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Digital Seminar

AFO (Ankle-Foot Orthosis) Management: Optimizing Functional Gait Biomechanics & Outcomes


Faculty:
Vibhor Agrawal, PhD
Duration:
4 Hours 45 Minutes
Format:
Audio and Video
Copyright:
Aug 18, 2017
Product Code:
WDS020633
Brochure Code:
PTAFO
Media Type:
Digital Seminar
Access:
Never expires.

  • Program no longer active
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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.

Credits


Occupational Therapists, Occupational Therapy Assistants - Florida

is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 5 contact hour(s) for Occupational Therapist and Occupational Therapy Assistants.


Other Professions

This educational offering qualifies for 5 continuing education hour(s) as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements. 


Physical Therapists, Physical Therapist Assistants - Illinois

is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #:216.000309. This course qualifies for 5 CE Credit Hour(s).


Physical Therapists, Physical Therapist Assistants

This educational offering consists of 5 clock hour(s) of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this offering and contact your state board or organization to determine specific filing requirements.


Physical Therapists, Physical Therapist Assistants - New York

is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 6 contact hour(s).


Physical Therapists, Physical Therapist Assistants - North Carolina

NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2021. This course qualifies for 5 continuing education hours. 



Handouts

Faculty

Vibhor Agrawal, PhD Related seminars and products


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. For more information about Dr. Agrawal and his professional activities, please visit www.enability.com


Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Objectives

  1. Articulate biomechanics of closed-chain functional gait, in terms of ground reaction forces and muscle function at the foot, ankle, knee, and hip
  2. Integrate recent research in functional gait biomechanics and outcomes for effective AFO rehabilitation strategies
  3. Analyze the changes in gait biomechanics with pathologies, and the impact of AFOs on biomechanics and muscle function
  4. Identify appropriate AFOs for optimizing patients’ gait and function in a variety of pathological conditions
  5. Learn strategies for effective evaluation, measurement, fitting, and delivery of AFOs, as well as follow-up procedures
  6. Identify the billing codes and documentation requirements for providing AFOs and related services

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

Target Audience

Exercise Physiologists, Occupational Therapy, Occupational Therapy Assistants, Physical Therapy, Physical Therapy Assistants

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Overall:      4

Total Reviews: 4

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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