Introduction & Rationale for use of Ankle & Foot Splints:
The Comfy Ankle & Foot is a comfortable, easy to use splint geared to stabilizing and decreasing plantar flexion. The Orthosis prevents ankle contracture while promoting increased functional positioning. Basic to the use of any Orthosis are factors such as prevention of deformity by proper positioning, support of weakened segments, control stabilization of joints proximally to those activated, or prevention of substitution. Orthosis may also be used to correct present deformities. They are both therapeutic and functional.
Splints are used for the following functions:
1. Stabilize (immobilize) joints in a desired position to rest the joint, tendons, ligaments and muscles or maintain a certain bone alignment.
2. Prevent contracture or deformity.
3. Prevent unwanted motion.
4. Gradually stretches contracture to increase range of joint motion.
5. Substitute lost muscle function.
6. Relieve pain.
Assessment of the Patient for Ankle & Foot splinting:
A visual assessment of the patient is performed while patient is in bed and/or while in the wheelchair. Patient to be observed for:
1. Active movement of Ankle & Foot (Flexion & Extension)
2. Expression of pain
3. Skin condition of lower extremity
4. Position of lower extremity (flexed or extended)
5. Any muscle spasms
Physical assessment of the patient is performed by physically assessing the amount of flexion and extension a patient has at the Ankle joint. Passive Range of Motion (ROM) is performed to see the amount of joint movement that is possible when a trained medical personnel moves joint. Active Range of Motion (AROM) movement is how much range the patient has independently without assistance. Active Assistive ROM (AAROM) movement indicates how much ROM the patient has with some assistance from a trained medical professional.
Therapeutic uses of the Comfy Ankle & Foot Orthosis:
1. Graduated extension of the Ankle & Foot
2. Treatment of non-fixed contractures of the Ankle & Foot
3. Helps restrict arthritic changes and deformity related to neuromuscular impairment
4. Positions the flaccid Ankle & Foot in functional position
5. Maintains skin integrity by absorbing moisture, allowing air circulation and preventing skin maceration.
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