Prescription criteria for off-the-shelf stability therapeutic footwear
Condition | Indications for treatment | Sole or adjunct treatment |
Cerebral palsy | Where mediolateral stability is required for standing and walking. | Sole aid May be used to assist both foot and ankle walking stability in children with GMFCS 1 and no significant tonal issues. Adjunct Used simultaneously with other assistive aids* to assist walking and standing in ambulant children GMFCS 1–3 with tonal issues. Used simultaneously with other assistive aids* to assist standing in non-ambulant children GMFCS 4. |
Down’s syndrome | Sole aid In prewalking and learning to walk stages with associated hypotonia and delayed motor milestones. Adjunct Used simultaneously with:
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Duchenne muscular dystrophy | Adjunct Used simultaneously with:
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Spina bifida | Adjunct Used simultaneously with:
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Symptomatic mobile pes planus | Secondary line intervention to improve mediolateral stability in walking where foot orthoses have not resolved associated symptoms. | Adjunct Used simultaneously with foot orthoses in:
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*Other assistive devices to include AFOs, crutches, foot orthoses, standing frames and walking frames.
†Adjunct AFO with stability footwear intervention requires a review of prescription of the sole to address any potential exacerbation of knee hyperextension in midstance.
AFO, ankle foot orthoses; GMFCS, Gross Motor Functioning Classification Score; HKAFO, hip knee ankle foot orthoses; KAFO, knee ankle foot orthoses.