An exploration of bespoke, rigid, thermoplastic ankle-foot orthosis prescriptions and manufacturing techniques in the UK

This study uses a mixed-methods approach to explore the perspectives of orthotic technicians in the UK on the prescription and manufacturing of bespoke, rigid, thermoplastic ankle foot orthoses (AFOs) and the information they receive from clinicians to guide manufacturing. A questionnaire captured the information included in a typical AFO prescription and orthotic technicians’ perspective regarding its clarity. Qualitative interviews with technicians revealed key challenges including a lack of standardization, communication gaps with clinicians, and workforce training needs. These insights are considered alongside recent technical findings that quantified AFO thickness variability and biomechanical implications. The findings highlight the need for standardized prescription protocols, improved quality assurance, and collaborative efforts to support consistency and patient outcomes.