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Sock Specification
These socks have been designed specifically for children wearing AFOs. They are double layered like those used by long distance runners, which virtually eliminates skin friction and hence the risk of blisters and sores.
Why buy AFO Socks

One of the most frequently asked questions by parents of children using Ankle Foot Orthosis (AFO’s) is, “What socks should be worn with the AFOs?”

Parents are rightly concerned. Children with ankle and foot problems often have to wear orthopaedic devices for prolonged periods.

Inappropriate or badly fitting socks can seriously undermine treatment. Discomfort, sores or even blisters can be distressing for children and can lead to resistance of AFO’s and even periods when they cannot be worn.

Socks used with AFO’s should be good quality, well-fitting to avoid creases and should not have seams where they can cause irritation. The socks should be moisture wicking and have sufficient leg length to extend beyond the AFO’s.

The best protection against blisters and sores are double layered socks like those used by long distance runners. Double layered socks virtually eliminate skin friction.

Black Robin Designs has created the only double layered socks in children’s sizes. They have been designed specifically for young AFO users.

Dorsi Ramp Manual
Dorsi Ramp Manual (all languages)
How to Use a Dorsi Ramp

Using Dorsi Ramp

Dorsi Ramp is easy to use. However, if in doubt about any detail of its use please contact C-Pro Direct Ltd for advice and we will send a copy of our User Guide to you.

If in doubt about the applicability of using Dorsi Ramp please consult a qualified medical practitioner with knowledge of the user’s condition.

Always avoid using ramp angles that cause discomfort to the child. Excessive stretching can lead to calf and tendon strains or tears. 



    When to Use Dorsi Ramp

    Dorsi Ramp can be used as and when required for as little as one minute or for tens of minutes at a time. The greatest improvements in dorsiflexion will be achieved with frequent and regular (daily) use – even for relatively short periods of time.

    Persuading young children to engage in regular physiotherapy is not easy. Experience with Dorsi Ramp has shown that it is best to incorporate its use into everyday activities and to create incentives and positive associations with its use. Conversely, try to avoid situations that lead to negative associations as these will lead to resistance. The best examples of use are when the child is so distracted by what they are doing that they become unaware they are undergoing physiotherapy. Here are just a few examples of how the use of Dorsi Ramp can be incorporated into everyday activities.

    Daily Teeth Cleaning: Dorsi Ramp can be placed in front of the bathroom sink and used during the morning and evening teeth cleaning routine. Dorsi Ramp acts as a step which helps young children reach the sink. The designer of Dorsi Ramp has a kitchen timer and insists on two minutes teeth cleaning morning and evening using the ramp. The routine is easy to maintain and rewards can be established for compliance.

    Computer Games: Many parents and carers struggle to regulate use of computer games. It is easy to say, “OK another 10 minutes, but providing you stand on the ramp”. The distraction and incentives here are obvious.

    Kitchen worktops: Children love to help out in the kitchen. Dorsi Ramp helps the child reach the worktops. Soon the child will be so engrossed in their cooking they will be unaware of the great stretch that’s going on in their tendons and calf muscles.


    Select Ramp Angle

    The Dorsi Ramp provides 10, 15 and 20 degree slope angles.

    The best advice is to start at the lowest slope angle and work upwards. Always avoid using ramp angles that cause discomfort to the child. Excessive stretching can lead to calf and tendon strains or tears.

    A child standing on Dorsi Ramp transfers all their weight through their legs and ankles. Experience has shown that greater dorsiflexion is achievable with Dorsi Ramp than through other methods , such as manipulation by hand with the child lying on a couch. If a neutral, or close to neutral, position can be achieved this way then the child will probably be able to cope well with the 10 degree slope.


    Foot Position and Posture

    The child should stand on the ramp with their heels close to the lowest corner of the slope. The feet can be pointing directly forward or angled outwards. The compound slope angle will ensure the required level of dorsiflexion in any position with the heel positioned towards the lowest corner of the ramp.

    foot position examples

    The child should be encouraged to stand on the ramp with a straight and upright posture. If the child needs to push their bottom out, raise their heels or shows signs of discomfort then the angle is too high and a lower slope angle should be selected.

    A child will be coping well with the slope angle if they can stand on the Ramp with a good normal looking straight and upright posture for 2 minutes. If the child needs to push their bottom out, raise their heels or shows signs of discomfort then the angle is probably too high.

    Dorsiflexion is likely to improve with frequent and regular use. When you are certain the child is coping easily with the 10 degree slope then try the 15 degree slope. When increasing the slope angle monitor the child carefully and start with short duration stretches before building up.

    You may find that children have days or periods when dorsiflexion is relatively good and days or periods when tendons and calf muscles are tight and dorsiflexion limited. This is normal. If at anytime your child is showing signs of not coping with the slope angle then reduce it.

    Don't despair if you need to regress to a reduced slope angle at any time. Young children often experience growth spurts during which time the tendons take time to catch-up. Just like adults, some days children are less mobile than other. The key to success is regular and frequent use.


    Barefoot or Shoes

    Children who overpronate or are flatfooted should use Dorsi Ramp with footwear that provides support for the longitudinal foot arch. Ideally such footwear should include custom orthotics. Children who do not overpronate or who tend to supinate (such as children with clubfoot) can use Dorsi Ramp in just socks or bare feet. Shoes, slippers or sandals can always be used if preferred.

    Using Dorsi with shoes
    A 5 year old boy with Cerebral Palsy and Autism using Dorsi Ramp wearing shoes
    with custom orthotics to support his heel arch.

    Dorsi Ramp Specifications

    Compound Slope Angle

    The sloping surface of the Dorsi Ramp is not flat, but conical. The sloping surface has been engineered such that the prescribed (10, 15 or 20 degrees) dorsiflexion angle is maintained regardless of the position of the foot.

    The compound slope angle is an important feature because with a flat ramp profile children learn to reduce the stretch by rotating one or two feet outwards.

    Children tend not to be particularly careful at positioning their feet. Dorsi Ramp encourages correct foot placement and performs correctly in virtually any foot position.

    Dorsi Ramp Compound Slope Angle


    10˚ 15˚ and 20˚ slope angles

    Dorsi Ramp’s ingenious design allows 10˚ 15˚ and 20˚ slope positions to be set without any adjusting or moving parts. This makes the ramp very stable and robust.

    The Dorsi Ramp has a symmetrical design. To flip between 10 and 20 degree angles simply pick up the ramp and turn it upside down. The 15 degree position is achieved by positioning the ramp with the 20 degree slope upwards and placing the orange coloured insert on top.

    • Initially the ramp is at 10 degrees
    • The ramp is turned upside down. The surface has a 20 degree slope
    • Applying the orange insert reduces the slope angle to 15 degrees

    Dorsi Ramp's ingenious design allows different slope positions to be set without any adjusting or moving parts

    Dorsi Ramp degree slope angles


    Technical Specification

    Dimensions

    Width:

    53cm

    Depth:

    30cm

    Height:

    16cm

    Weight:

    4.1kg (4.7kg boxed)

    Dorsi Ramp is for use by children up to 10 years of age and a maximum weight of 140 pounds (63.5Kg).

    Materials

    ABS (Acrylonitrile butadiene styrene) – main body and orange insert

    TPE (Thermoplastic elastomer) – the rubber feet

    Why Use a Dorsi Ramp

    Children and adults can usually achieve 20 to 30 degrees of dorsiflexion. This means the foot can rotate upwards at the ankle (tibio talar) joint so that the angle between the leg and surface of the foot is 60 to 70 degrees (ie., 20 to 30 degrees less than the neutral or 90 degree position).

    Children with limited dorsiflexion might be able to achieve only a few degrees of dorsiflexion or be permanently in plantaflexion. The causes of limited dorsiflexion are too numerous to describe here, but the result is usually a problem with the gait, such as “Toe Walking” and decreased mobility.

    Sometimes poor dorsiflexion is treated surgically by lengthening the Achilles tendon. The problem is that children’s legs grow so fast that the tendons cannot keep up.

    Regular physiotherapy is an excellent way of maintaining or improving dorsiflexion in children. But for children physiotherapy can be boring and it is difficult to maintain a regular schedule of therapy.

    Dorsi Ramp is an excellent way of stretching the calf muscles and Achilles tendons. Because the child is standing their whole body weight is applied to the stretch. A few minutes of good quality stretching each day can make a huge difference and lead to much improved dorsiflexion, mobility and a normal gait.

    Dorsi Ramp has been specifically designed for children. It is strong and stable and the moulding encourages the feet into the correct position. Dorsi Ramp sessions can readily be incorporated into normal activities, such as teeth cleaning, where the ramp doubles as a step up to the sink. This way at least two good stretches can be achieved each day without fuss or distraction.

    Ponseti AFO Sandals and Bar Feedback
    Feedback from customers who have bought our Ponseti sandals and bar
    Black Robin Socks Feedback
    Feedback from customers who bought our Socks
    Dorsi Ramp Feedback
    Feedback from customers that bought our Dorsi Ramp
    2017 Price List
    Price List in A5 booklet
    Black Robin Designs A5 Flyers
    Flyers for Socks and the Dorsi Ramp
    Dobbs Brace Instructions for Use
    Instructions for the Dobbs brace
    Pressure Saddle Instructions for Use
    Information and Instructions on our Pressure Saddles (Pringles)
    AFO Instructions For Use
    AFO Instructions for Use in different languages
    Treatment of Congenital Clubfoot by Dr Ponseti
    Dr Ponseti on the treatment of congenital clubfoot
    Parents Guide to Clubfoot
    This video provides a guide to the treatment of clubfoot for parents
    Treatment of Complex Clubfoot by Dr Ponseti
    Dr Ponseti on the treatment of complex clubfoot
    ADM Materials

    ADM Materials


    C-Pro Direct and our suppliers take great care to use only materials suitable for Paediatric Orthopaedic Devices.  Whilst we cannot guarantee every patient will no adverse reaction to the materials they come in contact with, we do ensure all materials are sourced responsibly and that appropriate independent test data is available.  There is no single technical standard defining suitable materials for a Class 1 paediatric medical device, so we have to draw on a range of standards used in a number of regulated industries including food, toys and clothing. The plastics used are generally recognised as “medical or food grade” materials to FDA or other international standards.  Fabrics, foams, dyed materials and other sundry items such as screws and metalwork are tested for toxicity in accordance with a broad range of ISO Standards including ROHS (Restriction of Hazardous Substances Directive 2002/95/EC).

    Item Description

    Material

    Leg Attachment

    Polyurethane

    Connector Bar

    Co-Polyester

    Heel Piece

    Co-Polyester

    Day Shoe Fitting

    Co-Polyester

    Clip

    POM (Acetal)

    Outer Fabric and Straps

    Night ADMs: 65% Nylon; 35% Polyurethane (non woven microfibre)

    Day ADMs:   Leather

    Leg Attachment Liner

    EVA Foam

    Hook and Loop

    Nylon

    Heel Rubber

    Polyurethane

    Stop Arm

    Stainless Steel

    STJ / TTJ Mechanism Labels

    Vinyl (high-tack permanent adhesive)

    Torsion Springs

    Steel BS 5216 (drawn)

    Spigots

    Stainless Steel

    Internal Bearings

    Steel / PTFE lined

    Thrust Washers

    iglidur® Polymer / A2 Stainless Steel

    Machine Screws

    Stainless Steel

    Thread

    Nylon

    Roller Buckle

    Nickel Plated Iron

    Rivets

    Nickel Plated Iron

    Threaded Inserts

    Brass

    Symptom: Idiopathic clubfoot (unilateral) uncomplicated compliant cases
    Indication: ADM Night Brace
    Symptom: Idiopathic clubfoot (bilateral) uncomplicated compliant cases
    Indication: ADM Night Brace
    Day ADM Case Study - Clubfoot
    Day ADM on small boy with bilateral Clubfoot - to correct walking on lateral borders of his feet
    Day ADM Case Study - Partial Paralysis
    Day ADM helps 8 year old boy with partial paralysis resulting in drop foot
    Day ADM Case Study - Diplegia
    Day ADM enables 8 year old Diplegic boy run and play without tiring
    ADM Sizing Guides
    AFO and ADM Sandal Size Chart
    ADM Instructions for Use
    ADM Instructions for Use in different languages
    ADM Registration and Accreditation
    Registration as a Medical Device
    ADM Technical Summary
    Anatomical data of how the ADM works
    ADM for Daytime Use
    Data and Gait Analysis
    ADM for Ponseti Night Bracing
    Indications and Data
    ADM Case Studies
    Case Studies on the Day and Night ADM

    delivery

    delivery

    Due to extra workload, ADM day orders are taking up to 1 week to be processed. We hope to resolve this as soon as possible.


    Delivery costs are calculated based on the weight and size of the order and delivery destination.

    money-back

    money back guarantee

    30 day money back guarantee on all Black Robin Design Products..


    For all other products please contact C-Pro Direct Ltd within 7 days of receipt of goods if a refund or exchange is required

    store-hours

    store hours

    Monday - Friday 8:30AM - 4:30PM


    Call Us On:
    Tel: 0844 335 6460 (UK only)
    Tel: +44 (0)1732 860158 (UK & Abroad)

    Fax: +44 (0)845 280 7222.
    Mail: enquiries@c-prodirect.co.uk

    support

    support

    We aim to provide the highest service levels for all of our customers. If the merchandise you received is defective or not as you ordered, please contact us for a quick resolution.