The ADM is available as a day brace for children suffering from a range of conditions that result in a supinated / foot dropping type of gait. Patients using the ADM may have a range of neurological conditions, such as cerebral palsy / stroke or difficult clubfeet.
Ambulatory ADMs have significant advantages over conventional AFOs. Unlike all other AFOs, the ADM supports the full normal range of motion of both tibio-talar and sub-talar joints. The ADM supports a classic triplane foot motion, but enhances abduction, eversion and dorsiflexion.
Patients using the Ambulatory ADM report reduced tripping, enhanced comfort, mobility, independence and stamina. Children wearing the Ambulatory ADM are able to play, run and climb, play football and tennis.
The best way to appreciate how the Ambulatory ADM impacts its users is to review video footage. Gait analysis shows that the ADM helps patients to improve stride length, heel strike, reduce inward rotations from the hip and prevent soreness and calluses on the lateral border of the foot.
Centre of Pressure (COP): COP analysis illustrates how the ADM modifies the COP of a typical supinated type gait.
1. Initial swing phase: The patient shows evidence of walking in varus without the ADM.
2. Mid swing phase: The ADM is correcting heel varus and heel strike is now in slight valgus.
3. Terminal swing phase: The ADM enables a more active heel strike, there is less internal rotation and greater dorsiflexion.