PRAFO Boot Uses

PRAFO – Pressure Relief Ankle Foot Orthosis

  • Worn on the calf and foot similar to a boot
  • Used for patient’s who spend a significant amount of time in bed
  • Prevents pressure ulcers from developing on the back of the heel
  • Prevents plantarflexion contractures
    • Patient will not be able to flex the foot upwards. If it becomes severe enough, the patient will only be able to stand on the forefoot with the heel off of the ground.


  1. With most patients, range the foot into dorsiflexion to at least a neutral position. This means to bring the foot upward so that the bottom of the foot is perpendicular to the lower leg.
  2. Place the lower leg in the device with the foot in full contact with the footplate and the calf in even contact with the calf section. The PRAFO® orthosis can also be applied with the knee bent, pushing the foot downward and back fully within the device.
  3. Secure the straps over the foot and then secure the top calf strap.
  4. Make sure that the heel is fully suspended in the air and that it is not in direct contact with the device.
  5. This device has an outrigger attached to the back of the calf section to prevent the leg from rolling to one side or the other.

Wearing Schedule

  • PRAFO should be worn according to physician’s specified schedule.
    • Example: 2 hours on, 2 hours off