How to set the compression components:
In general, the compression components are chosen to match the patient’s specific shock absorption requirements. Mostly, this is affected by patient’s weight and patient’s step length. Activity level should also be considered. It is suggested that the practitioner and patient establish a starting setting together using the following guidelines. Select the compression component that best describes the patient’s weight and step length. Start with the selected setting. After 10-20 steps increase to the next setting. After another 10-20 steps increase again to the next setting. Keep going until there is too much resistance.
Compression Components Guide
|Step-length||< 110||110-140||140-180||> 180|
There are 5 settings to work with. For 45-60 and 60-80 settings use higher durometer on lateral side.
|Green = 45
||Amber = 60
||Black = 80
Setting the tensors:
The foot/calf angle is unique to each individual and needs to be addressed by the AFO. The Step-Smart brace includes a third tensor, which is longer than the two currently attached to the calf section. By installing the longer tensor on the lateral side a more medial angulation is achieved. By installing the longer tensor on the medial side a lateral angulation is achieved. This 10-degree range allows the practitioner to make angular changes to match the foot/calf angle of 95% of the patients.
This guide can assist you, but the experience of the patient must come first.