BASIC THEORY

OF ANKLE FOOT
ORTHOSIS

Ikatan Ortotis Prostetis Indonesia

Sabtu, 22 Februari 2020
CLASSIFICATION
ORTHOSIS

LOWER LIMB ORTHOSIS UPPEER LIMB ORTHOSIS

FOOT ANKLE
ANKLEFOOT
FOOT KNEE ANKLE HIP KNEE ANKLE FOOT
ORTHOSIS ORTHOSIS
ORTHOSIS FOOT ORTHOSIS ORTHOSIS
 Ortosis

Introductio Pasien yang

n to AFO mengalami
deformitas

Ankle dan foot

 Fixation

Compensation
Function of
Orthosis
(and AFO)
Relief

Correction
ANKLE FOOT ORTHOSIS
KNEE

ANATOM
ANATOMY
Y ANKLE JOINT

FOOT
PATHOLOGY

BIOMEKANIK

AFO DESIGN AND

COMPONENTS
ANKLE FOOT ORTHOSIS

POLIOMYELITIES
ANATOMY

CEREBRAL PALSY

BIOMECHANIC
CLUB FOOT

PATHOLOG
PATHOLOGY
Y STROKE

SCI
AFO
ANKLE FOOT ORTHOSIS

ANATOMY

CONTROL SYSTEM

BIOMECHANI
BIOMECHANIC
CS

LEVER ARM AND

PRESSURE
PATHOLOGY DISTRIBUTION

AFO DESIGN AND

COMPONENTS
Orthotics control system
(Three point pressure system)

• Equinus
• calcaneus
• valgus
• varus
Lever arm and pressure
distribution
Semakin panjang lever arm maka pressure distribution semakin
merata
ANKLE FOOT ORTHOSIS

ANATOMY

BIOMECHANIC

PATHOLOGY POSTERIOR SHELL

ANTERIOR SHELL

CONVENTIONAL
AFO DESIGN AND COMPONENTS PTB AFO

GRAFO
Part’s function

 Shell/ cuff

 Ankle Joint

 Footplate

 Material
Ankle Joint Mechanism
Posterior shell/Cuff

a. Rigid AFO
 ketidakstabilan ankle dan
foot
 immobilisasi
 spastic berat – sedang
b. Flexible AFO
 foot drop
 spastic sedang
c. Jointed AFO
 ML instability
 Foot drop
 Spastic ringan – sedang
RIGID JOINTED
FLEXIBLE
Anterior shell/Cuff
a. Rigid AFO
 ada angulasi tibia saat stance
 knee flexion gait pattern
 Weak plantarflexors
Spastic ringan – sedang pada
STJ

b. Jointed AFO - DF stop

 ada angulasi tibia saat stance
 knee flexion gait pattern
 Weak plantarflexors
Conventional AFO

 Insensate foot
 Oedema
 Heavy patient
PTB AFO

 Ankle tidak bisa menumpu

 Fraktur tibia
Patela tendon Bearing
Rigid PTB AFO
Jointed PTB AFO
GRAFO

 untuk mengontrol knee joint

pada saat stance phase
Body weight ke floor 
ada reaksi dari floor ke
atas (ke ortosis) 
menghasilkan gaya ke
arah posterior pada area
knee joint pada saat stance
phase  knee mulai
ekstensi.