SpryStep®: understanding the different models of AFO brace

SpryStep®Ankle-Foot Orthoses (AFOs) are designed to help people with foot drop, a condition where lifting the front of the foot becomes difficult. They support the foot during walking(1,2), reduce the risk of tripping(5), and help make walking safer(2) and less tiring(2). Each SpryStep® model is designed for a specific level of muscle weakness, knee instability, and activity level. Choosing the right model helps improve mobility in daily life, comfort and confidence(6).

SpryStep® Flex: for active lifestyles

SpryStep® Flex is designed for active patients who want to maintain a dynamic and natural gait. Its spiral posterior design provides high flexibility and energy return (3), making walking feel more fluid(3). This model is often chosen by people who walk a lot or practice physical activities.

SpryStep® Original: balanced support for daily walking

SpryStep® Original is designed for people with mild to moderate foot drop and a knee hyperextension pattern. It offers intermediate support for people with foot drop. Its dynamic design helps store and release energy during walking(3), making gait smoother(3). It is suitable for moderate activity levels.

SpryStep® One: a simple and adaptable solution

SpryStep® One is designed for the same type of deficits as the SpryStep® Original. It provides intermediate support to lift the foot during walking while remaining lightweight and comfortable(3). Its universal size with trim zones allows easy adjustment to the anatomy which could allow a fit right away in acute phase(4). It is suitable for moderate activity levels.

SpryStep® Plus: support for foot drop for reassurance

SpryStep® Plus is intended for people with foot drop combined with knee flexion instability or quadriceps weakness. Its anterior structure helps guide and support the knee during walking while also assisting foot lift. It provides higher support(3) while allowing moderate activity in order to reassure people in walking.

SpryStep® Max: maximum stability for safe walking

SpryStep® Max is the most supportive model in the standard range. It is designed for people with significant weakness who need maximum stability, especially in case of knee flexion instability(3). It is particularly suitable for low activity levels, where safety and confidence are the priority.

SpryStep® models comparison table

SpryStep® model

 

Who is it for?

 

Activity level

 

Level of support

 

Key feature​

SpryStep® Flex

 

Active patients, mild foot drop

 

High

 

Low

 

Flexibility

 

SpryStep® Original

 

Mild to Moderate foot drop

 

Moderate

 

Intermediate

 

Versatility

 

SpryStep® One

 

Need to be quickly fitted

 

Moderate

 

Intermediate

 

Universality

 

SpryStep® Plus

 

Foot drop with knee flexion instability

 

Moderate

 

Intermediate

 

Reassurance

 

SpryStep® Max

 

Significant weakness and knee flexion

instability

Low

 

High

 

Safety

 

How to choose the right SpryStep® model

The right SpryStep® depends on muscle strength, knee instability, and daily activity level targeted. A healthcare professional (orthotist, physician, physiotherapist) is essential to assess the situation and adjust the orthosis correctly.

  1. Francois Bethoux and al. “The Effects of Peroneal Nerve Functional Electrical Stimulation Versus Ankle-Foot Orthosis in Patients With Chronic Stroke: A Randomized ControlledTrial” Neurorehabilitation and Neural Repair 2014, Vol. 28(7) 688–697 © The Author(s) 2014
  2. DCM de Wit, JH Buurke, JMM Nijlant, MJ IJzerman and HJ Hermens “The effect of an ankle-foot orthosis on walking ability in chronic stroke patients: a randomized controlled trial”Clinical Rehabilitation 2004; 18: 550-557
  3. Internal CE marking data
  4. Trimming allows to adapt the brace to the anatomy of the patients and to position it correctly in order to take into consideration the anatomical areas
  5. Pongpipatpaiboon, Kannit, mukaino, Masahiko, Matsuda, Fumihiro, et al. “The impact of ankle–foot orthoses on toe clearance strategy in hemiparetic gait: a cross-sectional study.” Journal of NeuroEngineering and Rehabilitation, 2018, vol. 15, p. 1-12
  6. Diana Rimaud and al. “Effects of carbon versus plastic ankle foot orthosis on gait outcomes and energy cost in patients with chronic stroke” J Rehabil Med Aug23, 2024; 56: jrm35213. DOI: 10.2340/jrm.v56.35213

Related to the same topic