DAFOs at University Of Salford | Flashcards & Summaries

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Lernmaterialien für DAFOs an der University of Salford

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Goals of DAFOs?

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  • Control of undesirable motions.
  • Maintenance of soft tissue length/position.
  • Prevention of deformity.
  • Protection of the joint/soft tissue.
  • Facilitate interaction/learning/participation – within EBP frameworks.
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Other names for DAFOs?

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TRAFO’S – Tone Reducing AFO’s.

TIAFO – Tone Inhibiting AFO’s.

TAAFO – Tone Affecting AFO’s.

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What do DAFOs do?

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Designed to predominantly effect joint movement/control through neurological/physiological methodologies.

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Why are DAFOs used specifically with spasticity?

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•Physiotherapists utilising a neurological approach to the problem of spasticity. 
•Based on the principle the brain is able to adapt to change. 
•In children with CP, the belief is that in working against spastic patterns a reduction in spasticity can be achieved. 
•Subsequent and acquired new learning will be reinforced and retained, which will sustain increased ROM and increased balance/control.
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What does a DAFO aim to do?

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Improve postural control and balance that is learned through unrestricted neural feedback mechanisms (Hylton N.M.,1990).

There is benefit to fine motor activity and improvement to cognitive abilities. 

This gives the child a more stable base from which to learn. 

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Describe Eversion - Tonic Movement

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  • Lateral border of the foot over the head of the 5th metatarsal and the base of the fifth toe
  • Primary muscle activity observed in the peroneals, vastus lateralis, gluteus medius, fascia femoris
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Describe Dorsiflexion - Tonic Movement

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  • Central Portion of Plantar Surface of Heel.
  • Prime muscle activity: Tibialis Anterior but also EDL & EHL
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Why are tonic movements relevant when talking about DAFOs?

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DAFOs try to follow design principles that inhibit reflexes that cause foot deformities and hypertonus

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DAFO Trim lines and straps?

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  • Distal trim line over dorsum – just behind the toes.
  • Proximal trim line – just above the ankle.

  • Straps – across the ankle, foot and first toe.  
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Materials used for DAFOs?

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  • Homo-polymer 
  • Stretched very thin over the Dorsum of the foot meeting at the mid line.
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Who do DAFOs work best for?

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  • The main patient group which we associate with this treatment are people with cerebral palsy (CP).
  • However, potentially any group of patients affected with neurology could benefit from such intervention. 
  • Specific groups – spina bifida, hypo-tonia, head injury, and muscular dystrophy, head injury, TEV with hypo-tonia (Hylton, 1990). 
  • Also non-ambulatory CP patients, to provide increased stability and reduced tone in sitting and when supported standing takes place.
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What is the Babinski Sign?

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  • Firm stroking of the plantar sole.
  • If the reflex is present – big toe dorsiflexion will occur & lesser toes fan outwards.
  • In adults or children >24 months, this reflex is considered abnormal – and could be a sign of a neurological condition.  
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  • 1921 Karteikarten
  • 211 Studierende
  • 0 Lernmaterialien

Beispielhafte Karteikarten für deinen DAFOs Kurs an der University of Salford - von Kommilitonen auf StudySmarter erstellt!

Q:

Goals of DAFOs?

A:
  • Control of undesirable motions.
  • Maintenance of soft tissue length/position.
  • Prevention of deformity.
  • Protection of the joint/soft tissue.
  • Facilitate interaction/learning/participation – within EBP frameworks.
Q:

Other names for DAFOs?

A:

TRAFO’S – Tone Reducing AFO’s.

TIAFO – Tone Inhibiting AFO’s.

TAAFO – Tone Affecting AFO’s.

Q:

What do DAFOs do?

A:

Designed to predominantly effect joint movement/control through neurological/physiological methodologies.

Q:

Why are DAFOs used specifically with spasticity?

A:
•Physiotherapists utilising a neurological approach to the problem of spasticity. 
•Based on the principle the brain is able to adapt to change. 
•In children with CP, the belief is that in working against spastic patterns a reduction in spasticity can be achieved. 
•Subsequent and acquired new learning will be reinforced and retained, which will sustain increased ROM and increased balance/control.
Q:

What does a DAFO aim to do?

A:

Improve postural control and balance that is learned through unrestricted neural feedback mechanisms (Hylton N.M.,1990).

There is benefit to fine motor activity and improvement to cognitive abilities. 

This gives the child a more stable base from which to learn. 

Mehr Karteikarten anzeigen
Q:

Describe Eversion - Tonic Movement

A:
  • Lateral border of the foot over the head of the 5th metatarsal and the base of the fifth toe
  • Primary muscle activity observed in the peroneals, vastus lateralis, gluteus medius, fascia femoris
Q:

Describe Dorsiflexion - Tonic Movement

A:
  • Central Portion of Plantar Surface of Heel.
  • Prime muscle activity: Tibialis Anterior but also EDL & EHL
Q:

Why are tonic movements relevant when talking about DAFOs?

A:

DAFOs try to follow design principles that inhibit reflexes that cause foot deformities and hypertonus

Q:

DAFO Trim lines and straps?

A:
  • Distal trim line over dorsum – just behind the toes.
  • Proximal trim line – just above the ankle.

  • Straps – across the ankle, foot and first toe.  
Q:

Materials used for DAFOs?

A:
  • Homo-polymer 
  • Stretched very thin over the Dorsum of the foot meeting at the mid line.
Q:

Who do DAFOs work best for?

A:
  • The main patient group which we associate with this treatment are people with cerebral palsy (CP).
  • However, potentially any group of patients affected with neurology could benefit from such intervention. 
  • Specific groups – spina bifida, hypo-tonia, head injury, and muscular dystrophy, head injury, TEV with hypo-tonia (Hylton, 1990). 
  • Also non-ambulatory CP patients, to provide increased stability and reduced tone in sitting and when supported standing takes place.
Q:

What is the Babinski Sign?

A:
  • Firm stroking of the plantar sole.
  • If the reflex is present – big toe dorsiflexion will occur & lesser toes fan outwards.
  • In adults or children >24 months, this reflex is considered abnormal – and could be a sign of a neurological condition.  
DAFOs

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