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Orthotics
Book chapter

Orthotics

Kirsten M. Anderson, Alison H. McGregor, Spyros D. Masouros and Jason M. Wilken
Blast Injury Science and Engineering, pp.437-446
Springer International Publishing
01/02/2023
DOI: 10.1007/978-3-031-10355-1_42

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Abstract

Continued advances are required to address mobility limitations caused by lower extremity blast injury. Individuals who experience persistent deficits following trauma may benefit from external support and/or offloading provided by ankle foot orthoses (AFOs). Currently available AFOs vary widely in their design and potential benefit. Carbon fibre custom dynamic ankle foot orthoses (CDOs) have been increasingly used to improve mobility after traumatic injury. CDOs are made predominantly from carbon fibre and are intended to restore function across a range of daily and high-energy activities. Patient-reported outcomes, physical performance measures, and biomechanics data from studies focusing on CDO use have demonstrated positive outcomes. CDOs consist of a proximal cuff, posterior carbon fibre strut, and footplate, which can be tuned to meet the needs of the patient. Available literature provides guidance related to key design considerations during the fitting process. Further, intensive training when combined with the CDO has been found to enhance clinical outcomes and facilitate successful return to high-energy activity. A majority of available data related to CDO use following limb trauma is focused on a subset of military personnel, and available civilian data is limited.
Ankle foot orthoses BOB CDOs IDEO Limb salvage Mobility Offloading Rehabilitation

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