Scheck&Siress CROW User manual

www.scheckandsiress.com
1-866-SCHECK1 Page 1
CROW (Charcot Restraint Orthotic Walker)
General Description:
CROW is an acronym for Charcot Restraint Orthotic Walker. This orthosis is prescribed
for patients who have foot ulcers or insensate feet (can’t feel). This is an orthosis that is
clamshell in desi n and covers the entire foot and calf of the le , resemblin a ski boot
(See Fi ure 1). While it is somewhat bi and bulky, the CROW ives tremendous support
by preventin foot and ankle movement. It is fully padded on the inside. A shoe is not
worn with this orthosis.

www.scheckandsiress.com
1-866-SCHECK1 Page 2
Application:
1. Apply a cotton stockinette or a lon , thin, cotton sock to le (See Fi ure 2).
2. Slide the CROW into position, ensurin that the heel is fully seated within the
CROW (See Fi ure 3). The heel needs to be back all the way and in contact with
the bottom of the footplate. Check by lookin alon the sides and the back where
it is separated above the heel.
3. Apply the front section of the device, makin sure it's sides overlap the back
section (See Fi ure 4).
4. Apply the instep strap on the front of the ankle (See Fi ure 5).
5. Fasten all remainin straps (See Fi ures 6 and 7).
6. Skin should be checked for redness that does not o away after approximately 15
minutes. Sli ht redness is common over the instep and under the ball of the foot.
Fi ure 2
Fi ure 3

www.scheckandsiress.com
1-866-SCHECK1 Page 3
Fi ure 4
Fi ure 5
Fi ure 6
Fi ure 7
Wearing Schedule:
On the first day you receive the brace, be in by wearin for only 1 hour. After 1 hour,
remove the brace and check your skin for red marks. Some small, li ht red marks may be
noticed on the skin that should o away in 20 to 30 minutes after removin the brace.
Sli ht redness is common over the instep and under the ball of the foot. If the red marks
do not o away in 20 to 30 minutes or if you notice any scratchin , bruisin , or blisterin ,

www.scheckandsiress.com
1-866-SCHECK1 Page 4
do not put the brace back on. Call immediately to schedule an appointment with your
orthotist.
If the skin is ok, wait at least 1 hour and then put the brace back on for 1 hour at a time
for the rest of the first day, checkin the skin after each hour.
On the second day, put the brace on for 2 hours. After 2 hours, remove the brace and
check the skin. If the skin is ok, put the brace back on for 2 hours at a time for the rest of
the day, checkin the skin after every 2 hours. If your skin is ok, radually increase
wearin time by 1 hour each day, checkin the skin after each wearin time.
Cleaning and Maintenance:
The best way to clean a CROW is to spray the inside with rubbin alcohol and wipe dry
to remove body oils and residue. It can also be cleaned by wipin it out with a damp
towel and anti-bacterial soap, or anti-bacterial moist towelettes.
Do not immerse the CROW in water, as this will harm the straps and fasteners. Keep the
CROW away from excessive heat to prevent dama e to the plastic.
Tips and roblem Solving:
• Proper footwear should be worn at all times on the opposite foot.
• If you notice red marks, bruises, or blisters on your skin, discontinue wearin
the brace and call your orthotist to schedule an appointment.
• If there are any problems or questions, please contact the orthotist.

www.scheckandsiress.com
1-866-SCHECK1 Page 5