Sloppy AFOs

Initial Evaluation Appointment- What to Expect (Daytime Bracing)

Your physician has prescribed a Sloppy Ankle Foot Orthosis (AFO) (tall Supramalleolar Orthosis with elastic straps). This may be used to support muscles, immobilize joints, and/or correct the position of your foot and ankle. A Sloppy AFO is made out of thermoplastic and foam.

The design features elastic straps that can allow for more or less tibia movement depending on how tight the top straps are. That way the brace can be adjusted for whichever activity is being worked on in therapy, and the brace can adapt as your child progresses in strength.

The following guidelines will help you prepare for the use of your orthosis

What to bring to your fitting appointment

You should always wear a sock in the AFO to protect the skin. Tall socks that go past the top of the calf are best to use.

Bamboo single-layer socks are available on Kiddfoot.com

You should always wear a shoe with your AFO. It is not safe to walk in the AFO without a shoe, as the bottom is slippery and can cause falls. Sneakers are the best type of shoes to use for AFOs.

A wide shoe size is recommended.

Sneakers 1.5-2 sizes larger than your current shoe size will allow for enough room to accommodate the brace. Velcro or lace-up shoes are best.

Best Places to Acquire Shoes

Billy Footwear (must be Billy GOAT)- These are designed for accommodating AFOs

Zappos

New Balance

Stride Rite

What to expect at the fitting appointment:

Fitting

Since this is a custom brace, adjustments will be made to ensure the device fits and functions properly for your child. This can include trimming the footplate length to ensure the brace fits in the shoe or adding additional space or corrections to help with the proper alignment of the foot.

It is not uncommon to have several adjustment

More in-depth wear and care instructions will be provided at the delivery appointment.

Our in-house facility ensures personalized care, adjustments, and long-term support for the best possible patient outcomes.

Please Note: The Orthotics and Prosthetics services at the Paley Institute are available exclusively to patients currently under the care of a Paley Institute physician. We are unable to accommodate external referrals or walk-in appointments at this time.

If you would like to schedule an appointment with our Orthotics & Prosthetics department, please contact us directly at (561) 844-5255 Ext 240.