What is a Foot Up?
The FootUp is a product designed by Ossur, it is a product for individuals dealing with mild to moderate foot drop.
It functions by preventing the foot from dragging during the swing phase of walking. This is achieved through a cuff that wraps around the ankle and attaches to the shoe’s laces, providing gentle support in dorsiflexion.
The Foot Up is constructed from soft synthetic fibers for comfort. It includes a stiff, elastic component that spans from the shin to the foot, complemented by a plastic insert for secure attachment to the shoe’s tongue.
When Would Orthotists Consider Prescribing a Foot Up?
Our Orthotists typically recommend Foot Up for patients with very mild foot drop, where fatigue is the primary concern rather than severe weakness or paralysis.
The device is appealing for its comfort, low-profile design, and aesthetic appeal. However, it may not offer sufficient medial-lateral stability compared to more rigid ankle-foot orthoses (AFOs).
It’s worth considering all options to find the most suitable solution for each individual case.
How Does Foot Up Provide Support?
The device employs an elastic strap that runs from the shin to the midfoot, pulling the foot into dorsiflexion during walking.
This mechanism effectively minimises tripping and ensures a smoother gait pattern without the foot catching on the ground.
Prescribing a Foot Up vs. An AFO
A Foot Up serves as a lightweight and discreet alternative to AFOs, offering gentle support for dorsiflexion. It appeals to patients who strongly prefer a less obvious device and do not require extensive support or stability.
Some people prefer the Foot-Up because it is less noticeable than an AFO. It doesn’t require specific shoes, as long as they have laces.
There is also a significant cost difference, with a Foot Up being towards the lower end of the costs spectrum.
Does Using a FootUp Introduce Any Side Effects?
For rehabilitation, it might be advisable to use it less frequently or only when fatigued. There are no significant health side effects, and it should be worn when walking or standing to prevent tripping, but not while in bed or sitting.
Contact Orthotics Plus for Lower-Limb Supports
If you are using a Foot-Up, we recommend a consultation to explore other options.
While the Foot-Up is a good device, you might achieve better and safer walking with another device, such as an FES system, Neuro Swing, or a posterior leaf spring AFO.
We can also discuss funding options to ensure you get the most appropriate device.