Ankle Foot Orthosis factsheet
Introduction
An ankle foot orthosis (AFO) is a device that supports a child’s ankle and foot.
AFOs are custom-made for each child using moulded plastic and metal. They are fitted by an orthotist.
They are used to:
- keep the ankle stable
- control foot movement
- support weak muscles and unstable joints
- help with walking and mobility
- prevent differences in how the ankle and foot grow
- reduce pain.
Your child may need to wear them during the day to support their walking and movement.
How to put on an AFO
Put on a long sock with few or no seams
Pull tight to avoid wrinkles and make sure it is comfortable.
Bend the knee and stretch the foot upwards as far as possible
Place the leg and feet on the AFO
Place the heel firmly into the back of the AFO and check that it is in place.
Fasten the ankle strap
Keep the foot in position and fasten the ankle strap firmly.
Fasten the top strap
Fasten the top strap next, and the toe strap last (if there is one).
Check the fit
Straps should feel snug, not too tight or loose. You should not be able to slide a finger underneath the strap, and your child should feel comfortable.
Prepare the shoe to put on
To put on a shoe, loosen the laces and open the shoe up completely. Remove the insole to make more space if needed.
Put on the shoe
Slide the shoe on from the front of the foot, then push it back towards the heel while wriggling it side to side.
Fasten the shoe
Check that the heel is down, fasten the shoe and make sure your child is comfortable. Ready to go!
Care of the equipment
AFOs should be cleaned regularly and checked for signs of wear-and-tear.
If they do not fit well, they can cause pressure injuries.
Speak to your child’s Orthotist if you have any questions or concerns.
