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Margaret Frank

Hi Chrissy

I also have a question regarding exam 3. One question asks what type of AFO would you consider for someone who has the following: decreased foot clearance during swing phase, knee hyperextension during stance phase, 4/5 knee extensor strength, 2/5 ankle DF strength, 3/5 ankle PF strength, ankle DF PROM 0 deg, impaired proprioception and grade 2 ankle PF spasticity.

Due to the spasticity, impaired proprioception and generalized weakness in ankles; I choose rigid AFO.

But the answer is articulating AFO with PF stop

For the criteria to have rigid AFO based on Ranchos ROADMAP – is a rigid only reasonable for this patient if the patient had ABSENT proprioception? and what is the threshold on spasticity that makes you think rigid AFO (i.e. MAS >2) vs artitculated?

Thank you for your help!