The Ponseti ADM device is used to maintain correction of clubfoot. It differs to the foot abduction brace as it can be worn unilaterally. It does not require a bar.
The abduction dorsiflection mechanism (ADM) is a device with two articulated joints, which is attached to a Ponseti ADM Sandal for night bracing, or to other footwear for day bracing.
As a night brace the Ponseti ADM is convenient and comfortable for use, well tolerated by children and may be used to prevent clubfoot relapse in accordance with the Ponseti Method. For some cases it may also be used to manage clubfoot relapse.
The Ponseti ADM is for use by:
- Babies and children with clubfoot
- Babies and children whose clubfeet have been corrected by manipulation followed by serial casting and possibly a heel cord tenotomy. Typically such correction will be carried out in accordance with the Ponseti Method.
- Other conditions that result in equinovarus or supination on the advice of a qualified clinician.
The ADM permits full functional mobility and may be attached to normal footwear as a DAFO day brace to improve supinated equinovarus type gaits.
It may be used as night bracing therapy or as a day brace. As a night brace the ADM applies a low intensity long duration stretch to patients to the medial soft tissues and achilles.
As a day brace it functions by altering the user’s gait from one that is inverted and flat to a more active gait with additional dorsiflexion and eversion.