The Step Smart AFO by Insightful Products is a more energy efficient ankle brace ( AFO) design for drop foot patients. It uses a unique Jacob Joint with rubberized compression stoppers that gently lifts the footbed upward with each step, and allows for variable shock absorption at heel strike. The Step Smart comes with three different sets of replaceable compression stoppers that provide the right degree of clearance at swing phrase based on the weight of your body. Easy to adjust, this design provides a dynamic lift that more closely resembles the normal swing through phase of normal walking. Walking feels more natural and is less taxing on your leg and hip muscles. An easy to use guide is included with each Step Smart brace to provide assistance in determining the correct compression component to use and how to install them in minutes.
Step Smart AFO/Brace Features:
- Provides customized toe off assistance through different compression components (stoppers)
- Fits inside all shoes and does not subscribe to foot length and lower leg height considerations like other models.
- Unique joint design provides every user with the ability to feel the foot clear the floor with each step with dorsiflexion assistance.
- Adjust the shock absorption according to your weight and step length.
- Provides resistance to plantarflexion the instant the heel hits the ground.
- Makes walking feel natural and less tiresome.
- Two sizes - please see our sizing chart tab for important measurement instructions.
- Left/right specific.
- Made in the USA.
Recommended Manufacturer HCPC: L1971, L2210
The Step Smart AFO can be used to treat:
- Neurological injuries resulting in foot drop.
- Appropriate for mild to severe foot drop.
- Sizing chart
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 US Shoe Size Footplate Length Model Number Right S/M up to 63mm (2½") Up to: Men’s 8.5 or Women’s 10 6.25" 23213 Right L/XL up to 76mm (3") Greater than: Men’s 9 or Women’s 10.5 6.75" 23215 Left S/M up to 63mm (2½") Up to: Men's 8.5 or Women’s 10 6.25" 23313 Left L/XL up to 76mm (3") Greater than: Men’s 9 or Women’s 10.5 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.
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
- Best yet!
- Good so far
- Very comfortable and useful brace
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