Jumat, 10 Mei 2013

Knee Ankle Foot Orthose (KAFO)

Assalamualaikum Warohmatullohi Wabarokatuh :)

Today I wanna post about Knee Ankle Foot Orthose. (KAFO)

Orthose :  a device to help weak (paralyzed) limbs
 functions of orthosis are
1. Fixation
2. Support
3. Correction
4. Relief
5. Compensation


a KAFO is a long-leg orthosis that spans the knee, the ankle, and the foot in an effort to stabilize the joints and assist the muscles of the leg. hile there are several common indications for such an Orthosis, muscle weakness and paralysis of the leg are the ones most frequently identified. The most common causes of muscle weakness include:
  • Poliomyelitis
  • Muscular Dystrophy
  • Multiple Sclerosis
  • spinal cord injury
hmmmh until recently......the best option for a patient with weakness of the muscles that control the knee was to wear a KAFO with a locked knee joint. This provided stability to the knee to prevent involuntary flexion, but caused other associated problems like muscle atrophy and increased energy expenditure in gait.

Within the past few years, a newer design of knee joint has been developed that can automatically lock and unlock at the appropriate phases of the gait cycle to allow a more fluidic walking style. These knee joints can be used to create a KAFO that is appropriate for certain patients with knee weakness that fit the treatment criteria of the system

Each KAFO is custom-made to the specific requirements of the individual. There are numerous design options available that make usage of the Orthosis both functional and comfortable. A detailed examination and assessment of the patient allows us to suggest the best available component combination.

~ and now I wanna share my KAFO's fitting part ^_^ ~

the case is poliomyelitis, I use a custom plastic KAFO' design with Droplock type of knee joint



this is my patient's photos without orthosis or KAFO


 this is the white board at my class, there are many step when fitting and we make a list to make the fitting more organized.
look ! the first step is berdoa haha (pray) 


the KAFO and the equipments


my friends..uje ( left), robbi (right) . They were filing the side bar in order that smoother


 me when fitting the KAFO, and wahyu assisting me


Mr. Pras , he is my lecture ..he was trimming line the plastic so it wasn't too high and fit with the legs


me was putting on the KAFO, wahyu and Mr. Pras assist me 


okaaaaaayhhh..
this is it !
KAFO ala Afia xoxo
me, my patient using KAFO, and Mr.Pras

the KAFO isn't done anyway...it should be finished with the strap
but look, my patient looks happy with the KAFO..alhamdulillah its already fit...


:bonus:

cute,colorful, simple, cheerful !


okay, thanks for watching :) 
location: Orthotic Prosthetic Poltekkes Surakarta
patient: Ms. Sri Lestari

Wassalamualaikum Warohmatullohi Wabarokatuh