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Ankle Dorsiflexion Assist Systems

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 Dorsi Assist - Gait model
Gait Trainer System

The TheraTogs Ankle Dorsiflection Assist (DFA) System is designed to give clinicians a versatile, dynamic, and comfortable alternative to clumsy medical devices that are intended to address plantar fasciitis and calf muscle contracture.

The Dorsiflextion Assist System is available in three models:

Gait Trainer System, designed for clinical use, to allow the clinician to position the ankle and foot during therapy, and to preview the effects of an AFO with DF assist and a free ankle.

 

 Dorsi Assist - Sleep Model
Sleeping System

Sleeping System, designed for calf muscle contracture prevention or management.This system implements the well-known strategy of applying low-load, prolonged elongation to shortened or hyperactive muscle and soft tissues to promote physiologic adaptation.

Combination System includes both the Gait Trainer and Sleeping systems.
Indications/Applications 
The TheraTogs Ankle Dorsiflexion Assist System can be useful to persons exhibiting calf muscle contracture - or the potential to develop a contracture - in the presence of the following problems and diagnoses:

  • Cerebral palsy
  • Traumatic Brain Injury – acute, post-acute, and chronic phases
  • Hemiplegia due to Stroke – acute, post-acute, and chronic phases
  • Multiple Sclerosis
  • Congenital Equinus Deformity
  • Plantar fasciitis
  • Idiopathic Toe Walking
  • Talipes Equinovarus (flexible type)
Applicable ICD-9 Codes include:
340.00-340.02, 340.10-340.12, 340.80-340.82, 340.90-340.92
342.00-342.02, 342.10-342.12, 342.80-342.82, 342.90-342.92
343.0-343.2, 343.4, 343.8, 343.9
356.1
438.20, 438.21, 438.22
736.71, 736.72, 736.79
754.51, 754.69, 754.79


Benefits and Unique Features - Gait Trainer System
Simplicity.
This temporary DF-assist device is made of elasticized, foam-lined, comfortable components that are easy to apply in minutes. The DF assist strap attaches to a precut calf cuff and a durable, flexible, Velcro-sensitive shoe mount.


Training Assistance. This system helps the user to experience improved ankle motion in gait without “taking over” for the DF musculature. The attending clinician can tune the DF-assist torque to accommodate changes in ankle function. Those clinicians who must manually assist their clients with foot clearance and placement while training on treadmills – with or without partial unweighting – will appreciate the usefulness of this helpful system.

Orthotic Evaluation. If your client needs an AFO, and you’re curious whether she/he is ready to use an articulated free ankle with a DF-assist joint, this system will provide the opportunity to preview the effectiveness of an orthotic device with those features.
 
Benefits and Unique Features – Sleeping System 
Midtarsal Joint Support. Midtarsal joint support is an essential component of foot deformity management, and comfort is essential to sleep. The Midtarsal Joint Support Strap can be applied to bias the foot position in favor of supination or pronation if those motions are readily available.

Calf Stretch. The Forefoot DF Strap adds gentle, adjustable elongation to the calf musculature 

Midfoot Stabilization. The 5-pronged DF Split Strap adds more midfoot stabilization while applying gentle elongation to the calf and toe flexion musculature and plantar fascia. The toes are supported against flexing in a cozy, adjustable wrap.

System Contents 
Sleeping System  (Coded “S” below)

1 Calf Cuff
1 Midfoot Cuff
1 Midfoot Support Split Strap
1 Forefoot DF Strap
1 5-pronged DF Split Strap
1 sheet Double-Sided Velcro
 
Gait Trainer System(Coded “G” below)

1 Calf Cuff
1 Velcro®-sensitive Shoe Clip
1 5-pronged Gait Trainer Split Strap

Combination System (Coded “C” below)

1 Calf Cuff
1 Midfoot Cuff
1 Midfoot Support Split Strap
1 Forefoot DF Strap
1 5-pronged DF Split Strap
1 sheet Double-Sided Velcro

1 Calf Cuff
1 Velcro-sensitive Shoe Clip
1 5-pronged Gait Trainer Split Strap

System Sizes 
Model # Shoe Sizes

#204 C / G / S

Toddler Pre-Walking: 3 thru 6
Toddler Girls & Boys: 6½ thru 8½

#304 C / G / S

Toddler: 9 thru 13½
Girls & Boys: 1thru 2

#314 C / G / S

Girls & Boys: 3 thru 6

#404 C / G / S

Girls/Women: 5 thru 8½
Boys/Men: 3 thru 6½

#614 C / G / S

Women: 9 thru 12
Men: 7 thru 9½

#624 C / G / S

Men: 10 thru 15


Note: The Gait Trainer System is not a suitable intervention for any ankle and foot deformity that is not manually correctable without undue force - such as fixed ankle plantarflexion contracture, fixed supination contracture, or high levels of severity of synergistic muscle action.