ToeOFF®

The Foot Drop Orthosis ToeOFF® 2½ has the same dynamic functions and stability as ToeOFF® 2.0 with the exception that the 2 ½ has a lower heel height of 7 mm, to adapt to modern shoes. The toe lift is also lower, which results in more space in the toe box. Since the start in 1997 Allard AFO has been the market leader with its unique functions and dynamic properties.

ToeOFF® 2½ has MikroFIX pre-applied to simplify the padding application. The strap solution is the same as on 2.0, made from a durable and strong material. The straps can be applied on the interior or external side of the AFO.
It is always important to adapt any Allard AFO to the heel height of the shoe. Read more about this in the Allard AFO Professional Instructions.

Recommended Range Of Application

ToeOFF® 2½ is designed to manage footdrop in conditions such as Stroke, Multiple Sclerosis, Post Polio Syndrome, Muscular Dystrophy, Spinal Cord Injuries, Traumatic Brain Injuries, Guillian-Barre Syndrome, Charcot-Marie-Tooth, Myelomeningocele, Neuropathy or Cerebral Palsy. ToeOFF® 2½ is designed to support gait in conditions such as Posterior Tibialis Tendon Dysfunction (PTTD) and toe amputations. ToeOFF® 2.0 can also be used for partial foot amputations, most proximal level is Chopart.

Contraindications

ToeOFF® 2½ should not be used when patients present with foot and/or leg ulcers, moderate to severe edema, moderate to severe foot deformities, severe proximal deficits (e.g. quadriceps spasticity, genu valgum or varum, genu recurvatum), severe spasticity.

Other

More about fitting and product selection can be found in the Allard AFO Professional Instruction.

Item No. Size Model L/R Shoe Size Footplate Length Height
289801010 X-Small ToeOFF® 2½ Left 32-35 21 cm 36 cm
289801011 Small ToeOFF® 2½ Left 35-38 23 cm 38 cm
289801012 Medium ToeOFF® 2½ Left 38-42 24,5 cm 40,5 cm
289801013 Large ToeOFF® 2½ Left 38-42 27 cm 43 cm
289801014 X-Large ToeOFF® 2½ Left >45 28,5 cm 45 cm
289802010 X-Small ToeOFF® 2½ Right 32-35 21 cm 36 cm
289802011 Small ToeOFF® 2½ Right 35-38 23 cm 38 cm
289802012 Medium ToeOFF® 2½ Right 38-42 24,5 cm 40,5 cm
289802013 Large ToeOFF® 2½ Right 42-45 27 cm 43 cm
289802014 X-Large ToeOFF® 2½ Right >45 28,5 cm 45 cm
289821010 X-Small ToeOFF® 2½ w/D-ring Left 32-35 21 cm 36 cm
289821011 Small ToeOFF® 2½ w/D-ring Left 35-38 23 cm 38 cm
289821012 Medium ToeOFF® 2½ w/D-ring Left 38-42 24,5 cm 40,5 cm
289821013 Large ToeOFF® 2½ w/D-ring Left 42-45 27 cm 43 cm
289821014 X-Large ToeOFF® 2½ w/D-ring Left >45 28,5 cm 45 cm
289822010 X-Small ToeOFF® 2½ w/D-ring Right 32-35 21 cm 36 cm
289822011 Small ToeOFF® 2½ w/D-ring Right 35-38 23 cm 38 cm
289822012 Medium ToeOFF® 2½ w/D-ring Right 38-42 24,5 cm 40,5 cm
289822013 Large ToeOFF® 2½ w/D-ring Right 42-45 27 cm 43 cm
289822014 X-Large ToeOFF® 2½ w/D-ring Right >45 28,5 cm 45 cm
Allard AFO STEP 1 PRODUCT SELECTION Play video
Allard AFO STEP 1 PRODUCT SELECTION
Allard AFO STEP 2 SIZE SELECTION Play video
Allard AFO STEP 2 SIZE SELECTION
Allard AFO STEP 3 FOOT BIOMECHANICS Play video
Allard AFO STEP 3 FOOT BIOMECHANICS
Allard AFO STEP 4 SHOE SELECTION & HEEL HEIGHT Play video
Allard AFO STEP 4 SHOE SELECTION & HEEL HEIGHT
Allard AFO STEP 5 PROPER ALIGNMENT Play video
Allard AFO STEP 5 PROPER ALIGNMENT
Allard AFO STEP 6 PROXIMAL CONTROL Play video
Allard AFO STEP 6 PROXIMAL CONTROL
Allard AFO STEP 7 PATIENT COMFORT Play video
Allard AFO STEP 7 PATIENT COMFORT
Allard AFO STEP 8 PATIENT EDUCATION Play video
Allard AFO STEP 8 PATIENT EDUCATION
Customizing the ToeOFF® Carbon Fiber AFO to Meet a Runner's Needs Play video
Customizing the ToeOFF® Carbon Fiber AFO to Meet a Runner's Needs
Bracing for a Marathon Play video
Bracing for a Marathon
Energy expenditure in stroke subjects walking with a carbon composite ankle foot orthosis

Author: Danielsson A, Stibrant Sunnerhagen K.

Source: J Rehabil Med 2004; 36: 165–168

One clinic's experience with carbon fiber orthoses in neuromuscular disease

Author: ANI MNATSAKANIAN BS et al.

Source: Muscle Nerve 000:000–000, 2016

Efficacy of prefabricated carbon-composite ankle foot orthoses for children with unilateral spastic cerebral palsy exhibiting a drop foot pattern.
Characterization of Defects in Polymaer Composites Used in Medical Devices by Means of X-ray Microtomography.

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

Multiplanar Stiffness of Commercial Carbon Composite Ankle-Foot Orthoses.
Comparison of five different methodologies for evaluating ankle–foot orthosis stiffness.
Carbon fiber ankle-foot orthoses in impaired population

Author: Megan M. Grunst, Robert C. Wiederien and Jason M.

Source: A systematic review Prosthetics and Orthotics International 2023

A Pilot Study to Assess the Immediate Effect of Dynamic Carbon Ground Reaction Ankle Foot Orthoses on Balance in Individuals with Charcot-Marie-Tooth in a Clinical Setting

Author: Burke K1,2, Cornell K1,3, Swartz Ellrodt A1,2, Grant N1,2, Paganoni S2,4,5 and Sadjadi R1,2*

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 [...]

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

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