The Step Smart AFO can be used to treat:
- Neurological injuries resulting in foot drop.
- Appropriate for mild to severe foot drop.
Measure the width of your heel from behind in a standing position: Choose according to heel width, with some consideration towards the footplate length and shoe size. The end of the footplate should land behind the metatarsal heads:
|Size ||Heel Width ||Shoe Size ||Footplate Length ||Model Number |
|Right S/M ||up to 63mm (2½") ||Up to: Men’s 9 or Women’s 10 ||6.25" ||23213 |
|Right L/XL ||up to 76mm (3") ||Greater than: Men’s 7 or Women’s 8 ||6.75" ||23215 |
|Left S/M ||up to 63mm (2½") ||Up to: Men's 9 or Women’s 10 ||6.25" ||23313 |
|Left L/XL ||up to 76mm (3") ||Greater than: Men’s 7 or Women’s 8 ||6.75" ||23315 |
The Step-Smart can be tailored to the needs of each patient. The dorsifl exion assist joints and tensor settings may be adjusted to the ideal level for individual patients.
|Tensor Settings: |
The foot/calf angle is unique to each individual and needs to be addressed by the AFO. The factory tensor setting works for most people. If the calf section seems to dislodge, the calf section angle can be adjusted. The Step-Smart brace includes a total of three tensors: two of the same length attached to the brace and one longer tensor which may be installed if needed. By installing the longer tensor on the lateral side a more medial angulation is achieved. By installing the longer tensor on the medial side a lateral angulation is achieved. This 10-degree range allows the
practitioner to make angular changes to match the foot/calfangle of 95% of the patients.
|Settings for the dorsiflexion assist joints: |
The joints may be customized to one of five different levels of dorsiflexion assistance. The practitioner can determine the proper level of dorsiflexion assistance by evaluating the patient’s step-length, weight and other factors. In general, the compression components are chosen to match the patient’s specific shock absorption requirements. Mostly, this is affected by patient’s weight and step length. Activity level should also be considered. It is suggested that the practitioner and patient establish a starting setting
together using the following method. Start with the 45-45 setting. After ten to twenty steps increase to the 45-60 setting. After another 10-20 steps increase again to 60-60. Keep going until there is too much resistance. Most patients find that the lower settings are enough to accomplish their desired resistance. With too much resistance, the patient will experience knee
instability or the sensation of walking down hill. At this
point the setting is too stiff and should be decreased by
Q&A for Step Smart AFO Brace
- From dino
- Q: Will I be able to wear my regular shoe size with this brace? The AFO I am currently using requires that I wear a shoe that's 2 sizes bigger then normal.
- A: Hi Dino,
The Step Smart AFO is a more streamlined, low profile AFO compared to more traditional, bulky plastic AFOs made from polypropylene (that clear-looking plastic). This model is designed to fit inside your existing shoe with much greater ease so that you'll be able to wearing that matching shoe to your pair instead of having to purchase much larger sized shoes for the AFO side.
- From susan
- Q: I got necrotizing faciitis in my left leg and they did surgery to remove all the dead tissue and they removed all of the ligaments that i need to lift my foot. I have a regular brace that keeps it constricted to the 90 degree angle and I cant walk for long periods of time. Would this be a brace for me?
- A: Hi Susan,
There might be other circumstances to your condition that we're not aware of and therefore we recommend showing this product page to your physician to get their advice as to whether this brace would be a good solution for your walking difficulties.
- From Paul
- Q: I have probably severe drop foot. I can raise the front of my foot approximately one inch off the floor while my heel is on the floor. Is this to severe for this type of brace?
- A: Hi Paul,
The Step Smart, with its unique dorsiflexion-assist joint design, may be used for severe foot drop.
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