Vibhor Agrawal – AFO (Ankle-Foot Orthosis Management

Discuss the most appropriate outcome measures for detecting clinically meaningful differences among patients after an intervention.

Vibhor Agrawal – AFO (Ankle-Foot Orthosis Management

Ankle foot orthoses (AFOs), have improved in function, form, and complexity over the years. These are no longer simple, lightweight plastic devices that can only be used during the swing phase. Newer designs incorporate biomechanical principles from closed.-Kinetic chain for enhanced joint and muscular function to improve gait and mobility.

Recent scientific evidence has shown the benefits of AFOs when it comes to improving functional outcomes in stroke, cerebral palsy and multiple sclerosis patients. Therapists constantly seek ways to improve patient function and increase revenue. It is important to stay up to date with all the latest developments in the field.

This course will help you develop effective strategies to manage AFOs. This course will cover the biomechanics and physiology of closed AFOs.-You will learn how chain gait affects joint motion and muscle function. You will learn how to integrate gait biomechanics with muscle function and AFO Design to improve outcomes in pediatric and adult patients. Learn more about the various types of AFOs available and how they can help you.-The most current evidence on AFOs and treatment strategies is available.

Talk about the right outcome measures to determine if there are clinically meaningful differences between patients following an intervention. For maximum returns, learn billing and documentation tips. For improved outcomes, the clinic can immediately implement the information from this course.

1. Closed articulate biomechanics-In terms of ground reaction forces, muscle function, and the function of the foot, ankle, knee and hip, chain functional gait is a measure of chain functionality.
2. For effective gait biomechanics, integrate recent research and results. AFO Strategies for rehabilitation.
3. Analyze changes in gait biomechanics when there are pathologies, as well as the impact of AFOs upon biomechanics.
4. Evaluate appropriate AFOs for optimizing patients’ gait and function in a variety of pathological conditions.
5. Strategie evaluations for the effective measurement, fitting, delivery, and follow-up of AFOs.
6. You should be aware of the documentation and billing requirements to provide AFOs and other related services.

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FUNCTIONAL GAIT BIOMECHANICS

• Current gait terminology
• Open-Chain vs. close-chain muscle function
• Four foot rockers
• Gait: Ankle joint function and muscle function
• At the ankle, knee, and foot, there are ground and gravititational forces.

AFO USE IN MANY PHOTOLOGIES
The most recent scientific literature on the following pathologies is reviewed:

• Stroke
• Sensory perception loss
• Cerebral palsy
• Charcot-Marie-Tooth disease
• Other neuromuscular disorders

OUTCOME MEASURES

• Revision of existing outcome measures
  • 6MWT
  • Test for a 10 meter walk
  • Functional Independence Measure
• Scandinavian Stroke Scale
• There is minimal detectable change AFO
• These measures have a very small clinically important difference

ABCs of AFOs

• Review of the different types AFOs
  • Solid-AFOs for ankles
  • Articulated AFOs
• Biomechanical influences of AFOs on a patient’s gait
• AFOs’ impact on joint and muscular function
• Each type of medication has its own contraindications and indications AFO
• Differentiating between over-The-AFOs can be custom-made or placed on shelves

AFO CASE STUDIES

• STROKE
• CP
• MS
• Choose the right AFO

AFO MANAGEMENT

• Patient evaluation
• The right measurements
• You want a great fit
• Do’s and Don’ts of AFO fitting
• Signs and symptoms that indicate an improper fit
• Providing instructions at delivery
• When should the patient be referred to a specialist?
• Follow-Up
  • Biomechanical evaluation during subsequent visits
  • When to make a change AFO treatment plan

BILLING and DOCUMENTATION

• CPT codes to bill for expertise and time
• L-Codes for reimbursement AFO
• Documentation requirements
• Maximizing your revenue with AFOs