The adjustable Neuro Swing system ankle joint from Fior & Gentz is fast becoming a preferred solution to aid the rehabilitation of patients with a neurological condition such as stroke, MS, brain injury and peripheral neuropathy. The Neuro Swing system enables us to return the patient’s gait pattern to one that is as near normal as possible. By doing this we are also protecting bones and joints and encouraging muscles to work correctly. At LOC we have the advantage of being able to fine-tune the Neuro Swing system in our Gait Lab.
The Neuro Swing AFO has a unilateral ankle joint that is designed to be held within a carbon fibre construction. The joint has two springs, posterior and anterior. The springs can be altered in three ways. Resistance in the springs can be reduced or increased and the range of movement can be altered as can the alignment of the ankle.
For example, if a patient presents with a reduced range of movement and a poor gait pattern due to muscle weakness, we can tune the ankle joint to stretch the affected joint and strengthen the adjoining muscles as well. The joint can be adjusted to change the range of movement over time as the patient improves. If however, a patient presents with some active range of movement, the ability to move their ankle, for example, we want them to use their own muscles to control that movement whereas traditional fixed AFOs would block both good and bad movement.
We work closely with our patient’s physiotherapist and the Neuro Swing system allows tremendous flexibility to respond to an individual’s existing balance, gait and strength, so we can really optimise their walking pattern. Moreover, as the patient progresses and improves during their rehabilitation the springs of the Neuro Swing ankle joint can be continuously adjusted, being adapted and evolving to reflect the patient’s improvement. Our patients love it!
LOC is very grateful to FIOR & GENTZ, Lunenberg, for their permission to use the animated video about the Neuro Swing:
We have the following facilities and amenities at our Kingston Upon Thames location:
We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.
An insole is a contoured orthotic device which alters the characteristics and biomechanics of the foot and ankle area. Biomechanics are concerned with mechanical laws and how they affect the living body, especially the musculoskeletal system.
They are removable devices, often made from plastic, that are designed to fit inside a shoe to provide additional support for your feet. As well as offering shock absorption, an insole can help distribute the weight of your body more effectively across the foot and can be made bespoke to cover a range of biomechanical conditions.
If you have symptoms in your feet, ankles, hips or your lower back that are intermittent or were not there to start with in early life, and have started to cause you pain over a period of time, bespoke orthotic insoles could be an excellent option.
If you have already tried rest, icing, compression and elevation and your feet have not recovered, we recommend a biomechanical assessment to consider the possibility of insoles. They are a non-invasive approach to treatment and in many cases, are a great option for symptoms that are not severe enough to warrant surgical intervention. Alternatively, they can be considered as an option prior to surgery.
We will send patients away when an insole is not appropriate, if a patient is suffering with iliotibial band syndrome for example, the problem can be helped with physiotherapy and a stretching programme. That’s what our biomechanical assessment is all about; determining whether there would be any benefit from altering the alignment of your feet.
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