A DAFO (dynamic ankle-foot orthosis) is an orthosis, usually used in children, that is fitted in line with a physician's prescription and medical report to support foot and ankle alignment and contribute to walking and balance. This device, which provides ankle-foot support, is one of the common examples of orthosis use and follow-up in children. For the orthosis to keep its function, it is important to use it with suitable shoes and to care for it regularly.
What to consider when choosing shoes
The following points may help when choosing shoes to be worn with the orthosis:
- Models with a blunt, wide and deep front section fit more easily with the orthosis.
- As the inner volume of different models can vary, it is advisable to take the orthosis with you and try shoes on with it.
- The shoe should be no more than two sizes larger than the child's normal shoe size; an excessively large shoe adversely affects the function of the orthosis.
- A shoe into which the orthosis fits snugly is more suitable than one that is very loose.
- In shoes with a removable inner lining, extra space can be created for the orthosis.
- Care should be taken that the sole is made of a material that reduces slipping.
Care and cleaning
As with other pediatric orthotic applications, the orthosis needs to be kept clean to prevent skin problems. In general, it can be cleaned regularly with a cloth dampened with warm soapy water or with suitable cleaning wipes. Care should be taken not to wet the hook-and-loop straps during cleaning. Paper towels should be preferred for drying, and heat sources should be avoided.
Replacement
As the child grows, the orthosis may need adjustment or renewal over time; this is common with prosthetic and orthotic devices made specifically for children. If irritation, redness or discomfort of the skin develops as a result of growth, use should not be continued; an orthotics and prosthetics specialist and the physician should be consulted for assessment and any necessary adjustments.
This content is for informational purposes only; you should consult your physician for diagnosis and treatment.
