1. Tilted Calf Cuff

2. Indications Calf Band Shapes

3. Indications  Calf bands and cuffs should follow general outline of posterior calf and anterior tibia

4. Indications  If there is a substantial difference between the proximal and distal calf circumference the band should be tilted accordingly

5. Indications  If there is a substantial difference between the proximal and distal calf circumference the band should be tilted accordingly

6. Indications  If the cuff on a tilted calf band continues in the same direction as the band, uneven pressure can result

7. Indications  If the cuff on a tilted calf band continues in the same direction as the band, uneven pressure can result

8. Indications  To equalize calf cuff pressure it must be redirected accordingly

9. Indications  To equalize calf cuff pressure it must be redirected accordingly

10. Cuff Layout Determining amount of cuff tilt

11. Cuff Layout  Layout a line on tracing paper at least a band’s width from the edge

12. Cuff Layout  Place the proximal edges of the AFO along this line

13. Cuff Layout  Place the proximal edges of the AFO along this line  Set a combination square against the proximal edge of the calf band

14. Cuff Layout  Place the proximal edges of the AFO along this line  Set a combination square against the proximal edge of the calf band  Mark the point of contact on the tracing paper

15. Cuff Layout  Measure the distance between the mark you just made and the baseline. Record this measurement

16. Cuff Layout  Measure the distance between the mark you just made and the baseline. Record this measurement

17. Calf Layout  Creating Pattern

18. Calf Layout  Layout a line = to the largest circumference + 2 ½”

19. Calf Layout  Layout a line = to the largest circumference + 2 ½”  Layout another line parallel to first line and at distance previously measured

20. Calf Layout  Layout a line = to the largest circumference + 2 ½”  Layout another line parallel to first line and at distance previously measured  Determine and mark the center point of this line

21. Calf Layout  Measure smallest inside calf band circumference

22. Calf Layout  Divide this measurement by 2 and lay out resultant measurement on either side of the midline

23. Calf Layout  Now connect these points with the endpoints of the first line drawn

24. Calf Layout  Draw perpendicular lines at several points along the lines previously drawn  The height of these lines should be equal to the desired width of your calf cuff

25. Calf Layout  Now connect all points as shown

26. Calf Layout  When completed, your pattern should resemble this

27. Calf Layout  Be sure to position the cuff on the calf band so that the ends are perpendicular to the uprights

28. Calf Layout  Be sure to position the cuff on the calf band so that the ends are perpendicular to the uprights END

29. Calf Layout