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Becker Shadow AFOKAFO Orthometry Form free printable template

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SHADOW AFO/KARO OPTOMETRY FORM Today's Date:Patient:Facility:Age:Street:Activity Level:City:Diagnosis:State:Sex:Ht:Wt:Zip:Orthotic:PO#:Phone:_Delivery Date:MEASUREMENTS:InchesCentimetersSIDE :Right
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How to fill out shadow afokafo orthometry form

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How to fill out Becker Shadow AFO/KAFO Orthometry Form

01
Start with the patient's personal information including name, date of birth, and medical history.
02
Measure the patient's height and weight for accurate sizing.
03
Document limb measurements: record the circumference of the ankle, calf, and thigh for proper fit.
04
Measure the length of the foot from heel to toe for the AFO and the length from the floor to the inferior pole of the patella for the KAFO.
05
Note any deformities or specific conditions affecting orthotic needs.
06
Ensure to check mobility and gait patterns.
07
Complete the insurance and authorization details required for processing.

Who needs Becker Shadow AFO/KAFO Orthometry Form?

01
Individuals with lower limb paralysis or weakness.
02
Patients requiring support for conditions like cerebral palsy, muscular dystrophy, or post-stroke rehabilitation.
03
Athletes or individuals needing stabilization for specific injuries.
04
Patients recovering from surgeries related to the lower limbs.
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People Also Ask about

In clinical practice, the most commonly used AFO include plastic AFO, walking boot, UD-Flex, and carbon fiber AFO. In addition, for compensating the demerits of these conventional AFOs, new types of AFOs, including AF Servo, TurboMed, three-dimensionally printed AFO, and AFO made from kenaf composites, were developed.
EVOLUTION Orthosis HKAFO at Rs 35000 in Surat | ID: 2502877030.
You may have been provided with a knee-ankle-foot orthosis, or KAFO, which has been designed to meet your individual needs. KAFOs are provided to compensate for muscle weakness, paralysis or skeletal problems which cause lower limb instability.
Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
An ankle foot orthosis (AFO) is used to improve walking patterns by reducing, preventing or limiting movement of the lower leg and foot and by supporting weak muscles.
Knee-Ankle-Foot Orthoses (KAFOs) A KAFO is an AFO with metal uprights, a mechanical knee joint and two thigh bands. KAFOs provide stability to the knee and foot when needed during the stance phase of ambulation and knee hyperextension control from midstance to the terminal stance phase in the gait cycle.
KAFO (Knee-Ankle-Foot Orthosis) Knee-ankle-foot orthoses (KAFOs) are used for stance control. These types of orthoses are generally prescribed for the following reasons: Instability of the knee. Muscle weakness at the ankle / knee / hip.

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The Becker Shadow AFO/KAFO Orthometry Form is a specialized document used to capture the measurements and specifics needed to create custom Ankle-Foot Orthoses (AFO) or Knee-Ankle-Foot Orthoses (KAFO) for individuals requiring support for their lower limbs.
Healthcare professionals, such as orthotists or physical therapists, are typically required to file the Becker Shadow AFO/KAFO Orthometry Form when they are prescribing or fabricating custom orthopedic devices for patients.
To fill out the Becker Shadow AFO/KAFO Orthometry Form, individuals need to accurately measure the patient's lower limb dimensions, including but not limited to the circumference, length, and range of motion, and input these measurements into the designated sections of the form along with patient identification and clinical information.
The purpose of the Becker Shadow AFO/KAFO Orthometry Form is to ensure that custom orthotic devices are appropriately fitted to a patient's unique anatomy, thereby improving comfort and effectiveness in addressing mobility issues.
Information that must be reported on the Becker Shadow AFO/KAFO Orthometry Form includes the patient's name, date of birth, measurements of the affected limbs, clinical diagnosis, and additional notes relevant to the fabrication of the orthoses.
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