Week 8-Craig Scott KAFO Flashcards
Who is the craig scott KAFO designed for?
Spinal cord injured patients
What lesion can the KAFO be fore?
L1 and higher
What does it provide?
More functional and comfortable gait
Where does the posterior pin stop?
90 degrees of plantarflexion to prevent toe drag
Where does the anterior pin stop?
5 degrees of dorsiflexion
Where does the sole plate stop?
At the met heads
Where is the cross bar added?
At the met head for ML stability
Where is the knee?
Offset due to bell lock
Where is the anterior band placed?
Directly Below tibial tubercle
What does a CSKAFO treat?
Same pathologies as HKAFOs
How does the patient stand?
Patient uses full hip extension ROM to hang on Y lig. to stabilize hip and lumbar lordosis to stand erect
What type of gait is used?
three point swing-through and to gait
Fast
High energy consumption
What type of gait can’t they do?
Regular step to- they lack musculature
How is the energy expenditure compared to a single stopped long leg KAFO?
No significant difference
What is the mean energy expenditure?
31% less with a walker and 25% less with crutches
What does the SCKAFO incorporate?
Substitution of pushoff which is due to sole and pinstops
What are the advantages?
Reduce hardware
KAFO of light weight
Easy to don and doff
What are the disadvantages?
Creates hyperextension moment at knee
Exaggerated lumbar lordosis
What is the weight line?
Posterior to hip
Anterior to knee
Anterior to ankle
Rest on y lig
