
STRIDE KAFO ORTHOMETRY FORM Page 1 of 2 2485887480 Fax 2485884555 Todays Date: Facility: Patient: Street: Sex: City: Diagnosis: State: Orthotist: MEASUREMENTS: Inches Zip: Phone #: Centimeters Ht:.
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How to fill out the STRIDE KAFO ORTHOMETRY FORM - Becker Orthopedic online
The STRIDE KAFO orthometry form is a crucial document used in designing customized orthotic devices. This guide provides clear instructions on how to accurately complete the form to ensure that the needs of the patient are fully met.
Follow the steps to effectively complete the STRIDE KAFO orthometry form online.
- Press the ‘Get Form’ button to access the form and open it in the appropriate editor.
- Begin by entering today’s date in the designated field.
- Fill in the facility’s name where the orthosis will be issued.
- Input the patient’s full name along with their residential address, including street, city, state, and zip code.
- Record the patient’s phone number to maintain contact for any follow-ups.
- Specify the patient’s sex in the appropriate field.
- Document the primary diagnosis of the patient.
- Fill in the name of the orthotist responsible for the prescription.
- Take the necessary measurements as specified, entering height and weight in inches or centimeters as appropriate.
- Complete the finished lateral and medial height measurements, if applicable.
- Indicate the activity level of the patient as it relates to their mobility.
- Provide the delivery date for the custom orthotic device.
- Fill out all measurements under diameters and circumferences, ensuring precise entries for waist line, pelvic line, trochanter, ischial tuberosity, proximal thigh, distal thigh, knee axis, fibular neck, calf, and ankle.
- Review any contraindications which may influence the design and usage of Stride stance control systems.
- Fill in the necessary fields for selections regarding components like plastic type, liner, ankle joint options, and any add-ons.
- Confirm all entries and check for accuracy before saving, downloading, printing, or sharing the completed form.
Start completing your STRIDE KAFO orthometry form online today!
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What are the contraindications of knee ankle foot orthosis?
Cons / Contraindications Recurvatum or unstable knee. Knee extension moment compromised with external foot rotation in excess of 25 degrees. Presence of knee flexion contractures exceeding 15 degrees. Must be able to get ankle to neutral or slight plantar flexion.
How does a stance control KAFO work?
Electronic SC KAFOs have a sensor that senses when the heel is on the ground. The joint then locks electronically by means of a small piston that drops into the lock. There are also mechanical KAFOs that work on a pendulum mechanism. These lock and unlock depending on the angle of the knee in the sagittal plane.
What are the indications for KAFO in orthosis?
Clinical indications for a KAFO include instability of the knee and ankle, quadriceps weakness or absence, hyperextension of the knee, varus or valgus deformity correction in children, and paralysis of one or both legs.
What are the contraindications of orthosis?
The absolute contraindications are cranial fractures, bone deficiency, sepsis or severe soft-tissue injury.
What are contraindications for stance control KAFO?
General contraindications to using a stance control KAFO include significant knee spasticity, substantial impairment of patient cognition and/or motivation, knee flexion contractures exceeding 10 degrees and uncertain prospects for patient follow-up and compliance.
What are the disadvantages of KAFO?
In contrast, one of the biomechanical problems with KAFO is that it can lead to an abnormal gait pattern. For example, the locked knee joint of KAFO allows patients to stand or ambulate safely; however, it prevents floor clearance of the foot during the swing phase (10).
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