{"id":44,"date":"2013-03-09T02:17:30","date_gmt":"2013-03-09T07:17:30","guid":{"rendered":"http:\/\/amyoplasia.com\/?page_id=44"},"modified":"2021-12-16T15:22:37","modified_gmt":"2021-12-16T20:22:37","slug":"afos","status":"publish","type":"page","link":"http:\/\/amyoplasia.com\/?page_id=44","title":{"rendered":"AFOs, Bracing, Etc"},"content":{"rendered":"\n\n\n
\"\"<\/a>\"dorsiflexion_1\"<\/a>\"bar\"<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Afos are usually amyoplasia children’s first pair of shoes. They\u00a0will begin to wear these\u00a0immediately following club foot treatment. The tendency of the clubfoot is for the toes to curl back inward and the achilles tendon to tighten up causing the toes to point downward. It is very important that the AFO applied to your child fits properly and does not allow the heel to slip from firmly touching the bottom. This will allow the foot to\u00a0plantar flex\u00a0allowing the achilles tendon to tighten which could result in having to undergo another tendonotomy. Remove the AFO multiple times a day and stretch the foot into the dorsiflex position and hold once the foot stops. Consult with\u00a0your doctor on how soon you can\u00a0begin this stretch as the tendon will be weak following the last casting (done at the completion of the\u00a0tendonotomy).\u00a0This will keep the achilles stretched and lessen the chance of regression. It is also very important to keep the forefoot pushed outward by wearing the abduction brace (bar) while the child sleeps.\u00a0If your child is walking allow them time out of the\u00a0AFO and\u00a0Bar to promote muscle strength. Being confined\u00a0to the\u00a0AFO for a prolonged period of time without excercise or circulation breaks\u00a0can cause atrophy and muscle atrophy\u00a0translates into a foot that is not strong enough to maintain correction. Massage the area as much as you can and E-Stim\/Tens\/Muscle Stimulation\u00a0can also be used on the dorsiflex muscle group to counter the imbalance.<\/p>\n

Applying the Ponseti Boot and Bar
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