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The Codivilla spring: from then to now and beyond.

Roberta Bardelli1, Jaap Harlaar2, Giovanni Morone3

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Summary

Ankle-foot-orthoses (AFOs) help patients with foot drop improve walking by controlling ankle motion and compensating for weakness. This review traces AFO history, design, and selection for optimal gait function.

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Area of Science:

  • Orthopedics
  • Biomechanical Engineering
  • Rehabilitation Medicine

Background:

  • Ankle-foot-orthoses (AFOs) are crucial for managing foot drop caused by neurological conditions.
  • AFOs control ankle range of motion and compensate for muscle deficits to enhance gait.
  • The historical development of AFOs, originating from the 'Codivilla spring,' is explored.

Purpose of the Study:

  • To provide a historical overview of Ankle-Foot-Orthoses (AFOs).
  • To analyze the evolution of AFO design and indications for adult and pediatric patients.
  • To discuss AFO selection and prescription strategies for optimizing gait in individuals with ankle-foot complex deficiencies.

Main Methods:

  • Historical literature review of Ankle-Foot-Orthoses (AFOs).
  • Critical analysis of historical documents concerning AFO origins and development.
  • Comparative presentation of adult and pediatric AFO designs and indications.

Main Results:

  • The evolution of the Ankle-Foot-Orthosis (AFO) from its inception to modern applications is detailed.
  • A historical controversy regarding the inventor of the Codivilla spring is presented.
  • Current AFO designs and their specific indications for various patient groups are outlined.

Conclusions:

  • Understanding AFO history and design is essential for effective patient management.
  • Individualized prescription of Ankle-Foot-Orthoses (AFOs) is key to optimizing gait function.
  • Further research into AFO selection criteria can enhance rehabilitation outcomes for foot drop.