Comparing Digitally and Traditionally Made Ankle Foot Orthoses

Inclusion Criteria: * Participants must be aged 8 years or older. * Participants should have either flaccid or spastic paresis resulting from conditions such as cerebral palsy, stroke, spinal cord injury, spina bifida, or traumatic peripheral nerve injury, leading to lower limb mobility impairments. * Participants must require a custom articulating, rigid, or energy storage and return (ESR) AFO to improve physical function for one or both sides (unilateral or bilateral). * Participants must be able to ambulate independently, though the use of gait aids is permitted. * Participants must be capable of completing questionnaires with no more than orienting guidance. * Participants must meet the requirements to have their AFO funded by the Assistive Devices Program (ADP). Exclusion Criteria: * Clients for whom the primary goal of the AFO includes wound management. * Those whose AFO is not worn for ambulation. * Clients with insensate feet or a history of ulcerations. * First-time AFO users.