Orthotics-Roots for an Unstable Child

Foot Orthotics can drastically improve your child’s stability during weightbearing. Here is a brief guide for common issues:

Collapsed Arches

  • Low profile (below ankle bones)
  • Consider posting for heel control

Toe Walking (normal ankle range of motion)

  • Medium/low profile Supramalleolar orthotic (SMO) or foot orthotic (above/below ankle bone)
  • Consider posting for heel control
  • Consider posterior strap to prevent ability to point toes

Toe Walking (reduced ankle range of motion)

  • High profile ankle foot orthotics (AFO)
  • Consider AFO with hinge and plantar flexion stop
  • Consider AFO with flexible material to allow minimal active plantarflexion

Crouched Gait (Cerebral Palsy and Spina Bifida)

  • High profile ankle foot orthotics (AFO)
  • Consider hinged with dorsiflexion stop and plantarflexion assist

 

Most insurance companies cover the cost of casting and manufacturing of custom orthotics. Off the shelf orthotics like the low profile arch supports tend not to be covered by insurance.

 


Contact Anna Brown, BS, PT, DPT to make a physical therapy appointment for your child in your home and community.

Foundation Children’s Physical Therapy 206.499.7671 -foundationchildrenspt@gmail.com www.foundationchildrensphysicaltherapy.com 


 

 

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