- For patients who bear weight primarily on their forefoot with absent or limited heel strike during gait.
- Improves control of heel pistoning and helps to manage range/position issues.
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 6.1 Heel control pad
- Added crescent-shaped contour above the heel to help prevent heel rise.
- Order at time of fabrication if heel pistoning is expected.
 Request in Special Instructions section of order form. Can also be requested after ordering.
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- Adjustable screw-type stop.
- Approximately 5° range of adjustment (fragile when in full extension).
- — Examples: 0° DF to 5° DF or 2° PF to 3° DF
- Request in Special Instructions section of order form.
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 6.3 Heel wedge
- Gives the patient full heel contact with floor when braced in a plantarflexed position.
- Small amounts can help fine-tune a DAFO for knee hyperextension.
- Request in Special Instructions section of order form (e.g., “Add heel wedge to bring tibia to 2° DF.”). You can also request the wedge to be sent as a separate piece, not attached to the brace.
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 6.4 Heel lift
- Similar to the heel wedge but with a smaller point of contact.
- Can be increased with layers of duct tape or sanded down to fine-tune function.
- Request in Special Instructions section of order form. You can request the lift as a separate piece, not attached to the brace.
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 6.5 Posterior shim pad
- Tapered ¼ in. shim pad.
- May be used to increase DF; use in place of the standard 1/8 in. cuff.
- Request “send self-stick shim” in Special Instructions section of order form. Can also be requested after ordering.
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