A student with spina bifida wearing ankle-foot orthoses (AFOs) is most likely to experience which complication?

A student with spina bifida wearing ankle-foot orthoses (AFOs) is most likely to experience which complication?

• A. Low blood sugar
• B. Pressure sores
• C. High blood pressure
• D. Bone fractures

Answer: (B)

Pressure sores are the most likely complication. An ankle-foot orthosis sits directly against the skin for long periods, and in people with spina bifida there can be reduced sensation in the feet. This combination makes skin at pressure points—around the ankles, heels, and along the sides of the foot prone to breakdown if the fit isn’t perfect, if there’s friction, or if padding isn’t used and skin isn’t checked regularly. Skin breakdown from the orthosis can develop into pressure ulcers if not addressed. Low blood sugar and high blood pressure aren’t direct problems caused by wearing AFOs. Bone fractures could occur in some situations, but they’re not the typical risk from the device itself; the more common, device-related issue is skin injury from pressure. To reduce risk, ensure a proper fit, wear suitable socks, check the skin daily, and have the orthotist adjust the device if redness or discomfort persists.

Pressure sores are the most likely complication. An ankle-foot orthosis sits directly against the skin for long periods, and in people with spina bifida there can be reduced sensation in the feet. This combination makes skin at pressure points—around the ankles, heels, and along the sides of the foot prone to breakdown if the fit isn’t perfect, if there’s friction, or if padding isn’t used and skin isn’t checked regularly. Skin breakdown from the orthosis can develop into pressure ulcers if not addressed.

Low blood sugar and high blood pressure aren’t direct problems caused by wearing AFOs. Bone fractures could occur in some situations, but they’re not the typical risk from the device itself; the more common, device-related issue is skin injury from pressure. To reduce risk, ensure a proper fit, wear suitable socks, check the skin daily, and have the orthotist adjust the device if redness or discomfort persists.