What device should NOT be provided to patients focusing on improving plantarflexor spasticity?

When working with patients who are focusing on improving plantarflexor spasticity, it is crucial to choose devices that promote muscle relaxation and improve functional mobility without exacerbating spasticity.

An ankle-foot orthosis (AFO) is designed to support the ankle and foot, typically in a position that helps to prevent or reduce the effects of spasticity. It can facilitate better positioning during activities like standing and walking. However, for a patient primarily working on reducing spasticity, especially during rehabilitation, an AFO may not provide the desired outcome, as its purpose is more about stabilization of the foot and preventing complications rather than directly addressing spasticity.

On the other hand, functional electrical stimulation (FES) can actively work to stimulate muscles in a way that can help reduce spasticity over time by promoting more normal movement patterns. Motorized scooters provide mobility to individuals with significant limitations, allowing them to maintain independence and participate in community activities, which is essential for psychological and physical well-being. An elastic foot orthosis (EFO) can help control the foot position and reduce spastic responses without the rigidity of an AFO.

All these devices serve specific purposes, but in the context of reducing plantarflexor spasticity