1	Orthotic Management for ALS
2	Dino M. Scanio, C.O., L.O. American Board Certified Florida Licensed FCAAOP – State Officer AAOP – National Member FOF President
3	Holistic Treatment Conversation Psychological Factor ADL Doctor Therapy Evaluation Gait Evaluation Insurance Medically Necessary Orthotic Treatment Plan Accommodate or Correct
4	Orthotic Goals Lightweight Functional (Independence) Energy Conservation Do not lock a joint unless necessary Quality of Life (comfort level with brace and what it ultimately accomplishes)
5	Ankle/Foot (AFO) Drop Foot/Slap Foot
6	Knee (KO)
7	Knee (KO) (continued) Total Knee Instability
8	Knee / Ankle / Foot KAFO
9	Knee / Ankle / Foot KAFO
10	Knee / Ankle / Foot KAFO More Than One Muscle Group Affected Knee Valgum/Varum Deformity Hyperextension Flexion Instability Ankle Drop Foot / Slap Foot Valgus / Varus Deformity Pes Cavus / Pes Planus
11	Hip / Knee / Ankle / Foot (HKAFO) Orthotic Options are Limited Cane Walker Wheelchair
12	Spine (TLSO, LSO) Spinal Bracing can be used for: Prevention of Curvature of the Spine Wheelchair Positioning Maintaining Proper Posture Head Support when used in Conjunction with Additional Parts
13	Upper Extremity Shoulder / Elbow Pain Weakness Uncontrollable Movement
14	Upper Extremity
15	Upper Extremity Wrist Pain Weakness Bony Deformity Types of Wrist / Hand Orthoses WDHO Ratchet WHO Static WHO
16	“A Day With ALS” Saturday, April 3, 2004 9:15 am – 3:30 pm St. Joseph’s Hospital – Diagnostic Center Tampa, Florida Contact – Dino Scanio fofalsfoundation@aol.com Hosted by The Friend of a Friend ALS Foundation
17	Thank You