COMBO™
COMBO™ is a KAFO solution for individuals with foot drop combined with knee hyperextension. The system combines an Allard AFO with a knee orthosis to provide improved control of the knee position during gait. An anatomically shaped thigh cuff, polycentric joints and adjustable steel uprights allow the orthosis to be individually adapted to the user’s anatomy and needs. The design supports functional mobility while helping to control knee hyperextension.
COMBO™ can easily be disconnected from the AFO when knee control is no longer required, potentially reducing the need for an additional orthosis. COMBO™ is compatible with our ToeOFF® and BlueROCKER® models. Specifically, Allard's instructions list ToeOFF® 2.0, ToeOFF® 2½, BlueROCKER® 2.0 and BlueROCKER® 2½, excluding Short, Custom, Flow and pediatric models.
To order a complete COMBO you need five articles in addition to ToeOFF/BlueROCKER 2.0/2½: Joints with uprights (pair), Tibia connector, Strap set and buckles, Thigh cuff and Thigh cuff SoftKIT
To order a complete COMBO you need five articles in addition to ToeOFF/BlueROCKER 2.0/2½: Joints with uprights (pair), Tibia connector, Strap set and buckles, Thigh cuff and Thigh cuff SoftKIT
Recommended Range Of Application
Knee instability and knee hyperextension in combination with foot drop due to conditions such as stroke, post-polio syndrome, multiple sclerosis, neuropathy, etc. Maximum patient weight: 150 kg. Maximum patient height: 2 m. COMBO™ should not be used with Ypsilon® Flow½, ToeOFF® Flow, ToeOFF® Short or Kiddie pediatric models
Contraindications
Use of COMBO with any product other than ToeOFF® or BlueROCKER® is prohibited.
Measurement
Kneemeasure 1: M-L mid-patella
Kneemeasure 2: Circumference 20 cm above the mid-patella
Kneemeasure 3: M-L 20 cm above the mid-patella
| Item No. | Model | Size | L/R | Knee Measurement 1 | Knee Measurement 2 | Knee Measurement 3 |
|---|---|---|---|---|---|---|
| 287800000 | Joints with uprights | One size | Bilateral | - | - | - |
| 287811011 | Thigh cuff | Small | Left | - | 30-40 cm | 11-15 cm |
| 287811012 | Thigh cuff | Medium | Left | - | 38-50 cm | 13-17 cm |
| 287811013 | Thigh cuff | Large | Left | - | 48-60 cm | 15-19 cm |
| 287811014 | Thigh cuff | X-Large | Left | - | 58-70 cm | 17-21 cm |
| 287812011 | Thigh cuff | Small | Right | - | 30-40 cm | 11-15 cm |
| 287812012 | Thigh cuff | Medium | Right | - | 38-50 cm | 13-17 cm |
| 287812013 | Thigh cuff | Large | Right | - | 48-60 cm | 15-19 cm |
| 287812014 | Thigh cuff | X-Large | Right | - | 58-70 cm | 17-21 cm |
| 287820011 | Strap set and buckles, poplitea interface | Small | Bilateral | 7-10,5 cm | - | - |
| 287820012 | Strap set and buckles, poplitea interface | Medium | Bilateral | 9,5-13 cm | - | - |
| 287820013 | Strap set and buckles, poplitea interface | Large | Bilateral | 12,5-16 cm | - | - |
| 287960000 | Calf Strap | One Size | - | - | - | - |
| 287830011 | Thigh cuff softKIT, 2 pc. | Small | Bilateral | - | - | - |
| 287830012 | Thigh cuff softKIT, 2 pc. | Medium | Bilateral | - | - | - |
| 287830013 | Thigh cuff softKIT, 2 pc. | Large | Bilateral | - | - | - |
| 287830014 | Thigh cuff softKIT, 2 pc. | X-Large | Bilateral | - | - | - |
| 287840011 | Tibia connector | Small | Bilateral | - | - | - |
| 287840012 | Tibia connector | Medium | Bilateral | - | - | - |
| 287840013 | Tibia connector | L-XL | Bilateral | - | - | - |
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Author: Roberts Joffe, Fredrik Forsberg, Henrik Lycksam, Anders Sjögren
Source: ICTMS 2017 - 3rd International Conference on Tomography of Materials and Structures, 26-30 June 2017, Lund, Sweden
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Source: Journal of NeuroEngineering and Rehabilitation (2023) 20:11
Author: Megan M. Grunst , Robert C. Wiederien1 and Jason M.
Source: A systematic review Prosthetics and Orthotics International 2023
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Source: CMT study.2021
Preliminary research suggests the use of a kinetic return ankle foot orthosis is associated with small but significant shortterm increases in calf circumference, which in turn suggests this type of device might reduce or protect against the risk of disuse muscle atrophy.
Author: Robert H. Meier, CO, BOCO; David C. Ruthsatz, CO, CPA; and Daniel, Cipriani, PT, PhD.
Source: Lermagazine 2014
