mod…Roll up
some plaster
and put it
cuboid notch
Wedging too
But you may not need as much as you think
![Page 25: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/25.jpg)
![Page 26: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/26.jpg)
![Page 27: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/27.jpg)
Trim Line OptimisationAchieve desired force patterns with minimalist design.
Increasing dorsiflexion resistance using thermoplastic (Buckon)
Increasing dorsiflexion resistance using composites (Sheehan)
Fibre Conten
t
Enclose Trim
![Page 28: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/28.jpg)
Summary Thoughts
Q & A
![Page 29: KAFO SHORT SHORT COURSE 2018 - BAPO](https://reader036.fdocuments.net/reader036/viewer/2022062520/62b37842a59d027ca77574d6/html5/thumbnails/29.jpg)
KAFO SHORT COURSE 2018