Spastic hemiplegic (GMFCS levels 1 - 4); Peripheral weakness; idiopathic toe walking syndrome; Post-stroke, Challenging neurological and developmental conditions.
Clinical Problem: Late childhood equinus (extension gait moment) soleus spasticity with rigid foot deformities
Common Clinical Measurements:
Range
R1: < 5° dorsiflexion.
R2: < 15° dorsiflexion
Strength
Weak tibialis anterior and gastroc-soleus
Gait - First (Heel), Second (Ankle), Third (Toe) Rockers
First: Mid or forefoot contact
Second: No tibial progression
Third: Possible rollover at toe
Ultraflex Solution: Custom Molded ADR™-AFO with posterior calf shell and SMO - UltraSafeGait™ 
Clinical goals: Achieve heel first rocker, tibial advancement, control knee hyperextension.
Evaluation/Casting: Standard for articulated AFO. Read more on Casting Considerations
Evaluation/Ordering Information: Clinical Technical Support (800)220-6670
Fax: (610)906-1420
E-Mail: info@UltraflexSystems.com
Ordering Information:
Components Only
> 55lb/25 kg but < 110lb/50kg:
UltraSafeGait™ components medial and lateral
> 110lb/50 kg:
UltraSafeStep™ medial with Ultraflex Universal Joint lateral
Ultraflex Custom Fabrication:
Above listed components and UltraSafeGait™ Measurement Form
Choice of interface: Custom interface available in a wide range of designs (transfer papers) and colors.
ADR™ Component Channel Adjustments-Late Childhood Equinus:
Posterior Elastomer: Near to fully compressed.
Posterior Stop: Only if posterior elastomer compression alone does not control knee hyperextension.
Anterior Elastomer: Little to no compression needed.
Anterior Stop: Usually not needed.
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