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Corrective boots and bar

Why does my child need to wear boots and bar?

The boots and bar are essential to help your child’s feet develop correctly. The boots and bar continue the work started by the corrective casts.

How do the boots and bar work?

The boots work by turning your child’s feet out. This position discourages the foot from relapsing and turning back in whilst the foot grows. The position may look excessively turned out, but don’t be concerned as this is how It should be.

How should the boots and bars be put on?

It is advised to put the boots on first before attaching the bar.

To put the boot on

The ankle strap, buckle and laces must be fully loosened to allow the child’s foot to be placed easily into the bottom of the boot. Generally, the buckle should be worn on the inside of the boot.

  1. Your child’s heel should be back and down in the boot.
  2. Hold your child’s heel in place and fasten the heel strap firmly as demonstrated by the orthotist.
  3. Tighten the laces from the bottom of the boot first and work your way up the boot, making sure that the toes are not squashed or curled under.
  4. When the laces are tight, check that the ankle strap is still firmly fastened. It may need tightening further as demonstrated by the orthotist.
  5. Check the heel position through the hole at the heel, if the heel is lifting off the base the ankle strap needs to be tightened.

To attach the boots to the bar

  • Slide the connector on the base of the footplate into the groove of attachment point on the bar
  • Normally, the affected foot or feet will be turned out at a 70 degree angle and the unaffected foot will be turned out at a 40 degree angle.

Should socks be worn?

Socks should not be worn because they may crease inside the boot and cause rubbing on your child’s feet.

How long are the boots and bars worn?

The boots should be worn for 23 hours per day for first 12 weeks, then between 12 to 14 hours when in the night and nap phase. Regular checks should be made to ensure that the feet stay correctly positioned inside the boot as demonstrated by the orthotist.

When will my child stop wearing the boots and bars?

The boots and bars are normally worn all day and all night for a minimum of 12 weeks. After this, it will be night and nap times up to a period of 4 years.

Information:

Your child’s consultant will decide when to stop wearing the boots and bars. It is dependent on how well your child’s feet are developing.

It is vital to follow the advice of your consultant regarding the wearing of boots and bar.

What should I do if my child has any problems with wearing the boots and bar?

If your child has any problems wearing the boots and bar you should contact the Orthotic Department for a review appointment.

Your orthotic follow-ups are important to ensure best fit and control:

  • 2 weeks:
  • 6 weeks: (alongside clinic)
  • 12 weeks: (alongside clinic)
  • 6 months: (alongside clinic)

Then as and when appropriate depending on growth.

If your child does not wear the boots and bar as instructed, the correction will have a 90 percent chance of failing before the age of 2.

Contact us

If you have any questions or concerns, please contact is Orthotic Department on 0114 271 7271 between Monday to Friday from 8.30am to 4.30pm or email on scn-tr.orthotics@nhs.net

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Disclaimer

Please note this is a generic information sheet relating to care at Sheffield Children’s. The details in this resource may not necessarily reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If you have specific questions about how this resource relates to your child, please ask your doctor.

Resource number: ORT4

Resource Type: Article

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Orthotic Department: 0114 271 7271

Monday to Friday: 8.30am to 4.30pm

Email: scn-tr.orthotics@nhs.net

NHS

Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

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