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Bremerton Beyond Accessible Playground

The playground of our dreams? It exists. We were delighted to attend the grand opening of this incredible, inclusive, beyond accessible project, located in Bremerton, Washington. To learn more visit: http:// www.facebook.com/beyondaccessibleplay Video created by Cascade Dafo, Inc. http://www.cascadedafo.com

Bremerton Beyond Accessible Playground

Let's Visit the Orthotist: a Kid's-Eye View

This fun video, narrated by a child and featuring kids of various ages and abilities, helps kids know what to expect when visiting the orthotist. It's great for parents and practitioners to show kids ahead of their appointments.

Let's Visit the Orthotist: a Kid's-Eye View

How to | Trim medial/lateral distal trimlines at initial fitting

Cindy Diener, CPO, narrates this instructional video, showing common adjustments made to a DAFO at the inital patient fitting.

How to | Trim medial/lateral distal trimlines at initial fitting

How to | Place & trim the toe rise pad in the field

In this instructional video Cindy Diener, CPO, shows how she trims and places the toe rise pad on a DAFO when in the field (when acess to an orthotics lab is not available).

How to | Place & trim the toe rise pad in the field

How to | Place & trim the toe rise pad (with heat gun adjustments)

This instructional video is narrated by Cascade Dafo owner/founder Don Buethorn, CPO and provides instruction for placing the toe rise pad on a DAFO. In this video, Don uses an embossing gun to heat and soften the plastic before trimming

How to | Place & trim the toe rise pad (with heat gun adjustments)

How to | Place & trim the toe rise pad in the orthotic lab

This instructional video, narrated by Cindy Diener, CPO, shows step-by-step tips for trimming and placing the toe rise pad on a DAFO, when access to the tools in a typical orthotics lab is available.

How to | Place & trim the toe rise pad in the orthotic lab

How to | Cut an AFO down to an SMO to test a lower level of support

This how-to video narrated by Cindy Diener, CPO shows the process of cutting a DAFO 3 down to a DAFO 4 to test a lower level of support on a patient before ordering new braces.

How to | Cut an AFO down to an SMO to test a lower level of support

How to | Don twister straps

This how-to video shows the process of donning twister straps

How to | Don twister straps

Case study | 6 yr. old boy - excess plantarflexion | Is he ready for SMO style braces?

Jill Smith, PT, and Cindy Deiner, CPO, team together to determine if their young patient can tolerate a lower level of support in his next pair of DAFOs.

Case study | 6 yr. old boy - excess plantarflexion | Is he ready for SMO style braces?

Case study | 4 yr. old boy - moderate crouching | DAFO FA

This case study video follows a young patient with a diagnosis of Spina Bifida. Jaxon, age 4, exhibits pronation and excess dorsiflexion. He receives a pair of custom fabricated DAFO FA orthoses. When initially fit with his new DAFOs, it's clear that the dorsiflexion angle of the braces, when worn with shoes, is too aggressive. The braces are remade for an improved outcome. This video is narrated by Cindy Diener, CPO.

Case study | 4 yr. old boy - moderate crouching | DAFO FA

Case study | 3 yr. old girl - excess dorsiflexion/crouching | DAFO Turbo Softy

This case study follows a young patient diagnosed with Marfan Syndrome, Emri age 3, exhibits excess dorsiflexion/crouching. She receives a pair of custom fabricated DAFO Turbo Softy orthoses. Her physical therapist Kathy Shaprio, PT is interviewed about Emri's progress. The video is narrated by Don Buethorn, CPO.

Case study | 3 yr. old girl - excess dorsiflexion/crouching | DAFO Turbo Softy

Case study | 4yr. old boy with excess plantarflexion & swing phase inconsistency | Comparing the DAFO 3.5 & DAFO Tami2

Mason, a 4-year-old boy with hemplegia, exhibits swing phase inconsistency and excess plantarflexion on his affected side. Follow along with this video comparing his gait in the plantarflexion resist DAFO 3.5 orthosis with his gait in the plantarflexion block hinged DAFO Tami2 orthosis. This video is narrated by the patient's orthotist, Larry Paise, CPO.

Case study | 4yr. old boy with excess plantarflexion & swing phase inconsistency | Comparing the DAFO 3.5 & DAFO Tami2

Case study | Swing phase inconsistency | DAFO 3.5

This video follows a young patient over time. This patient exhibits swing phase inconsistency and an unstable, ataxic gait. He is casted for a pair of custom fabricated DAFO 3.5 plantarflexion resist braces to help provide him with support and stability. The DAFO 3.5 combines wrap-arond foot control with a leaf-spring style posterior upright that comfortably provides graded resistance to ankle movement. This video is narrated by the patient's orthotist, Larry Paise, CPO.

Case study | Swing phase inconsistency | DAFO 3.5

Case study | Excess plantarflexion: a view of the same patient at age 2 and age 7

This case study video shows the same patient, Summer, at age 2 and age 7. Summer has a diagnosis of schizencephaly and exhibits strong excess plantarflexion (toe walking) with high muscle tone. At age 2, she wears a pair of custom fabricated DAFO 3 Softy plantarflexion block orthoses to help control foot position. At age 7, Summer wears a pair of custom fabricated DAFO 2 orthoses -- hinged plantarflexion block style orthoses. This video is narrated by the patient's orthotist: Cindy Diener, CPO.

Case study | Excess plantarflexion: a view of the same patient at age 2 and age 7

Patient story | 4 yr. old boy with excess plantarflexion & swing phase inconsistency - DAFO Tami2

Mason, a 4-year-old boy with hemplegia, exhibits swing phase inconsistency and excess plantarflexion on his affected side. Follow along with this video comparing his gait in the plantarflexion resist DAFO 3.5 orthosis with his gait in the plantarflexion block hinged DAFO Tami2 orthosis. This video is narrated by the patient's orthotist, Larry Paise, CPO.

Patient story | 4 yr. old boy with excess plantarflexion & swing phase inconsistency - DAFO Tami2

Before & After: Strong Low Tone Pronation | JumpStart Leap Frog

This before and after video shows a young patient benefitting from the added stability and support provided by a pair of pre-fabricated JumpStart Leap Frog orthoses. The JumpStart Leap Frog was developed to help young children exhibiting moderate to strong pronation realign their base of support for improved stability in standing and walking. Full wrap-around flexible support ecompasses the foot and ankle for pronation control. A well-defined plantar surface and compression provide proprioceptive input.

Before & After: Strong Low Tone Pronation | JumpStart Leap Frog

Before & After: Strong Low Tone Pronation | JumpStart Leap Frog

This before and after video shows a young patient benefitting from the added stability and support provided by a pair of pre-fabricated JumpStart LeapFrog orthoses. The JumpStart LeapFrog was developed to help young children exhibiting moderate to strong pronation realign their base of support for improved stability in standing and walking. Full wrap-around flexible support ecompasses the foot and ankle for pronation control. A well-defined plantar surface and compression provide proprioceptive input.

Before & After: Strong Low Tone Pronation | JumpStart Leap Frog

Before & After: Strong Low Tone Pronation | DAFO 4

This before-and-after patient video shows a young boy who exhibits strong low tone pronation. He shows distinct heel eversion, marked forefoot abduction, and an absent medial arch. The after video shows him in a pair of custom-fabricated DAFO 4 orthoses with noteable improvements in foot position, stability and gait. Because of his fully-correctable alignment, this patient would also be a good candidate for an off-the-shelf solution: the JumpStart Leap Frog.

Before & After: Strong Low Tone Pronation | DAFO 4

Before & After: Moderate High Tone Pronation | JumpStart Bunny

The patient in this before-and-after video is shown wearing the JumpStart Bunny, Cascade Dafo's prefabricated SMO-style orthoses. This off-the-shelf design is helpful for young patients who exhibit pronation and swing phase inconsistency. The Bunny's tall "ears" carry a strap which provide sensory cues to encourage heel strike.

Before & After: Moderate High Tone Pronation | JumpStart Bunny

Before & After: Swing phase inconsistency | DAFO 3.5

A young girl wears a pair of custom-fabricated DAFO 3.5 orthoses to help control swing phase inconsistency. The DAFO 3.5 combines full wrap-around foot control with a leaf-spring style posterior that provides graded resistance to ankle movement.

Before & After: Swing phase inconsistency | DAFO 3.5

Before & After: Mild Excessive Plantarflexion – Toe Walking | DAFO 4 with Wrap-Around Strap

This before-and-after video shows a patient who exhibits pronation and toe walking benefit from the use of a pair of custom-fabricated DAFO 4 orthoses. The DAFO 4 comfortably surrounds the foot, providing the patient with reliably stable support. With the foot comfortably held in a good functional position, the patient gains confidence in the ability to stand and bear weight, encouraging the use and development of walking skills. The wrap around strap provides a cue to encourage the patient to put his heels down.

Before & After: Mild Excessive Plantarflexion – Toe Walking | DAFO 4 with Wrap-Around Strap

Adam: Hyperextension

A young boy with knee hyperextension experiences improvement in stability and gait pattern when introduced to a combined regimen of bracing and physical therapy. This video demonstrates the brace selection process from assessing the patient’s needs, to assessing the outcome.

 Adam: Hyperextension

Katie: Low Tone Pronation

This patient case study follows Katie, a 4-year-old girl with Down syndrome, as she is assessed for orthoses. Includes footage of Katie walking with and without orthoses. Katie exhibits low tone pronation and benefits from the support provided from Cascade Dafo's prefabricated JumpStart Leap Frogs - SMO-style orthoses. This video is narrated by Katie's orthotist, Don Buethorn, CPO.

Katie: Low Tone Pronation

Maya: Swing Phase Inconsistency

Follow 10-year-old patient Maya as she gets a new pair of custom-fabricated DAFO 3.5 orthoses to help control swing phase inconsistency (Maya's diagnosis is arthrogryposis). This video shows the entire bracing process -- from the initial assessment to casting to fitting and adjustments. The video is narrated by Don Buethorn, CPO -- owner of Cascade Dafo, Inc.

Maya: Swing Phase Inconsistency

Emri's Marfan Story

Learn about Emri, a little girl with Marfan Syndrome, and how she has far exceeded everyone's expectations.

Emri's Marfan Story

DAFO KAFO | Ambulating

This video shows a patient ambulating in a DAFO KAFO.

DAFO KAFO | Ambulating

Adaptive Kayaking Expo

Meet the participants, volunteers, and organizers of this fun community kayaking event and watch as everybody gets out on the water.

Adaptive Kayaking Expo

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