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Becker Stride KAFO Orthometry Form 2012-2025 free printable template

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STRIDE KARO OPTOMETRY FORM Page 1 of 2 2485887480 Fax 2485884555 Today's Date: Facility: Patient: Street: Sex: City: Diagnosis: State: Orthotic: MEASUREMENTS: Inches Zip: Phone #: Centimeters Ht:
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How to fill out Becker Stride KAFO Orthometry Form

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How to fill out Becker Stride KAFO Orthometry Form

01
Gather required measurement tools such as a measuring tape and a protractor.
02
Ensure the patient is in a relaxed, standing position for accurate measurements.
03
Measure the height of the patient from the floor to the top of the pelvis.
04
Measure the width of the pelvis at its widest point.
05
Measure the distance from the knee center to the ankle center.
06
Record the knee angles while the patient is standing or sitting to determine the required range of motion.
07
Document any specific anatomical considerations or deformities.
08
Fill out sections regarding the patient's medical history and previous orthotic interventions if applicable.
09
Review the form for completeness and accuracy before submission.

Who needs Becker Stride KAFO Orthometry Form?

01
Patients with lower limb paralysis or weakness.
02
Individuals recovering from traumatic injuries to the leg.
03
Patients with conditions such as spina bifida or post-polio syndrome.
04
People needing support for conditions that affect gait and mobility.
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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).
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.
The absolute contraindications are cranial fractures, bone deficiency, sepsis or severe soft-tissue injury.
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.
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.
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.

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The Becker Stride KAFO Orthometry Form is a specialized document used to collect precise measurements and specifications for the fitting of Knee Ankle Foot Orthoses (KAFO) for individuals requiring support and stability in their lower limbs.
The form is typically required to be filed by healthcare professionals such as orthotists or physical therapists who are involved in the fitting and customization of KAFOs for patients.
To fill out the Becker Stride KAFO Orthometry Form, professionals should follow the provided guidelines, which include entering patient details, taking accurate limb measurements, and documenting any specific adjustments needed for the orthosis.
The purpose of the Becker Stride KAFO Orthometry Form is to ensure the proper fitting and adjustment of KAFOs, enhancing mobility and comfort for patients requiring assistance with walking and standing.
The information required includes patient demographics, medical history related to limb function, detailed measurements of the affected limbs, and specific design features or modifications for the KAFO.
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