What type of heel is recommended for a smoother gait when using an AFO with a solid ankle?

A cushioned heel is recommended for a smoother gait when using an ankle-foot orthosis (AFO) with a solid ankle because it provides shock absorption at the initial contact phase of walking. The cushioning helps to reduce the impact forces transmitted through the foot, which can assist in creating a more comfortable and efficient gait. This type of heel allows for a smoother transition from heel strike to midstance, which is vital for individuals who rely on the stability of a solid ankle AFO.

In contrast, options like an extended steel shank provide rigidity and support but do not facilitate smooth transitions as effectively, as they may restrict foot motion and create a more jarring experience. Meanwhile, a medial heel/sole wedge can help address alignment issues but may alter weight distribution in a way that could disrupt the fluidity of movement rather than enhance it. The Thomas heel is designed to accommodate certain foot deformities and provide additional support, but it may not be optimal for ensuring smooth gait dynamics in AFO use.

Thus, the use of a cushioned heel stands out as the best choice for enhancing comfort and gait smoothness when coordinating with a solid ankle AFO.