For a patient with Fair (2/5) plantar flexion strength and good (4/5) dorsiflexion strength, which double adjustable configuration is recommended?

In the case of a patient exhibiting Fair (2/5) plantar flexion strength and Good (4/5) dorsiflexion strength, selecting a double adjustable configuration that effectively facilitates mobility while accommodating the patient's strength limitations is crucial.

Choosing the anterior pins and posterior springs configuration allows for controlled plantar flexion, which is particularly beneficial for supporting the reduced strength in that movement. The posterior springs offer a dynamic response, enabling the foot to move into dorsiflexion more easily, thus enhancing stability during ambulation. This configuration actively assists the plantar flexion, providing support without entirely restricting movement, which is essential for this patient profile.

Combining the strength the patient has in dorsiflexion with adjustable settings helps in achieving a more natural gait pattern. It allows for adaptations during walking, compensating for the weaker plantar flexion. This choice is particularly important since it allows the user to benefit from both active involvement in movement and necessary support for the weaker muscle groups, promoting a more functional and adaptive AFO.