Guest guest Posted February 23, 2006 Report Posted February 23, 2006 Jimmy, My 3 year old wears the hinged AFOs and also has bilateral hererextension of his knees. After putting off placing him in AFO's we felt his knees would deteriorate over time if we did not interviene with AFOs. I was told the hinged form was indicated because of the hyperextension. Even while wearing AFOs he hyperexteded a little, the physical medicine rehab doctor recommended placing a small bumper between the hinge to place him at a 5 degree angle. This has helped. He too has very week quadracept muscles (proximal muscle weakness) and also has gait instability. As Gretchen said follow the advice of your orthotist. M.E. Siska Quote
Guest guest Posted February 23, 2006 Report Posted February 23, 2006 Hello Jimmy, As you know I have AFOs with hinges. To me it just makes sense to have them that way. It replicates the way your ankles work. Mine have things built into them, both metal ones and plastic, for foot drop. I just beleive that you would be able to get around easier with AFOs with hinges. With fixed ones it is like you are walking around with casts on your feet. With hinges you are walking around in a more normal way. My orthotist believes this too. He tries to get most of his patients in hinged ones if it is at all possible. As active as you are I bet you would like the hinged ones much better. One of the other posters has reccomended the Helios AFOs. Those seem very similar to the hinged ones just a different way of giving you some movement in your ankles. My orthotist knows them and thinks they are just another form of hinging your ankles. Hope this helps. Bob Quote
Guest guest Posted February 27, 2006 Report Posted February 27, 2006 Jimmy, Are your gait problems due to footdrop or are your ankles compromised? I have a single solid AFO that sits on the anterior leg and supports both footdrop and ankle weakness. I have about 5 degrees of flexion in the ankle which makes it extremely comfortable and helps my balance. --Larry Quote
Guest guest Posted March 1, 2006 Report Posted March 1, 2006 Hey Larry and all, My CMT affects both of my legs....I went back to the orthotist Monday and he cut the trimline on the sides of the AFO way back posterior to the ankle....this made a whopping difference....much easier to walk in....they were way too stiff for my body to handle....I guess it's a fine line between stiff enough for improved balance and flexible enough to still be easy enough to walk in...and think they are a million times better now. Thanks to all who answered my post, Jimmy Quote
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