In a patient with T10 incomplete spinal cord injury, which ankle control option is suitable for an AFO?

In the context of a patient with a T10 incomplete spinal cord injury, control of the ankle in an Ankle-Foot Orthosis (AFO) is crucial for maintaining stability and enabling effective ambulation. An individual with this level of spinal cord injury typically retains some degree of motor function and sensation below the injury level, which may include the ability to use certain muscle groups effectively for walking.

The selection of an AFO configuration is fundamental in assisting the patient with their gait. The option of having both a dorsiflexion (DF) stop and a plantarflexion (PF) stop provides the most functional stability. A DF stop prevents excessive dorsiflexion during stance phase, which can help maintain the alignment of the leg and facilitate a smooth and controlled gait. This is particularly important to prevent foot drop, which can lead to tripping or falling.

On the other hand, a PF stop restricts unwanted plantarflexion, ensuring that the heel maintains contact with the ground while providing a stable base for push-off. This allows for adequate transition during the gait cycle and helps the patient push off efficiently, promoting forward motion without compromising balance.

This combination allows for a controlled motion of the ankle joint during different phases of the gait cycle, making