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Children's AFOs
AFOs (Ankle-Foot Orthoses) for children are specialised medical devices designed to provide support, stability, and correction for children with conditions that affect their mobility. These devices help to improve the way a child walks and moves, and they are often recommended as part of a comprehensive treatment plan for children with specific physical challenges.
What is an AFO?
AFOs for children are custom-made or off-the-shelf devices that support the lower leg, ankle, and foot. It helps improve the alignment and function of the foot and ankle, assisting in walking, standing, and other activities. The purpose of an AFO is to provide stability, prevent deformities, and improve movement for individuals who experience issues with their lower limbs, whether due to neurological, musculoskeletal, or developmental conditions. AFOs are designed to be worn on the outside of the foot and leg and are typically made from lightweight materials such as plastic or carbon fibre, depending on the specific needs of the child.
What Conditions are AFOs for Children Used to Treat?
AFOs for children are used to treat a wide variety of conditions that affect a child's ability to walk or maintain balance. Some of the most common conditions include:
- Cerebral Palsy (CP): A neurological condition that affects muscle control and movement.
- Muscular Dystrophy: A group of diseases that cause progressive muscle weakness.
- Spina Bifida: A congenital condition that occurs when the spine and spinal cord do not develop properly, leading to potential physical and neurological challenges.
- Stroke: A brain injury that can result in weakness or paralysis of one side of the body.
- Diplegia or Hemiplegia: Types of paralysis that affect specific parts of the body.
- Tibial Torsion: A condition where the shin bone turns inwards or outwards.
What are the Indications for Use of a Children's AFO?
An AFO can be recommended based on a range of factors. The primary indications for a child to use an AFO include:
- Weak or abnormal muscle tone: AFOs help provide the necessary support to improve walking and posture when a child’s muscles are weak or fail to function correctly.
- Instability or difficulty walking: Children with mobility difficulties can benefit from an AFO to help with balance and walking.
- Deformities or misalignments: An AFO can correct foot and ankle positioning to reduce the risk of developing permanent deformities.
- Spasticity or stiffness: Children with spastic muscles may benefit from an AFO that assists in maintaining a normal range of motion and mobility.
- Preventative care: In some cases, AFOs may be used to prevent complications or further injury, particularly when a child has an ongoing condition.
What are the Benefits of Children Using an AFO?
The use of an AFO provides numerous benefits for children who need additional support. Some of the key benefits include:
- Improved mobility: AFOs help children walk more efficiently, increasing their overall mobility and reducing fatigue.
- Enhanced stability: By providing support to the ankle and foot, AFOs help children maintain better balance and stability when standing or walking.
- Better posture: An AFO helps correct misalignments in the foot and ankle, improving posture and reducing the risk of additional complications.
- Pain reduction: AFOs can help alleviate discomfort caused by abnormal foot or ankle positioning, providing relief from strain and pain.
- Prevention of further deformities: Regular use of an AFO can help prevent the development of more severe musculoskeletal deformities, which could otherwise become permanent over time.
Types of AFOs for Children
There are various types of AFOs, each created to meet specific requirements. The most common types include:
- Solid AFO
A solid AFO, also known as an ankle-blocking AFO, is a solid device that controls the ankle in all four of its available planes of movement (Medially/Laterally and Plantar/dorsiflexion - in plain english; side to side, and up and down).
- Dorsiflexion Assist AFO: This type of AFO is designed to help children lift their foot during the swing phase of walking, which is particularly useful for children with weak or no muscle function in the foot. A turbomed is a good example of this type of AFO however there are good customised options available too.
- Posterior Leaf Spring or PDE type AFO: A flexible AFO that allows for some movement while still offering support, ideal for children with mild to moderate impairments.
- Carbon Fibre AFO: A lightweight, strong AFO designed for active children who need support but also require flexibility and energy return for efficient walking.
- Ground Reaction AFO (GRAFO): This type of AFO helps children with knee buckling or crouching by directing forces in such a way that the knee remains stable during walking.
How AFOs Are Fitted and Adjusted for Children
Fitting an AFO for a child is a detailed process that begins with a thorough assessment by an orthotic specialist. The orthotist will take precise measurements and may make a mould of the child’s foot and leg to ensure the AFO is custom-fitted for maximum comfort and functionality.
Once the AFO is made, the child will wear it in a trial fitting to ensure that it provides the necessary support and alignment. The orthotist may adjust the device during this time to fine-tune its fit and performance. Over time, as your child grows, the AFO may need to be adjusted or replaced to accommodate changes in size, shape, or condition. Regular follow-up appointments are typically scheduled to ensure the AFO continues to meet the child’s needs.
Common Questions About Children's AFOs
Here are some common questions parents may have about children’s AFOs:
How long does my child need to wear an AFO each day?
The amount of time a child should wear an AFO depends on their specific needs and the advice of their orthotist. In many cases, children wear their AFOs during waking hours, particularly when they are walking or standing. Some children may need to wear them all day, while others may only need to wear them during certain activities, such as physical therapy or school, there are also night splints to be worn to bed.
How do I care for and clean my child’s AFO?
Caring for an AFO is relatively straightforward. Most AFOs can be cleaned using mild soap and warm water. It's important to dry them thoroughly to prevent damage. Some AFOs may also require occasional adjustments, so regular check-ups with an orthotist are advised.
What if my child refuses to wear the AFO?
It’s not uncommon for children to resist wearing their AFOs at first. Gradually increasing the time they wear the device and making the experience positive can help. You can also work with a therapist to help your child get accustomed to the AFO. Involving your child in the process and explaining the benefits can encourage cooperation.
How long will it take to see improvements in my child’s mobility?
The time it takes to see improvements varies depending on the child’s condition, the type of AFO, and the level of support provided. Some children experience improvements quickly, while others may need several weeks or months of wearing the AFO to notice significant changes.
Can AFOs help with pain?
Yes, AFOs can provide significant relief for children with foot or ankle pain, especially if the pain is related to abnormal foot positioning or muscle weakness. By helping to correct alignment and provide better support, AFOs can reduce strain and discomfort.
What is the most suitable footwear for children who wear AFOs?
Choosing the right footwear for a child who uses an Ankle Foot Orthosis (AFO) depends on the type and design of the brace. Generally, shoes with a wide fit, removable insoles, and an easy-to-open design (such as Velcro straps or zips) are best, as they provide enough space and flexibility to accommodate the AFO. A stable, supportive sole is also important for comfort and safety. Your orthotist can recommend suitable footwear brands and styles based on your child’s specific needs and the AFO they are using.
Why Choose Children's Orthotics for Your Child's AFO?
At Children’s Orthotics, we understand the unique needs of children requiring AFOs. Our orthotists ensure that each AFO is custom-tailored to provide the maximum benefit for your child. By choosing Kids Orthotics, you can expect:
- Personalised Care: We take the time to understand your child’s condition and goals, ensuring that the AFO we provide is tailored specifically to their needs.
- Expertise: Our team is highly trained in working with children and has extensive experience in fitting AFOs for a variety of conditions.
- Quality: We offer AFOs that meet the highest standards of quality and durability.
- Ongoing Support: Our care doesn’t stop at the fitting. We provide follow-up consultations to ensure that your child’s AFO continues to fit well and provide the necessary support.
How Can I Arrange an Appointment with Children's Orthotics for an AFO?
The first step towards getting your child’s treatment underway is to contact us at Children’s orthotics to get booked in for an initial assessment appointment. The best way to do this is to book online here, or to call us on 0330 088 3949 to speak to one of our friendly customer service advisors.
To get in touch or arrange an appointment, you can call us at 0330 088 3949 or email office@orthotics.co.uk.