Step-On Adjustable Dynamic Foot Lifter Bilateral Version

Step-On Adjustable Dynamic Foot Lifter Bilateral Version

Step-on dynamic articulated foot lifter.

To be placed in the shoe.

Price on request on quote.

The Step-On product family is a range of innovative ankle-foot orthoses (AFOs) for the treatment of foot drop. The unique feature of these AFOs is that they are active dynamic, offering mechanical assistance by a spring mechanism to assist dorsiflexion, which can be finely adjusted and quantified. This differentiates them from passive dynamic AFOs which rely on the stiffness of the material to assist / resist movement and with that stiffness being non-adjustable, or from static AFOs which allow no movement or assistance. In this way, Step-On AFOs enable essential kinematics in the sagittal plane during the gait cycle, while providing the exact level of control required by each patient, at every stage of their rehabilitation program.

Foot drop caused by paresis or paralysis due to:

• Stroke
• Multiple sclerosis
• Cerebral palsy
• Spinal cord injury
• Head injury
• Peripheral nerve injuries
• Neuropathies
• Muscular dystrophies
• Spinal muscular atrophy
• Motor neuron disease
• Poliomyelitis

Contraindications

• Skin lesions / infections
• Lymphedema
• History of deep venous thrombosis of the lower limb
• Ankle-foot contractures
• Excessive or gross knee hyperextension, as the AFO will struggle to prevent this

Step-On AFOs feature unilateral or bilateral spring hinges. These allow a range of motion (ROM) between 22° dorsiflexion and 11° plantarflexion. This range allows for improved initial heel contact and foot clearance during the swing phase, better step clearance when climbing stairs, and the ability to walk up or down hills, or with a small heel, without affecting tibia alignment. It also allows the knee to exceed 90° in a seated position, which promotes patient independence in sitting and standing positions.
The adjustable dorsiflexion assist allows for precise adjustment of the AFO based on the patient’s ability to activate their dorsiflexor muscles (to avoid masking this activity), plantarflexor muscle tone, body weight, usual walking speed, etc. It also offers the unique ability to modify the assistance based on the patients’ needs, as their walking ability fluctuates from day to day and even from morning to night. The dorsiflexion assist is easily adjusted using an Allen key that increases or decreases the spring tension inside the hinge.
The Step-On AFOs feature a thin hinge and footplate and come with ¾ length footplates, making them easy to fit into a variety of everyday and city shoes. They can also be combined with foot orthotics (insoles). The shin shell is covered with a lining that can be removed, hand washed and air dried. All hook and loop straps are long enough and can be cut to the appropriate length.

The strength of the lifting effect is adjustable using a simple Allen key provided:

Step-On Features

• Easily adjustable dorsiflexion assistance allows continuous optimization of AFO's biomechanical characteristics to match the patient's gait, throughout the rehabilitation process.
• Available with lateral, medial, or bilateral hinges
• Extremely lightweight, polypropylene construction
• Unilateral hinge AFOs fit easily in standard footwear - no need for larger shoe size.
• Can be easily thermoformed to shape or trimmed back.

• High quality liners and foam pads for enhanced skin integrity and comfort.
• Hook-and-loop straps allow easy fastening of the orthosis.
• Liners and foam pads can be removed and cleaned easily.
• Hinges are protected from debris by neoprene sleeves.
• Hinges can be disassembled for cleaning and servicing.
• Full list of spare parts is available.
• Available in a range of sizes to fit individuals up to 100 Kg.

3/4 sole lengths for the bilateral model:

Please note! This is the length of the lifter sole which is a 3/4 sole.

Small: 190 mm

Medium: 205 mm

Width: 215 mm

XLarge: 215 mm

To determine the size for your personal case:

1- Place your foot flat on a sheet of A4 paper, make a pencil outline, and measure the total length of the foot. Or, if the insole of your shoe is removable, which would be advisable to accommodate the lifter correctly, measure the total length of the sole and send us this measurement in mm.

2- The exact distance between your internal and external malleoli (width between the malleoli),

3- The circumference of your calf at its widest point.

 

Included in your package:

INVOICE INCLUDING SHIPPING (for Mutual)

CARE SHEET (for Cpam)

Medical prescription:

Do not send it to us, staple it to MSDS, send it to your cash register

Lppr code - reimbursement base: 2122138 - €76.22

200DH