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Orthotic services

Knee-Ankle-Foot Orthosis (KAFO)

Knee-Ankle-Foot Orthosis (KAFO)

A Knee-Ankle-Foot Orthosis (KAFO) or Knee-Ankle-Foot Brace  is a long-leg orthosis that spans the knee, ankle and foot in an attempt to stabilise the joints and support the leg muscles.

While there are several common indications for the Knee-Ankle-Foot Brace   (KAFO), muscle weakness and paralysis of the leg are most frequently identified.  The most common causes of muscle weakness include:

  • Poliomyelitis
  • Muscular dystrophy
  • Multiple sclerosis
  • Spinal cord injury

Until recently, a KAFO with a locked knee joint was the most suitable treatment for muscle weakness of the knee; providing stability to the knee in order to prevent involuntary flexion.  However, wearing this type of KAFO has its drawbacks, including muscle atrophy and increased energy expenditure in maintaining a correct gait.

Hence, the KAFO design was recently upgraded to incorporate a knee joint that automatically locks and unlocks at the appropriate phases of the gait cycle to enable a smoother walking style.  This type of knee joint is used in treatment involving certain criteria.

Each KAFO is custom-made to individual requirements.  There are a number of design options available that ensure that this type of orthosis is both functional and comfortable.  A thorough examination and assessment of the condition in question helps determine the most appropriate combination of components used.

E-Mag Active

The E-Mag Active is an electronic stance control KAFO that automatically calibrates according to walking style.  The E-Mag Active can be recalibrated to cater for changes in gait that occur over time.

The stance control function remains locked during weight bearing and unlocks during the swing phase of walking; simplifying gait training and allowing for varied cadence.

A built-in gyroscope monitors gait pattern. During the fitting process, the E-Mag Active’s self-calibrating feature enables gait pattern recognition.

Features

  • Stance control enables users to achieve a more natural gait, thereby reducing compensatory movements that can lead to degenerative conditions, excess energy expenditure and non-compliance.
  • The gyroscope monitors the orientation of the limb (heel off, heel strike, etc.).
  • Extraordinarily simple calibration enables the orthosis to customize the unlocking feature during the fitting process.
  • Varied flexion angled joints can be used to ease locking/unlocking of the orthotic knee joint.
  • Optimal manual locking/unlocking function ensures that moving from a standing to a sitting position is a lot easier and increases security over uneven terrain.
  • Allows any preferred ankle joint to be fitted onto the
  • Does not require minimum ankle range of motion to achieve stance control function.
  • Accommodates up to 15° knee flexion contracture in conjunction with dorsal stop at ankle.

Indications

  • Ideal for paralysis/paresis of the knee extensors.
  • Suitable for hip extensors and flexors of muscle strength grades 3 and 5.
  • Accommodates up to 15° genuvarum/valgum.
  • Suitable for a weight of up to 187 lbs/85kgs.
  • Possesses a clear understanding and ability of how to operate the joint.

E-Mag Control

The E-Mag Control is the first knee joint system to feature an electronically controlled lock that can be activated using a remote control device, which provides increased safety and confidence.

Safe standing

  • Conventional knee joint systems require manual locking and unlocking of the knee joint. As a result, the knee becomes unstable when the lock is released and the sudden unnatural movement causes an unsafe standing position.
  • The E-Mag Control knee joint system provides a completely stable stance. Using the remote control device, which can either be operated as a handheld unit, or adapted to fit into a crutch, the lock can be activated with the press of a button.  With the E-Mag Control knee system, one can support oneself with both arms and stand safely at all times.
  • The E-Mag Control specially designed feedback system alerts the wearer when the joint is activated.
  • When wearing an orthosis, most falls occur when the knee joint fails to engage upon standing.   To provide additional support to the wearer, the E-Mag Control includes an integrated feedback function that, upon extending the knee joint, signals to the wearer that the knee joint is stable once the joint is locked. Thus, the E-Mag Control knee joint locking system is completely reliable in that the integrated feedback function ensures that the wearer is alerted to the position of the knee joint at all times.

Discreet – remains undetected

The E-Mag Control remote control device is completely discreet in that operation remains undetected.  The system’s closed design ensures that clothing does not get caught in the orthosis, and it cannot be accidentally activated due to external disturbances such as bumps or knocks.  Even in confined spaces, the system significantly increases confidence while walking.

Indications

The E-Mag Control knee joint system is suitable for:

  • Poliomyelitis
  • Post-polio syndrome
  • Failure or weakness of knee extensors.

N.B. This orthotic device cannot be used if the wearer is unable to extend the E-Mag Control knee joint that activates the lock.

Assessment of the viability of the E-Mag Control knee joint as a suitable option should be carried out in consultation with a registered orthopedic technician.

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Orthotic services

Wrist braces

Supportive Protective Wrist Braces

A Supportive Protective Wrist Brace is a wrist support and bracing used to support and protect the wrist due to minor injury.

Softer braces provide support in such a way as not to completely immobilise the wrist, and are used mainly as protective braces as a result of physical activity. A softer brace is also suitable for post-surgery use.

Supportive Protective Wrist Braces are available in a full range of styles and sizes.

Wrist Wrap

A Wrist Wrap is used to support and protect the wrist due to minor injury.

Features

  • Unique boomerang design.
  • Wraps around base of thumb and wrist.
  • Thumb piece allows for extra compression and support at the base of thumb.

Indications

  • Tendonitis.
  • Sprains.
  • Arthritis.
  • Post-operative therapy.

Standard Buckled Wrist Splint

Features

  • A Standard Buckled Wrist Splint is a wrist brace that is used to support and protect the wrist due to minor injury
  • Provides compression and support for the wrist.
  • Aluminium stay pre-bent to 15-208 wrist extension.
  • Wrap-around wrist- strap provides added support to the wrist.
  • Easy and comfortable fit.

Indications

  • Reduction of pain associated with arthritis.
  • Carpal tunnel syndrome.
  • Tendonitis and other wrist disorders.

Quick Wrist

A Quick Wrist is a wrist brace that is used to support and protect the wrist due to minor injury.

Features

  • Pre-shaped aluminium wrist extension.
  • Wrap-around strap offers additional support.
  • Lightweight material
  • Offers superior rigid support.
  • Aluminium stay restricts movement and stabilises the wrist.
  • Lycra insert ensures comfortable fit.
  • Brace fastens easily and securely.
  • Wrist is immobilised while fingers can still move freely.

Indications

  • Stable fractures.
  • After removing cast.
  • Tendonitis.
  • Arthritis.
  • Post-operative treatment.
  • Ligament and muscle injuries where immobilisation of the wrist is required.

Wristlock

A Wristlock is a wrist brace that is used to support and protect the wrist due to minor injury.

Features

  • Superior lightweight material.
  • Pre-shaped aluminium wrist extension.
  • Wrap-around strap offers additional support.
  • Offers superior rigid support.
  • Aluminium stay restricts movement and stabilises the wrist.
  • Lycra insert ensures comfortable fit.
  • Straps fasten easily and securely through buckles.
  • Wrist is immobilized while fingers can still move freely.

Indications

  • Stable fractures.
  • On removal of cast.
  • Tendonitis.
  • Arthritis.
  • Post-operative treatment.
  • Ligament and muscle injuries where immobilisation of the wrist is required.

Corrective Wrist Braces

A corrective wrist brace is a brace that is used to correct abnormalities of the wrist and hand area.

Bunnell hand splints

  • A Bunnell hand splint is a splint that is used to correct abnormalities of the wrist and hand area.

Features

  • A Bunnell hand splint applies sound biochemical principles and gentle dynamic forces in the treatment of joint contractures and joint stiffness.
  • The Bunnell splint induces corrective treatment by means of its unique construction, comprising spring-steel and elastic bands.
  • Orthopedic grade felt padding.
  • Easily adjustable.
  • Malleable stainless-steel and spring wire can easily be reshaped.
  • Intensity of treatment can easily be adjusted by adding or removing elastic bands.

More information on the popular Bunnel splint can be obtained in consultation with a medical specialist.

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Orthotic services

Surgical compression stockings

140 DEN Compression Stockings 

The 140 den compression stockings, reduce blood circulation problems such as swelling, varicose veins or chronic venous deficiency. They are ideal for overweight people in fact they are produced in sizes from Small to XXL  and in sizes from 2XL to 5XL with extra-large gusset for plus sizes.

140 den compression stockings are available in:

Below Knee  Thigh High Pantyhose 

TED Post Surgical Stockings

T.E.D. anti-embolism stockings are clinically proven to reduce the incidence of Deep Vein Thrombosis by up to 50% and to promote increased blood flow velocity in the legs by 138% of baseline by compression of the deep venous system.

T.E.D. anti-embolism stockings have also been clinically proven to prevent the damaging effects of venous distension that occurs during surgery and hospitalization. T.E.D. anti-embolism stockings apply the clinically-proven graduated pressure pattern of 18mmHg at the ankle, 14mmHg at the calf, 8mmHg at the popliteal artery(close to the patella joint), 10mmHg at the lower thigh and 8mmHg at the upper thigh.

It is important to measure the patients leg size to assure that the appropriate pressure pattern is applied.

T.E.D. anti-embolism stockings are available in:

Knee Height   Thigh Height 

Compression Stockings

Compression stockings are a specialized hosiery designed to help prevent the occurrence of, and guard against further progression of, venous disorders such as edema, phlebitis and thrombosis. Compression stockings are elastic garments worn around the leg, compressing the limb. This reduces the diameter of distended veins and increases venous blood flow velocity and valve effectiveness. Compression therapy helps decrease venous pressure, prevents venous stasis and impairments of venous walls, and relieves heavy and aching legs.

Knee-high compression stockings are used not only to help increase circulation, but also to help prevent the formation of blood clots in the lower legs. They also aid in the treatment of ulcers of the lower legs.

Unlike traditional dress or athletic stockings and socks, compression stockings use stronger elastics to create significant pressure on the legs, ankles and feet. Compression stockings are tightest at the ankles and gradually become less constrictive toward the knees and thighs. By compressing the surface veins, arteries and muscles, they force circulating blood through narrower channels. As a result, the arterial pressure is increased, which causes more blood to return to the heart and less blood to pool in the feet.

Compression Stockings are available in:

Below Knee  Thigh High  Pantyhose 

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Orthotic services

Medical wheelchairs

Roger Wolfson and Associates offers a full range of high-quality wheelchairs from leading industry suppliers.

Lightweight WheelchairLightweight Wheelchair

Features

  • Give our wheelchair and home nursing equipment expert, Jenny Jordaan a call on (011) 640 7198 to find the wheelchair that is best suited to your needs.
  • Removable half-arms or flip-back desk arms.
  • Quick release rear wheels.
  • Aluminium frame.
  • Weight 14kgs.

Seat widths

  • Narrow adult: 40cms.
  • Adult: 45cms.

Sprinter Semi-lightweight Wheelchair

Features

  • Removable sport arms.
  • Removable desk arms.
  • Removable full arms.
  • Removable foot rests.
  • Quick release mag or spoked rear wheels.
  • Weight 16kgs.

Seat widths

  • Growing: 35cms.
  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50cms.

Heavy Duty Wheelchair

Features

  • Removable desk arms.
  • Removable full arms.
  • Removable foot rests.
  • Double cross-bars.
  • Wide castors.
  • Wide rear wheels.
  • Weight 22.5kg.

Seat widths 

  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50cms.

One-arm Drive Wheelchair

Features

  • Removable desk arm rests.
  • Removable full arm rests.
  • Removable foot rests.
  • Double push-rim on one rear wheel.
  • Left or Right-hand mechanism.

Seat widths 

  • Narrow adult: 40cms.
  • Adult: 45cms.

Coaster Wheelchair

Features

  • Removable sport arm rests.
  • Removable desk arm rests.
  • Removable full arm rests.
  • Removable foot rests.
  • Weight 18.5kgs.

Seat widths

  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50cms.

Semi-reclining Wheelchair

Features

  • Removable desk arm rests.
  • Removable full arm rests.
  • Removable elevating leg rests or standard foot rests.
  • Extended back rest.
  • Removable head piece.
  • 30% recline.

Seat widths

  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50 cms.

Full Reclining Wheelchair

Features

  • Removable full arm rests.
  • Removable elevating leg rests.
  • Upon reclining, motion rear wheels move toward back of chair which moves the centre of gravity further back in order to prevent tipping over.
  • Seat widths
  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50cms.

Active Rigid Frame Wheelchair 

Features

  • Provides manoevreability for the active individual
  • Adjustable seat angle and centre of gravity.
  • 5″ castors with frame protectors.
  • Quick release rear wheels.

Seat widths  

  • 36cms.
  • 45cms.

Power Battery-driven Wheelchair

Features

  • Removable desk arm rests.
  • Removable full arm rests.
  • Removable foot rests.
  • Double cross-bars.
  • Adjustable tension back rest.
  • 2x12V deep cycle sealed gel batteries.
  • Charger: 24V 3ah.
  • Can easily be folded for efficient loading into the boot of a vehicle.
  • At full charge, batteries last between 4-6 hours depending on condition of surface.

Seat widths

  • Narrow adult: 40cms.
  • Adult: 45cms.
  • Wide adult: 50cms.

Portable Telescoping Wheelchair Ramps

Features

  • Telescoping to 2m.
  • 20cm width.
  • 200Kg weight capacity/set.

Child’s Positioning Chair

Features

  • The Child’s Positioning Chair is suitable for over 60% of cerebral palsy cases.
  • Available in sizes 14″ and 16″ .
  • Foldable frame, removable foot rests and rear wheels.
  • Stabilising brackets and 4 point belt assist with posture and control.
  • Accessories :  tray and height adjustable arms.

Transporter Buggy

Features

  • The Transporter Buggy is compact and folds in a similar way to a pram. It is suitable for children between the ages of 3-9.
  • Holds up to 50kgs.
  • Adjustable foot rests.
  • 4 point safety belt.
  • Width adjustable from 11″ to 14″.
  • Depth adjustable from 13″ to 15″.
  • Recline function. 
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