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2601 Matheson Blvd E
Mississauga, ON, L4W 5A8


How to Put on an AFO

Please provide the following information to daycare personnel, educational assistants, teachers or anyone who will be helping to put the ankle foot orthoses (AFO) on your child.

step 1.jpg

Step 1: Preparing the Leg 

  • Check that the child is wearing a knee high plain cotton sock with all wrinkles pulled out of it
  • Most importantly, bend the hip and knee
  • Pre-stretch the ankle muscle by pushing up at the toes

step 2.jpg

Step 2: Putting on the AFO

  • Keep the hip, knee and ankle bent at a 90 degree angle
  • Use one hand to hold the AFO with the ankle strap open 
  • Start with the heel firmly touching the toe plate of the AFO
  • Slide the heel all of the way back into the AFO

step 3.jpg

Step 3: Fastening the Straps 

  • Keep the heel firmly planted in the AFO with your thumb as you thread the ankle strap through the loop and fasten it 
  • Fasten the top strap
  • Pull the sock out from under the ankle strap to avoid wrinkles

step 4.jpg

Step 4: Check

  • Check that there is no space behind the heel 
  • Check that the straps are done up to the usual tightness*
  • Check that the tip of the toes are just inside the edges of the toe plate

* Ask the Orthotist to mark the proper strap tightness

If any of the above checks fail, remove the AFO and go back to Step 1. This will help you avoid any uncomfortable skin and pressure problems. 

It will get easier with practice!