Step-Smart™ Drop Foot Ankle Brace Information
- THIS PRODUCT IS NON-RETURNABLE!
The Step-Smart is the only complete solution for drop foot. The Step-Smart brace is not only designed for clearance during swing phase of gait, it is also engineered to handle shock absorption at heel strike. The exclusive Jacob Joint pushes the foot into gentle dorsiflexion during swing phase. Then the pre-loaded feature of the joint absorbs shock and decelerates the plantarflexion phase instantaneously during heel strike.
The dorsiflexion assist Jacob Joint comes complete with three sets of replaceable compression components that offer varying degrees of shock absorption. This allows the doctor and patient to adjust the shock absorption level to match the weight and step length of the patient.
- The Step-Smart is low profile, easy to use, comfortable, and is designed
proper dynamics to mimic the natural foot & ankle movements
- This off the shelf brace can be customized to match each patient's shock
absorption requirements and their foot/calf angle
- We're confident that your patients will agree with Dr. Walter Keller,
Vascular Surgeon and Step-Smart user, when he states "With the old AFO design,
walking was so tiresome that I was content falling on my face rather than use it I
love the Step-Smart because it better mimics the natural ankle motions during walking
- Can be tailored to the needs of each patient
- The dorsiflexion assist joints and
tensor settings may be adjusted to the ideal level for
- Customized to one of five different levels of dorsiflexion assistance
- Available in two sizes
- Choose left or right
- Ground shipping only please
- THIS PRODUCT IS NON-RETURNABLE!
The Step-Smart drop foot brace is indicated for drop foot and to restore a near normal gait cycle.
- Prevent drop foot
- Prevent falling
- Stabilize gait
- Reduce foot contractures
- Improve ambulation
- Improve quality of life
This brace is rated Professional
Click here for Rating Information
Sizing instructions: If you have wide feet, with a heel width of greater than 2.5 inches, then go with the large, if you have a narrow foot, with a heel width less than 2.5 inches, then go with the small. Blue spenco is a spongy topcover material providing padding over the plastic footplate. Spenco adds comfort but is not necessary.
BioMechanically, the Step-Smart design is more energy efficient than the competitive designs. It's more desirable than the stiff design, since it allows for good plantarflexion at heel strike. It's more desirable than the flexible designs, since it is preloaded. The benefit of a preload on the system is critical to shock absorption. Also, the Dorsi Flexion assist joints allow better clearance at swing phase.
With drop foot, however, it is not desirable to have a design with free plantarflexion. Naturally, our bodies control the deceleration at heel strike with an eccentric contraction of the dorsiflexors. This combined with a slight flexion moment at the knee is what creates the shock absorption. With other flexible solutions, there is too much plantarflexion at heel strike causing foot slap. The result is trauma and pain to the calcaneous. The reason that the Step-Smart design is superior to the others is that it provides resistance to plantarflexion the instant the heel hits the ground. Some other designs need to be plantarflexed before the resistance is high enough to be effective. By then it is too late. The shock of hitting the ground has already damaged the foot and ankle. The new Step-Smart provides a pre-load that controls deceleration at contact.
The foot/calf angle is unique to each individual and needs to be addressed by the AFO. The factory tensor setting works for most people. If the calf section seems to dislodge, the calf section angle can be adjusted. the Step-Smart brace includes a total of three tensors: two of the same length attached to the brace and one longer tensor which may be installed if needed.
Without plantarflexion the Floor Reaction Force creates a Knee Flexion moment that the patient has to fight. Plantarflexion is important at heel strike because it moves the Floor Reaction Force more Anterior (forward). This is a more stable dynamic position. Unfortunately, many drop foot devices allow little or not plantarflexion.
The Step-Smart allows a plantarflexion while providing the ideal level of plantarflexion resistance. The Step-Smart may be set to one of five different levels of plantarflexion resistance. This allows the brace to be set to the required level of resistance for each patient. The result is easier walking and less fatigue for the patient.
A common complaint with traditional drop foot devices is the uncomfortable and often painful "foot slap". The Step-Smart pushes the foot into gentle dorsiflexion during swing phase and then decelerates the foot during heel strike. The brace provides the correct timing of shock absorption and the ideal level of plantarflexion resistance. This prevents foot slap and allows for a normal step length.
HCPCS Code: L1971, L2210 (with top cover add L2820)
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