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Group 4 — Reactors consist of orthoses with the potential to block dorsiflexion or provide precise range of motion for both dorsiflexion and plantarflexion. Orthoses include solid, articulated, and adjustable styles.
   
 
Group 1 — Hind-foot control
 
Group 2 — Sagittal control
 
Group 3 — Articulated
 
Group 4 — Reactors
 
 
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Full Blocker Reactor
Recommended for:
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Crouch stance secondary to weakness at ankles, knees and hips
•
Knee flexion instability
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Loss of plantarflexors and quadriceps weakness
•
Need for a mechanical knee extension moment in stance and possessing full range of motion at the knee and hip
Not recommended for:
•
Patients who can benefit from dorsiflexion
•
Crouch stance secondary to high tone
•
Crouching accompanied by toe walking
•
Uncorrectable crouching in stance secondary to knee and hip flexion tightness
Download Orthometry Form
   
Dorsi-blocker Reactor
Recommended for:
•
Crouch stance/gait secondary to weak plantarflexors
•
Knee flexion instability and crouching secondary to quadriceps weakness
•
Patients who need a few degrees of dorsiflexion range to enhance functional skills on inclines, transitional movements, and play activities
Not recommended for:
•
Crouching without any plantarflexion strength.
•
Crouching secondary to high tone
Download Orthometry Form
   
Transformer
Recommended for:
•
Precise control of dorsiflexion and plantarflexion range of motion
•
Variable pathology that vacillates between remission and exacerbation
•
Adjustable orthotic management sensitive to improving or deteriorating conditions
Not recommended for:
•
Patients who do not require precise control of dorsiflexion and/or plantarflexion
Download Orthometry Form
   
   
 
 
 

 

 


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