The SAFO is a flexible yet rigid silicone device that envelops the foot to prevent foot drop during walking. The SAFO has had excellent results in the treatment of gait problems associated with CMT (Charcot Marie Tooth) and other Peripheral Motor Neuropathy diseases. It has been successfully used in the treatment of clients with: Multiple Sclerosis, Sciatic nerve injuries, incomplete spinal injuries, Polio and children with low tone Cerebral Palsy. www.customorthotic.ca

1. SAFOSilicone Ankle Foot Orthosis Linda LaaksoB.Sc.C.O.(c) www.customorthotic.ca

2. Silicone Ankle Foot Orthosis(SAFO) Custom made for drop foot Developed 1999 - 2004 by Dorset Orthopaedics Silicone in a flexible rigid combination Available in 27 colours or a full colour match www.customorthotic.ca

3. How Does It Function? Incorporates the leg to lift the foot not pushing up from underneath Allows normal range of ankle movement for uneven surfaces Total contact orthotic giving excellent proprioceptive feedback Things feel “normal” www.customorthotic.ca

4. Medical Conditions Treated by SAFO Charcot Marie Tooth CMT Peripheral neuropathies Trauma (peroneal and sciatic nerve) Polio (below knee) Incomplete Spinal Injuries Hemiplegia (CP children) Multiple Sclerosis Diaplegia (CP children) Stroke (CVA) www.customorthotic.ca

5. SAFO Indications Flaccid drop foot Plantar flexion without dorsi flexion Weak dorsi flexion and plantar flexion Mild forefoot pronation and supination Moderate forefoot pronation/supination with FFO Medial lateral support to ankle (shock absorption) Mild clonus/spasticity accompanying drop foot www.customorthotic.ca

6. SAFO Contraindications Fluctuating edema Spasticity (strong extensor pattern) Tight tendo-achilles (shortened) Ischemic foot Gross varus/valgushindfoot www.customorthotic.ca

7. CMT patients initial responses to wearing the SAFO Very weird sensation Freedom of movement Lighter than AFO (not lighter) I feel more stable My balance is better (I can stand still) I can feel the soles of my feet I know where my feet are in space www.customorthotic.ca

8. CMT patients 3 month responses to wearing the SAFO It is easier going up and down stairs I feel more stable on uneven ground Driving the car I can feel the pedals My legs do not ache so much driving I am not so tired after walking Not so nervous walking around the pool My quality of life has improved www.customorthotic.ca

9. Special thank you to Mr. Eric Askew, Orthotist, Dorset Orthopaedic Thank you For a free copy of this presentation, please contact Linda at lindalaakso@customorthotic.ca www.customorthotic.ca