Get rid of the rigid AFO

The rigid AFO serves a purpose early in rehabilitation following stroke.  It provides stability to the weak leg, allowing people to safely stand and transfer.  This rigid AFO, however, is NOT the ankle brace that should be used when one is learning how to walk again.  It is time to start demanding that ankle orthosis be made so that a hinged ankle and some form of dorsiflexion assistance can be added once the survivor is ready to learn to walk.  Using a rigid ankle brace almost demands that the person learn to walk with a stiff leg, that is thrown forward with hip hike and circumduction.  One cannot bend the knee for walking if the ankle is fixed!  Simple biomechanics.   So, how do we change the way Therapists, Physicians, and Orthotists approach the ankle??

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