An ankle foot orthosis (AFO) is a biomechanical device that provides support to the foot and ankle, especially when walking. AFOs are prescribed for a variety of conditions; in the case of ALS, their primary function is to help provide sufficient toe clearance while walking.
Still able to walk independently for moderate distances, but there are some minor fatigue and balance issues; foot drop
AFOs are available in a number of different styles and can be either purchased off-the-shelf or custom-made.
Off-the-shelf AFOs often need minor adjustments, such as heating to reshape or adding small pads to alleviate pressure points.
Custom-made AFOs generally cost more than off-the-shelf options but provide a better fit.
Buying AFOs without a prescription from an occupational therapist or physiatrist is generally possible, however, higher-grade AFOs, including custom-made AFOs will generally require a prescription. Insurance companies will only cover AFOs that have been prescribed.