Introduction
When it comes to ankle foot orthoses (AFOs), the choice between a fixed thermoplastic AFO and a Dictus-band can significantly impact a patient's gait, comfort, and overall quality of life.
Improved Dynamic Balance and Walking Performance
One of the primary advantages of the Dictus band is its flexibility. Unlike rigid thermoplastic AFOs, which restrict ankle movement, the Dictus-band allows for a greater range of motion. This increased flexibility can lead to improvements in dynamic balance and walking performance. Studies have shown that individuals with multiple sclerosis who used Dictus bands experienced faster walking speeds and reduced times in the Timed Up and Go test compared to those wearing thermoplastic AFOs.
Enhanced Gait Efficiency
The Dictus-band's flexible design enables active plantar flexion, which is crucial for generating propulsive force during walking. Traditional thermoplastic AFOs, by restricting plantarflexion, can hinder this propulsion and lead to a less efficient gait pattern. The Dictus band can help individuals achieve a more efficient and comfortable gait by allowing for natural ankle movement.
Improved Sensory Feedback
The Dictus band's smaller contact area compared to a thermoplastic AFO is less likely to interfere with sensory inputs to the foot and calf. This can allow for better proprioception and feedback during walking, potentially contributing to improved balance and coordination.
Greater User Comfort and Cosmesis
The Dictus band is generally perceived as more comfortable and cosmetically acceptable than a rigid thermoplastic AFO. Its lightweight and flexible design allows for easier donning and doffing and less interference with clothing choices. This can lead to better user satisfaction and adherence to wearing the device.
Cost-Effectiveness
The Dictus-band is a relatively simple and inexpensive device compared to custom-made thermoplastic AFOs which require multiple appointments and casting
Important Considerations
While the Dictus band offers several advantages over a fixed thermoplastic AFO, it's crucial to consider individual needs and consult a healthcare professional to determine the most appropriate orthotic option. Factors such as the severity of gait impairment, specific muscle weakness, and user preferences should be taken into account.
At the Buchanan Clinic
At the Buchanan Clinic we don't believe that there is one best device. Our clinicians will offer you a range of options based on a complete assessment.
Conclusion
The Dictus band presents a promising alternative to traditional thermoplastic AFOs. Its flexibility, potential for improved gait performance, and enhanced user comfort make it a valuable option for many individuals. However, it's essential to weigh the benefits and drawbacks against individual needs and consult with a qualified healthcare professional to make an informed decision.
