Documents & Videos: before & after
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Brace design | Introduction to Fast Fit®
Don Buethorn, CPO/Cascade Dafo owner, narrates this quick introduction to Cascade Dafo's Fast Fit orthoses. The Fast Fit line includes affordable pre-fabricated shoe inserts and above-ankle orthoses -- no casting required. For more information, visit Cascade's website and take the free online course: Fast Fit Solutions.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Before & After: Low Tone Pronation | JumpStart Leap Frog
This before-and-after video shows a young patient wearing a pair of pre-fabricated Jump Start Leap Frog orthoses. The Jump Start Leap Frog was developed to help young children with correctable foot positions re-align their base of support for improved stability during standing and walking.
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Before & After: Moderate Low Tone Pronation | Chipmunk
This patient is wearing a UCBL-style shoe insert, the Fast Fit Chipmunk, to help control moderate low tone pronation. The Chipmunk is ortho-engineered to control moderate pronation of the pediatric foot with an optimal amount of support and comfort. This low-profile solution features a unique, integrated two-part system, combining internal alignment from molded foam contours with the stability of a flat external base.
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Before & After: Low Tone Pronation | Chipmunk
This before-and-after patient video shows a young boy who exhibits low tone pronation benefit from the use of Cascade Dafo's prefabricated shoe insert, the Fast Fit Chipmunk. The unique trimlines of this shoe insert offer a good solution for patients who require more support than an insole, but would be over-braced in an above-ankle orthosis.
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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.
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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.
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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.
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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.
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Before & After: High Tone Pronation | DAFO 4
This before-and-after video shows a young boy who exhibits high tone pronation benefitting from the stability provided by a pair of the custom-fabricated DAFO 4 (supramalleolar 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.
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Before & After: High Tone Pronation | DAFO 4 Softy
This before-and-after video shows a young boy who exhibits high tone pronation benefitting from the stability provided by a pair of custom-fabricated DAFO 4 Softy orthoses. The DAFO 4 Softy 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.
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Before & After: Swing Phase Inconsistency | DAFO 3.5
A young girl wears a custom-fabricated DAFO 3.5 orthoses to help control swing phase inconsistency on her affected side. The DAFO 3.5 combines full wrap-around foot control with a leaf-spring style posterior that provides graded resistance to ankle movement.
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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.
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Before & After: Swing Phase Inconsistency | DAFO 3.5 with PE Liner
This adult patient, with a diagnosis of Charcot Marie Tooth, benefits from the stability and support provided by a pair of custom-fabricated DAFO 3.5 orthoses. The DAFO 3.5 combines full wrap-around foot control with a leaf-spring style posterior upright that provides graded resistance to ankle movement. The braces have been optimized to accomodate the patient's uncorrectable foot position and boney prominences.
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Before & After: Swing Phase Inconsistency | DAFO 3.5 Softy
This before-and-after video shows a patient wearing a DAFO 3.5 Softy orthosis on his affected side. The DAFO 3.5 Softy uses a soft foam linter to provide comfortble wrap-around control of a fixed, less correctable foot. This is combined with a leaf-spring style posterior upright, providing graded resistance to ankle movement.
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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.
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Before & After: Excessive Plantarflexion - Toe Walking | DAFO 3.5
This pediatric patient wears DAFO 3.5 orthoses to help control excess plantarflexion (toe walking). The DAFO 3.5 is a custom-fabricated plantarflexion-resist AFO, combining full wrap-around foot control with a leaf-spring style posterior upright that provides graded resistance to ankle movement.
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Before & After: Excessive Plantarflexion - Toe Walking | DAFO 3
This before-and-after video shows a young patient with a diagnosis of schizencephaly. She exhibits excess plantarflexion (toe walking). Her excess plantarflexion is improved by wearing DAFO 3s, Cascade Dafo's plantarflexion-block custom-fabricated AFOs. The DAFO 3 combines full wrap-around foot control with a solid proximal posterior upright that blocks ankle plantarflexion and allows free dorsiflexion. This brace style is particularly well-suited for smaller patients as it is both light, and simple in form and function.
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Before & After: Excessive Plantarflexion - Toe Walking | DAFO 2
A young girl wears a hinged DAFO 2 on her left side to help control excess plantarflexion (toe walking). The custom-fabricated DAFO 2 combines full wrap-around foot control with a hinged proximal upgright designed to block plantarflexion.
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Before & After: Hyperextension | DAFO 3.5
Sixteen-year-old Shane is wearing a pair of custom-fabricated DAFO 3.5 plantarflexion resist leg braces to help control knee hyperextension and swing phase inconsistency. The DAFO 3.5 is a posterior leaf-spring style orthoses designed to provide graded resistance to ankle movement. Like all Cascade DAFOs, the brace also features comfortable, full wrap-around foot control.
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Before & After: Hyperextension | JumpStart Kangaroo
This patient is wearing a pair of pre-fabricated Jump Start Kangaroo orthoses to control hyperextension. The Jump Start Kangaroo was developed to help young patients with fully-correctable foot position and excess plantarflexion realign their base of support to improve stability in standing and walking.
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Before & After: Hyperextension | DAFO 2
The patient in this before-and-after video exhibits strong knee hyperextension. He benefits from the stability and control provided by a pair of custom-fabricated hinged DAFO 2 orthoses. The DAFO 2 provides comfortable, wrap-around foot control with a hinged proximal upright designed to block ankle plantarflexion.
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Before & After: Excess Dorsiflexion | DAFO Turbo
This before-and-after video shows a young boy with a crouched posture benefit from the stability and support of solid-ankle AFOs. Patient is wearing the DAFO Turbo -- a 2-part custom-fabricated brace consisting of a wrap-around inner liner for foot control, combined with a rigid outer foundation that effectively blocks ankle movement, applying a gentle correction to the patient's excess dorsiflexion.
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Product video | JumpStart® Kangaroo®
This product video looks at the features of the pre-fabricated JumpStart® Kangaroo®.
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Product video | DAFO Floor Reaction
This product video looks at the function and features of the custom fabricated DAFO® Floor Reaction.
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Before & After: Excess Plantarflexion | Toe Walking | DAFO 2
In this before and after video, a young boy wears a hinged DAFO 2 on his left side to help control excess plantarflexion (toe walking). The custom-fabricated DAFO 2 combines full wrap-around foot control with a hinged proximal up-right designed to block plantarflexion.
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Before and After: Excess Plantarflexion - Toe Walking | JumpStart Bunny
This before-and-after video shows a young patient who exhibits excess plantarflexion (toe walking). Her excess plantarflexion is improved by wearing JumpStart Bunnys with a posterior strap. The prefabricated JumpStart Bunny provides full wrap-around foot control. The posterior strap cues the patient, reminding her to keep her heel down. Some patients only need this gentle reminder. This brace style is particularly well-suited for smaller patients with fully correctable feet.
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Before and After: Excess Plantarflexion - Toe Walking | DAFO Tami2
In this before-and-after video, a young boy with hemiplegia wears a DAFO Tami2 to control toe walking on his affected side. The custom-fabricated DAFO Tami2 is an articulated AFO with Tamarack hinges (straight or dorsi-assist). This two-part orthosis has a flexible, polyethylene liner to comfortably maintain or correct foot alignment. The outer frame has a plantarflexion stop (also available in a free-ankle version).
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Before and After: Excess Dorsiflexion - Crouching | DAFO FA
This before-and-after video shows a young boy with a crouched posture benefit from the stability and support of solid-ankle AFOs. The patient is wearing the DAFO FA -- a custom-fabricated brace with wrap-around control and a high instep trimline that gently blocks excess dorsiflexion. This brace style is particularly well-suited for smaller patients as it is both light, and simple in form and function.
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Before and After: Low Tone Pronation | DAFO 4
This before-and-after video shows a young boy who exhibits low tone pronation benefiting from the stability provided by a pair of custom-fabricated DAFO 4s. 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.
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Before and After: Excess Plantarflexion - Toe Walking | DAFO 2
In this before and after video, a young boy wears hinged DAFO 2s to help control excess plantarflexion (toe walking). The custom-fabricated DAFO 2 combines full wrap-around foot control with a hinged proximal up-right to block plantarflexion.
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Before & After: Excess Plantarflexion - Toe Walking | DAFO 2
In this before and after video, a boy wears hinged DAFO 2s to help control excess plantarflexion (toe walking). The custom-fabricated DAFO 2 combines full wrap-around foot control with a hinged proximal up-right to block plantarflexion.
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Before & After: knee hyperextension | DAFO FlexiSport
This patient is wearing a pair of DAFO FlexiSport AFOs to control hyperextension. The DAFO FlexiSport has a semi-flexible posterior upright, providing graded resistance to plantarflexion/dorsiflexion.
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Before & After | Knee Hyperextension | JumpStart Kangaroo
In this before and after video, a young girl wears JumpStart Kangaroos to help control her knee hyperextension. The solid proximal-posterior upright of the JumpStart Kangaroo blocks her plantarflexion, preventing her from hyperextending at the knee. Because there is no proximal anterior strap, her leg is free to move into dorsiflexion.
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Before & After | Mild Knee Hyperextension | JumpStart Softback
In this before and after video, a young girl wears JumpStart Softbacks to help control her mild knee hyperextension. The padded Dacron posterior strap resists her plantarflexion, reducing her knee hyperextension. The SMO design allows her leg to move freely into dorsiflexion.
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Before & After | Strong Knee Hyperextension | DAFO 3
This before-and-after video shows a young patient with strong knee hyperextension wearing DAFO 3s. The solid proximal-posterior upright of the DAFO 3s block her excess plantarflexion, preventing her from hyperextending at the knee. Because there is no proximal anterior strap, her leg is free to move into dorsiflexion.
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Before & After | Moderate Crouching | DAFO 3.5
This before-and-after video shows a young girl with a crouched posture wearing DAFO 3.5s. The semi-rigid posterior strut of the DAFO 3.5s provides resistance to her crouched posture while giving some movement at the ankle.
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Before & After | Strong Pronation | DAFO Tami2 Free Ankle
This before-and-after video shows a young patient with very strong pronation wearing DAFO Tami2s. The DAFO Tami2s allow the patient free dorsiflexion and plantarflexion, but control the patients strong pronation because of how high up the leg they go, giving more control for pronation than SMOs.
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Before and After | Mild toe walking | JumpStart Softback
The soft durable pad and strap combination of the JumpStart Softback resist this child's mild toe walking while allowing him free dorsiflexion. He has a nice heel strike and his foot is held in a corrected position while wearing the JumpStart Softbacks.
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Before and After | Moderate toe walking | DAFO Softback
The soft durable pad and strap combination of the DAFO Softback help this patient keep her heels down so she can achieve a good heel strike. Her pronation is corrected and she can access free dorsiflexion to help build strength and range.
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Before and After | strong toe walking | DAFO 3
The solid proximal posterior upright of the DAFO 3 blocks this patient's plantarflexion, preventing him from going up on his toes. Because there is no proximal anterior strap, his legs are free to move into dorsiflexion. He has a nice heel strike and his feet are held in a corrected position while wearing the DAFO 3.
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Before and After | Strong toe walking | DAFO Tami2
In this before and after video, notice the marked improvement in this patient's gait. The hinged DAFO Tami2 blocks his toe walking giving him a nice heel strike while also correcting his pronation.
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Before and After: Swing Phase Inconsistency | DAFO 3.5
A young boy 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 helping to prevent his foot-drop and giving him a good heel strike.
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Before and After: Excess Dorsiflexion/Crouching | DAFO FA Softy
A young girl wears a pair of custom-fabricated DAFO FA Softy orthoses to help control her strong excess dorsiflexion/crouching and give her support and stability for more endurance.