Day and night, we’re fighting tightness and boosting stability.
Why Children Are Often Prescribed Day and Night AFOs for Plantar Flexion Tightness
Children with plantar flexion tightness (where the calf muscles and Achilles tendon are shortened) are at risk of developing ankle contractures. These contractures can limit mobility, make walking more difficult, and even lead to long-term joint deformities if not managed early.
To help prevent this, healthcare providers often prescribe Ankle-Foot Orthoses (AFOs) to be worn both during the day and at night. Here’s why:
1. Stretching and Positioning
Nighttime AFOs hold the ankle in a gentle, consistent stretch while the child sleeps. This helps maintain or gradually improve ankle dorsiflexion (the ability to bring the foot upward), reducing the risk of muscles and tendons tightening overnight.
2. Support During Movement
Daytime AFOs support proper foot and ankle alignment while the child is moving around. They can help with walking patterns, prevent toe-walking (idiopathic toe walking), and reduce abnormal stress on joints and muscles.
3. Preventing Contractures
Using AFOs around the clock helps keep the ankle in a more neutral position for extended periods, which is key in preventing fixed contractures. Early intervention is critical, especially as children grow quickly and muscle imbalances can worsen over time.
Summary
Day and night AFOs work together to stretch, support, and protect the child’s ankle and foot mechanics. They’re a non-invasive way to maintain mobility, promote better walking mechanics, and prevent long-term complications in children with plantar flexion tightness.
Always consult with a medical professional or orthotist to ensure the right orthotic plan for each child’s specific needs.
