A prescription reads "depth shoe with appropriate modifications" for an individual wearing an AFO. What modification would be appropriate?

In the context of modifying a depth shoe for an individual wearing an ankle-foot orthosis (AFO), the most suitable modification from the options provided is a rocker bottom and SACH heel.

A rocker bottom is designed to facilitate a more natural gait pattern, promoting a smooth transition from heel strike to toe-off. This is particularly important for individuals using an AFO, as these individuals often have restricted ankle movement and may require assistance with stability and propulsion during walking. The rocker shape helps to accommodate this limitation by allowing the foot to roll more fluidly through the gait cycle, reducing the strain and effort required to walk.

The SACH (Solid Ankle Cushion Heel) heel provides shock absorption during heel strike and adds stability at the initial contact phase of gait. This combination of a rocker bottom and a SACH heel can significantly enhance mobility and comfort for someone who is utilizing an AFO, contributing to better overall function and ease of movement.

While other options like medial and lateral flares or a high top shoe might provide some stability, they may not address the specific needs of someone with an AFO as effectively as the rocker bottom and SACH heel. A full-length cushioned removable insole can add comfort but does not specifically address the biomechanical