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Group 2 — Sagittal control contains orthoses that have varying levels of dorsiflexion and plantarflexion control without the use of articulating joints. Two of the designs in this group are two-part (combo) orthoses.


  
Leaf Spring
Recommended for:
•
Assisting dorsiflexion without completely limiting plantarflexion
•
Clearance in swing and positioning of the foot for heel strike
•
Stabilizing the foot and ankle without locking out all motion
•
Severe pronation that cannot be managed with an SMO alone
•
Weakness in both sagittal and coronal planes
Not recommended for:
•
Knee flexion or extension instability
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Leaf Spring Combo
Recommended for:
•
Resistance to plantarflexion with flexible dorsiflexion
•
Mild hyperextension of the knee
•
Toe walking
Not recommended for:
•
Strong knee hyperextension
•
Resisting dorsiflexion and/or reducing knee flexion
 
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Plantar Blocker
Recommended for:
•
Restriction of plantarflexion (or dorsiflexion and plantarflexion when tibial strap is used)
•
Knee hyperextension secondary to excessive plantarflexion
•
Toe walking
•
Transfers for non-ambulatory patients when used with a proximal strap
Not recommended for:
•
Patients who benefit from having more sagittal plane flexibility
•
Patients with knee flexion instability (when proximal strap is removed)
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Full Blocker Combo
Recommended for:
•
Weakness in dorsiflexors and plantarflexors with need for definitive foot alignment
•
Post-operative positioning to balance and stabilize foot/ankle complex
•
Pain in foot and ankle with motion
•
Patients in transition between SMO and AFO
•
AFO use during the day with SMO used after school
•
Daytime use of SMO portion alone with Combo used for stretching at night
Not recommended for:
•
Patients needing free dorsiflexion and resistance to plantarflexion
•
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Full Blocker Resting
Recommended for:
•
Non-ambulatory positioning of foot/ankle complex
•
Post-operative positioning
Not recommended for:
•
Ambulatory patients
•
Patients needing a more active and functional
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Group 1 — Hind-foot control
 
Group 2 — Sagittal control
 
Group 3 — Articulated
 
Group 4 — Reactors
 
 
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