What is the Neuro Swing AFO?
The Neuro Swing is a groundbreaking component integrated into Ankle-Foot Orthoses (AFOs) designed to closely mimic the natural movement of the human ankle.
The Neuro Swing allows for plantar flexion upon heel strike (downward foot movement that absorbs shock and smooths the transition to the next walking phase), dorsiflexion assistance during swing, and dorsiflexion resistance during the final phase of gait.
This enables a more natural walking experience by closely replicating the functional muscle groups of the lower leg (plantarflexors and dorsiflexors) throughout the stance and swing phases of the gait cycle.
This variability in resistance to plantar flexion and dorsiflexion, along with the adjustable range of motion and tibial alignment, can be finely tuned.
This promotes a more natural and efficient walking pattern compared to other KAFOs in some cases.
Is the Neuro Swing Compatible with All AFO Types?
No. The Neuro Swing is specifically designed to be integrated into a custom AFO, crafted within a carbon fiber frame.
It cannot simply be inserted into any existing AFO but requires a custom-built approach.
It is considered the pinnacle of modern AFO design, making it unlikely that users will want to switch to another style of AFO once they experience its benefits.
What Types of Patients Benefit from the Neuro Swing AFO?
The Neuro Swing AFO is particularly suitable for patients experiencing issues with dorsiflexion and plantarflexion (foot drop + calf weakness) alongside other conditions such quadriceps weakness, or lower limb deformities and spasticity.
For patients with simple foot drop, this advanced AFO might be excessive. However, it is highly recommended for those with more complex conditions requiring enhanced control and support.
This includes previous users of solid AFOs, PDE AFOs, or jointed AFOs with Tamarack joints.
Should Patients Upgrade to a Neuro Swing AFO?
Potentially. If a patient is experiencing stance phase issues, upgrading to a Neuro Swing AFO can be highly beneficial.
Stance phase issues refer to difficulties maintaining stability and proper movement while the foot is on the ground during walking, often leading to problems like uncontrolled knee bending, lack of heel raise, slow or inefficient walking or collapsing.
A consultation can determine if the Neuro Swing AFO offers a better solution for their needs, particularly if simple foot drop is complicated by other symptoms.
This is part of reviewing existing prescriptions, as well as our involvement in NDIS plan reviews.
Customising NeuroSwing AFOs for Better Outcomes
The process begins with a thorough assessment, including measurements and evaluation of muscle strength, height, and weight of the patient.
This data is input into a configurator tool that provides a preliminary prescription.
Trial devices are then used to fine-tune the settings, ensuring the alignment and spring resistance are perfect for the patient’s needs.
This detailed approach maximises performance and comfort for the user.
How Does the Configurator Tool Determine Settings?
The configurator tool leverages extensive patient data and sophisticated calculations developed by the Neuro Swing manufacturers (Fior & Gentz).
Additionally, our Orthotists may adjust the final settings to perfect the fit and performance, the tool is instrumental in ensuring the correct weight ratings and initial setup.
What is the ‘Plug and Go Modularity’ of the Neuro Swing?
The Neuro Swing features ‘plug and go modularity’, allowing for easy adjustments and replacements of the joint. This flexibility enables orthotists to upgrade or downgrade the joint based on the patient’s progress or changing needs.
What is Meant by Noise Reduction in the Neuro Swing?
Unlike some jointed AFOs that produce a clacking noise at the end range of motion, the Neuro Swing has a variation called the Neuro Swing 2 that employs secondary springs for active noise reduction. This design minimises noise, providing a quieter, smoother and more comfortable walking experience.
How Does the Neuro Swing Help with Standing & Fatigue?
The Neuro Swing supports both swing and stance phases of walking.
For patients with issues standing the joint will allow a small amount of movement for balance and normal weight shifting, but will prevent larger movements that may cause someone to lose their balance if they have muscle weakness or neurological deficits. This makes standing less tiring.
During walking the joint will yield as the heel hits the ground for shock absorption, but then offers pressure against the tibia during the stance phase to prevent uncontrolled knee flexion.
During toe off the joint will become completely rigid allowing a functional toe lever and replicating the calf muscles of a person walking without pathology.
During the swing phase of gait the device keeps the foot at a 90-degree angle to prevent toe-catching.
These functionalities ensures better control and more natural walking dynamics, even for patients with muscle deficits and therefore usually faster, safer, smoother and less tiring gait.
Maintenance & Longevity
The Neuro Swing requires a reasonable degree of maintenance by our Orthotists, accommodating for its advanced functionality.
Regular six-month inspections are recommended to ensure the device’s longevity and optimal performance, with proper maintenance extending the device’s lifespan to over ten years.
User Training & Adoption
Basic Neuro Swing AFOs require minimal training beyond initial fitting and gait training.
However, models with patient adjustable Shank to Vertical Angles (SVA) or plantar flexion/dorsiflexion angles, may require additional training for adjustments based on different shoes or walking conditions.
The SVA is the angle between the lower leg (shank) and the vertical line perpendicular to the ground. This angle is crucial in assessing and optimising the alignment of an Ankle-Foot Orthosis (AFO) to ensure proper gait mechanics and balance
Some models of NeuroSwing joints (HiSwing and R+) allow the patient to adjust their shank to vertical angle to allow the wearing of different heel heights in their shoes and for incline/decline walking.
Ideal Outcomes
The primary goal is to closely mimic the natural gait cycle, reducing compensatory movements associated with solid AFOs.
The Neuro Swing offers a more comfortable and natural walking experience, particularly for active and younger patients.
Its adjustability ensures that as patients progress or their conditions change, the AFO can be tuned to provide optimal support, enhancing rehabilitation outcomes and overall mobility.
Contact Orthotics Plus
At Orthotics Plus, we are dedicated to providing the most advanced and effective solutions for our patients.
The Neuro Swing AFO represents a significant advancement in orthotic technology, offering benefits for those in need of specialised ankle and foot support.
Contact us today to schedule a consultation and discover how the Neuro Swing AFO can improve your mobility and quality of life.
