Tag: assess

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Videos

How to | Assess range & voluntary control in the crouching patient

In this educational video, Cascade Dafo owner/founder Don Buethorn, CPO, talks about assessing range and level of voluntary control in patients who exhibit crouching/excess dorsiflexion. Includes discussion of various Cascade Dafo brace styles.

How to | Assess range & voluntary control in the crouching patient

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 | 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

Assess, fit, and wear | Moderate low tone pronation | JumpStart Leap Frog

Kip, a 2-year-old boy who exhibits moderate low tone pronation, benefits from wearing Cascade Dafo's prefabricated JumpStart Leap Frog SMOs. This video follows the bracing process -- from patient assessment to fit and wear of the orthotics, including tips for trimming them to fit inside shoes. Narrated by Cindy Diener, CPO, from Cascade Prosthetics & Orthotics.

Assess, fit, and wear | Moderate low tone pronation | JumpStart Leap Frog

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

Sandra: Low Tone Pronation

This video, narrated by Don Buethorn, CPO, follows 1-year-old patient Sandra. Sandra's diagnosis is status post respiratory arrest. She wears Cascade Dafo's prefabricated SMO-style orthoses, JumpStart Leap Frogs, to help control her low tone pronation. The Jump Starts are lightweight and do not require casting -- effective for young patients with a fully-correctable foot position.

Sandra: 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

Need help? Send us your videos

This instructional video provides guidance for sending us patient videos to use for consultation to help with brace selection. Includes tips for filming the patient and what type of patient information to send.

Need help? Send us your videos

Tips and Tricks | Working with young patients during assessment

Quick tips for working with young patients during manual assessment

Tips and Tricks | Working with young patients during assessment

News

Documents

News Article: How to Answer the Bracing Question

November 6, 2014

Published in the July 2008 edition of PT Products.

read more

News Article: Will My Child Benefit from Using Braces?

November 6, 2014

Published in the May 2008 edition of Exceptional Parent.

read more

News Article: Step by Step

November 6, 2014

Published in the August 2009 edition of Advance for Directors in Rehabilitation.

read more
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