Thuasne USA
4615 Shepard St., Bakerseld, CA, 93313
Phone: 800.432.3466 or 661.837.1795; Fax: 800.798.2722
www.ThuasneUSA.com
SpryStep
®
AFO Specialty Bracing Solutions
OF030 Rev. B
Account Contact Information
Name: Email: Phone:
Billing and Shipping
PO#
Shipping Preference
☐ Ground
☐ Next Day A.M.
☐ Next Day P.M.
☐ 2-Day A.M.
☐ 2-Day P.M.
Billing Account #:
Billing Address:
City:
State Zip
Shipping Account #:
Shipping Address:
City:
State: Zip:
(If no preference is indicated, this order will be shipped 2 Day P.M.) Note: We do not ship products directly to patients.
SpryStep
®
Original (weight limit = 250lbs)
Right
Left
XS
XS
S
S
M
M
L
L
XL
XL
SpryStep
®
Flex (weight limit = 250lbs)
Right
Left
XS
XS
S
S
M
M
L
L
XL
XL
SpryStep
®
Max (weight limit = 250lbs)
Right
Left
XS
XS
S
S
M
M
L
L
XL
XL
SpryStep
®
Plus (weight limit = 250lbs)
Right
Left
XS
XS
S
S
M
M
L
L
XL
XL
SpryStep
®
Pediatric (weight limit = 130lbs)
Right
Left
XS
XS
S
S
M
M
L
L
XL
XL
Accessories
☐ Refurbishment kit (pad, strap, alligator tab)*
1. The forefoot section can be trimmed with scissors: Approximately 1 inch can
be taken off the toe end, and ½ to ¼ inch can be trimmed from EACH side of
the forefoot. The material that can be cut off the forefoot is tinted blue.
2. This indicates the shorter the footplate can be trimmed with scissors
3. This indicates the lowest the calf cu can be trimmed with scissors
A brace that has been trimmed cannot be returned for credit or replacement
SpryStep
®
&
SpryStep
®
Flex
Size Height
Foot Plate Length
1
Original Flex
XS 11 ¾" 8 ½ — 9 ⅝"
SM 12 ⅝" 9 ⅛ — 10 ¼"
MD 13 ⅜" 9 ⅝— 10 ⅞"
LG 14 ⅛" 10 ¼ — 11 ⅜"
XL 15" 11 ⅜ — 12"
SpryStep
®
Max
Size Height
Foot Plate Length
1
XS 13 ¼" 7 ¾ — 8 ½"
SM 14 ½" 8 ¼ — 9"
MD 15 ½" 9 — 10"
LG 16 ½" 10 — 10 ¾"
XL 16 ½" 10 ¾ — 11 ½"
SpryStep
®
Plus
Calf
circumference
1" below
fibula head
Size
Height to Tib
Tuberosity
Foot Plate
Length
1
XS 13" 8 ½ – 9 ⅝" 11 ½ – 14 ½"
S 14 ¼" 9 ⅛ – 10 ¼" 12 ¾ – 15 ¾"
M 15 ½" 9 ⅝ – 10 ⅞" 13 ½ – 17 ½"
L 16 ¾" 10 ¼ – 11 ⅜" 14 ¾ – 18 ¾"
XL 18" 11 ⅜ – 12" 15 ½ – 20 ½"
SpryStep
®
Pediatric
Size
Foot Length
2
Calf Height
3
Min Max Min Max
XS 3 ¾" 5 ¾" 6 ¼" 7"
SM 4 ¼" 6 ¼" 7 ½" 8 ¼"
MD 5" 7" 8 ¾" 9 ½"
LG 5 ½" 7 ½" 9 ¾" 10 ½"
XL 6" 8" 11" 11 ¾"
Calf cu depth = 2 ½" (the width of the calf cu can be trimmed up to 1 ½" on each side)
Patient Information (If applicable)
Fit Date: Patient Shoe Size:
Patient’s Last Name:
Patient’s First Name:
*Indicates additional charges apply
