The SMO gets its name from the part of the body it encompasses. Thus this orthosis supports the leg just above the ankle bone or malleoli.
The London Orthotic Consultancy prescribe this orthosis in cases where there is mild weakness in the dorsiflexors combined with the significant collapse of the foot and ankle.
It allows dorsiflexion and plantarflexion (toes up and toes down) but eliminates mediolateral movement. The SMO helps improve standing, balance and walking.
The original DAFO was developed in 1985 to help meet the needs of paediatric patients with neuromuscular challenges. The modern DAFO provides thin and flexible support to the foot or ankle.
It wraps around the patient’s entire foot to improve stability. It also gives excellent proprioceptive feedback from the ground using its dynamic footplate.
The objective here is to provide support that also allows some range of normal movement. The London Orthotic Consultancy often prescribes DAFOs to assist with the mobility of children with conditions like cerebral palsy or spina bifida.
An AFO is an Ankle Foot Orthosis which as the name would suggest encompasses the ankle and foot. The objective is to control the position and movement of the ankle. AFOs are used to support weak limbs; they can also be used to immobilise the ankle and lower leg to correct foot drop. When set up correctly they can also have a great influence on the knee and hip joints. They are the most commonly used Orthoses.
A patient’s comfort in their AFO is vital for compliance with the prescribed wearing regime.
So there are a number of steps the orthotist should take to ensure a comfortable fit: the patient’s heel should fit fully into the heel cup without excess space, the contours of the plantar surface of the AFO should match the patient’s foot, for children there needs to be up to half an inch growth room in the toe shelf length. At LOC we use our Gait Laboratories at our Kingston and Manchester clinics to fine-tune our bespoke orthotics.
A GRAFO is used to control instabilities in the lower limb by maintaining proper alignment of limbs and controlling their motion. It reaches around to the front of the knee extending down to the ankle. It works by altering a patient’s limb presentation to displace load and impact as well as offering further control to the knee.
The ability to drive while wearing an AFO is dependent on the condition being treated and the orthosis that has been prescribed. If wearing a hinged AFO, for example, you will be able to drive, but if wearing a knee brace, you won’t. Your orthotist will advise you.
The most flexible type of AFO is a Dynamic Ankle Foot Orthosis (DAFO). It is thin and provides flexible support to the foot and ankle.
Both normal AFOs and DAFOs improve static balance (eg: while standing). Research among MS sufferers suggests that DAFOs aided balance while walking more than AFOs.
The simple answer is: yes they can. However one has to be sensible and look for wide-fitting trousers/jeans preferably of light and thin material.
Typically an AFO is stiff and rigid whereas a DAFO is thin, flexible and wraps around the patient’s entire foot. A DAFO provides support but also allows some range of normal movement.
A Supra Malleolar Orthosis SMO gets its name from the part of the body it encompasses. Thus an SMO supports the leg just above the ankle bone or malleoli. It allows dorsiflexion and plantar flexion(toes up and toes down) but eliminates mediolateral movement.
It typically takes a few weeks but is slightly dependent on the chosen materials and current availability.
A gait anaylsis and a new bespoke carbon fibre knee ankle foot orthosis (KAFO) help Caroline walk in comfort again, following years of living with neurological dystonia and meralgia paraesthetica. She describes her new orthosis as “life-changing”.
Matilde travelled from Chile to LOC for bracing treatment for her adolescent idiopathic scoliosis. Now, nearly a year and a half since she started wearing her brace, she has achieved near-total correction of the curvature of her spine. This is her scoliosis bracing story.
After only 6 months of wearing bespoke pectus braces from The London Orthotic Consultancy, Will started to notice a visible difference in his pectus carinatum.
After trying out several scoliosis braces in Romania, Ukraine and Turkey, Iulia begins treatment with the LOC Scoliosis Brace and is already seeing results in a matter of months. Here her mum, Raluca, describes how and why they came to LOC for her treatment.
Through bracing treatment with the dynamic chest compressor, Jack has achieved 90% correction in his pectus carinatum after only two months. Here, mum describes Jack's non-surgical treatment journey.
Baby Iyad's plagiocephaly was classed as 'severe' yet was treated in just 3 months of wearing the LOCband Lite helmet.
Baby Tal's mother explains why she insisted on getting the Cunningham Brace to treat her son’s club foot
A mother of one of our patients shares her perspective on what it's like being a parent to a child with spina bifida.