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AFO (Ankle-Foot Orthosis) Management -Optimizing Functional Gait Biomechanics & Outcomes by Vibhor Agrawal,
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Faculty:: Vibhor Agrawal
Duration:: 4 Hours 45 Minutes
Format:: Audio and Video
Copyright:: Aug 18, 2017

Description

Over the past several years, ankle foot orthoses (AFOs) have evolved in form, function, and complexity. They are no longer simple plastic devices that are beneficial only during the swing phase of gait. The newer designs incorporate the biomechanical principles of closed-kinetic chain to enhance joint and muscle function for improved gait and mobility.

Recent scientific evidence has demonstrated the advantages of AFOs for improving functional outcomes in patients with stroke, cerebral palsy, multiple sclerosis, and more. As therapists are constantly looking for ways to maximize patient function and increase revenue, it is critical to keep up with the recent developments in the field for optimizing outcomes.

This course will provide effective strategies for clinical management of AFOs. You will delve into the biomechanics of closed-chain gait, and to understand its effect on joint motion and muscle function. You will learn how to integrate gait biomechanics with muscle function and AFO design to enhance outcomes in adult and pediatric patients. Explore the different types of AFOs and become well-versed on the most recent evidence covering intervention strategies and clinical management of AFOs.

Discuss the appropriate outcome measures to detect clinically meaningful differences in patients following an intervention. Learn the tips for billing and documentation to maximize returns. The information obtained in this course can be easily implemented in the clinic immediately for enhanced outcomes.

Handouts

Outline

FUNCTIONAL GAIT BIOMECHANICS

Current gait terminology
Open-chain vs. closed-chain muscle function
Four foot rockers
Ankle joint and muscle function during gait
Gravitational and ground reaction forces at the foot, ankle, and knee

AFO USE IN VARIOUS PATHOLOGIES
Review of the most current scientific literature of the following pathologies:

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

OUTCOME MEASURES

Review of the existing outcome measures
- 6MWT
- 10 meter walk test
- Functional Independence Measure
Scandinavian Stroke Scale
Minimal detectable change with AFO
Minimal clinically important difference in these measures

ABCs OF AFOs

Review of the different types of AFOs
- Solid-ankle AFOs
- Articulated AFOs
Biomechanical influences of AFOs on a patient’s gait
The impact of AFOs on joint and muscle function
Indications and contraindications of each type of AFO
Differentiating between over-the-shelf and customfabricated AFOs

AFO CASE STUDIES

STROKE
CP
MS
Selecting the appropriate AFO

AFO MANAGEMENT

Patient evaluation
Taking appropriate measurements
Ensuring a good fit
Do’s and Don’ts of AFO fitting
Signs and Symptoms of incorrect fit
Providing instructions at delivery
When to refer the patient to a specialist
Follow-up
- Biomechanical evaluation at subsequent visits
- Knowing when to change the AFO treatment plan

BILLING AND DOCUMENTATION

CPT codes for billing for time and expertise
L-codes for reimbursement for the AFO
Documentation requirements
Maximizing revenue with AFOs

Faculty

Vibhor Agrawal, PhD Related seminars and products: 1

VIBHOR AGRAWAL, PhD, is a professor of Physical Therapy at the University of Miami, where he teaches courses on gait and biomechanics. He has an extensive research background in gait and movement biomechanics, with more than 50 published papers and abstracts in national and international peer-reviewed journals. He regularly presents at conferences and reviews for leading rehabilitation journals. He is an associate editor for the journal Prosthetics Orthotics International, an executive member of the International Society for Prosthetics and Orthotics and on the Board of Directors for the Orthotics & Prosthetics Activities Foundation.

As an entrepreneur, and founder of Enability LLC, Dr. Agrawal has dedicated himself to enabling individuals with disabilities through knowledge, service, and research. He also provides consulting services to corporate organizations in the design and development of assistive devices, clinical research, and education.

Speaker Disclosures:

Financial: Vibhor Agrawal is a professor at the University of Miami. He receives a speaking honorarium from PESI, Inc.

Non-financial: Vibhor Agrawal is on the Board of Directors for the Orthotics & Prosthetics Activities Foundation.

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