Cerebral palsy treatment

We specialise in prescribing and treating cerebral palsy patients with bespoke, custom-made orthotics. We believe that orthotics are not a product that is handed over to a patient to use but a powerful tool to help in their treatment and rehabilitation.

We take a clinical, individualised approach grounded in internationally recognised best practices, advanced technology, and our vast knowledge and expertise in paediatric orthotic care.

How orthotics can help cerebral palsy patients

Bespoke orthotics for cerebral palsy can:

provide support, stability and balance
improve muscle strength and tone
protect the joints
improve walking pattern and overall mobility
keep muscles and joints as close to normal alignment as possible
prevent secondary complications and deformities later in life

Each orthotic we create is uniquely tailored to the specific needs of the patient and designed to support their individual treatment goals.

Our approach

What makes our approach at LOC different is how we prescribe orthotics. Each device we produce is the result of a detailed clinical assessment, history taking, and a full gait analysis, including 3D motion capture in one of our state-of-the-art gait labs.

There are more than 50 clinical decisions that must be made when prescribing an Ankle Foot Orthosis (AFO) for a child with cerebral palsy. This is why our orthotic care is always based on thorough examination, gait analysis, clear goal-setting, and internationally recognised guidelines.

Evidence-based treatment, tailored to your child

The majority of our CP patients are children and our entire orthotic treatment process is designed with that in mind. Every step is focused on supporting not just your child’s mobility, but their overall development, independence and long-term outcomes.

1. Understanding your child and setting goals

We begin by listening. Your first appointment includes a full clinical history and a conversation about your goals as a family; what you’d like to see your child doing more easily, more comfortably, or more independently.

We use the internationally recognised ICF framework to guide our goal-setting. This means we look beyond just physical symptoms to include:

functional improvement
participation in daily life (home, school, activities)
long-term musculoskeletal health

2. Clinical assessment and gait analysis

Next comes a detailed physical assessment, looking at joint alignment, muscle tone, while measuring leg length and existing movement patterns. Where appropriate, we also use 3D gait analysis in our in-house gait labs, assessing your child’s walking both barefoot and in any current orthotics.

This advanced technology allows us to spot specific areas of walking inefficiency, instability or asymmetry, and helps us plan exactly how an orthosis can help.

3. Digital 3D scanning (no plaster required)

Instead of traditional plaster casting, we use high-resolution 3D scanning to capture the precise shape of your child’s legs or feet. It’s quicker, non-invasive, and much more comfortable for patients.

This data allows us to create orthoses with exceptional fit and accuracy.

Technology

Gait lab analysis

Our state-of-the-art gait labs provide precise 3D movement data and real-time feedback. This helps clinicians create more accurate and personalised orthotics.

Understanding where the force is positioned in relation to the leg is essential for accurate fine-tuning of the lower limb orthotics that we prescribe. It allows us to compare walking patterns before and after treatment so we can measure progress over time.

With this technology, we can track progress, solve problems, and make changes quickly. It leads to better-fitting orthotics and better outcomes for children. Parents can see clear improvements, giving them confidence in their child’s care.

More information about our gait laboratories

4. A completely bespoke orthotic prescription

From here, we design a fully customised orthosis to suit your child’s exact needs and goals. Every element is tailored:

design: open vs enclosed, dynamic joints, trimlines
materials: soft, rigid, carbon fibre or hybrid
footwear integration: matched shoes or insoles
Control tuning: to optimise movement and reduce compensation

5. Fitting, education, and fine-tuning

The fitting appointment is where everything comes together. We make sure your child is physically comfortable and at ease, and that you as parents know exactly how to use and care for the orthosis.

We also carry out real-time gait testing during the fitting to fine-tune alignment and ensure the orthosis is delivering the support and movement pattern we want to achieve.

6. Regular reviews and adjustments

As children grow, their needs change. That’s why regular follow-ups are built into our treatment plan. We monitor wear, fit and function, and adapt as needed.

Even small changes to leg length or muscle tone can shift the effectiveness of an orthosis, so our reviews focus on:

maintaining optimal alignment
checking for wear and tear
reassessing gait and comfort
making timely changes to prevent regression

Selective Dorsal Rhizotomy (SDR) patients

Having treated many patients over the years, we have developed a reputation in the Selective Dorsal Rhizotomy community for helping to rehabilitate patients who have undergone this surgery, with bespoke orthotics.

Our orthotic treatment is a key part of rehabilitation following surgery, helping to stabilise alignment, encourage functional muscle use, and maximise the long-term benefits of SDR.

Orthotics post-SDR must be carefully tuned and monitored to maintain optimal gait patterns as the child adapts post-op. Our approach ensures these orthoses are not just supportive, but actively contribute to the neurorehabilitation process.

The role of orthotics after SDR surgery

Ankle Foot Orthosis (AFO)

What makes ours different

100% bespoke to your needs

Every orthosis we make is completely designed to your needs and lifestyle. Everything from the materials, lining and function to the way it fits in your footwear. We design AFOs for every purpose; from rehabilitation post-surgery to horse riding and snowboarding.
Designed using 3D scanning

We use our 3D scanning app to take an impression of patients’ feet and legs (no more plaster casting). Making it quicker, easier, more accurate and more comfortable for patients than traditional plaster casting.
Made with advanced orthotic technology

We offer advanced AFO technologies like the Neuro Swing Ankle Joint and Neuro HiSwing, which provide adjustable resistance, range of motion, and alignment to support natural gait and muscle activation. These systems adapt as patients progress, improving mobility on uneven terrain and optimising rehabilitation outcomes.
Informed by gait lab analysis

State-of-the-art gait laboratories capture and analyse the movement of the body during walking. This gives us a comprehensive evaluation of your gait pattern and mobility needs, allowing us to make, assess and fine-tune our AFOs to the highest standard.
Custom footwear and insoles advice

Wearing the right footwear is essential for orthotics to work at their best. That’s why we always take your existing footwear into account and advise on the best shoes.

Book a free online consultation now

For adults with cerebral palsy

Orthotic treatment for adults with cerebral palsy is often focused on managing symptoms such as pain, discomfort and fatigue, while supporting mobility, independence and quality of life.

As patients transition into adulthood, growth has stopped, which reduces the risk of joint contractures and means orthotic devices do not need to be replaced as frequently. However, adults with cerebral palsy may face new challenges such as joint degeneration, muscle fatigue, or uneven gait patterns.

At LOC, we take a tailored, functional approach to adult orthotic care. Our orthotists regularly prescribe lightweight carbon composite solutions designed to improve gait mechanics and reduce the physical effort required to walk. These may include:

Neuro Swing AFOs for dynamic ankle control
Carbon strut AFOs that promote energy return and terrain adaptability

These devices are often more discreet, comfortable and adaptable to day-to-day environments, supporting a more natural, stable and efficient gait, especially on uneven surfaces.

While adult orthoses typically require fewer adjustments than children’s, we recommend six-monthly reviews to check alignment, function and wear. In some cases, a regular service plan is also advised to maintain performance and protect product warranties.

Patient success stories

View all patient stories

- Patient name: Archie
- Treatment: Cerebral palsy treatment
- Age: 4 to 15+
- Orthotist: Sam Walmsley
- Travelled from: United Kingdom
"Sam has been fantastic with Archie, he actually enjoys coming to LOC and now has quite a bit of banter with Sam when we come in for a review. This is in direct contrast with the atmosphere when seeing the majority of the consultants we see. Sam knows and understands Archie’s capabilities."
View patient story
- Patient name: Mariam
- Treatment: Cerebral palsy treatment
- Age: 13
- Orthotist: Jack Choong
- Travelled from: Mexico
“The change in Mariam is incredible, immediately her AFOs were fitted she was able to stand without assistance for 5 minutes or more and now she feels so much more confident. She looks in the mirror and smiles, she feels taller (because she is standing straighter)."
View patient story
- Patient name: Sofia
- Treatment: Drop foot treatment
- Age: Child
- Travelled from: United Kingdom
“I’m no expert in orthotics – all I knew was that I needed to get Sofia into a pair of AFOs that fitted her and supported her correctly,” says Clare.
View patient story
- Patient name: Amelia
- Treatment: Cerebral palsy treatment
- Age: 6
- Orthotist: Sam Walmsley
- Travelled from: United Kingdom
“Since she’s had the new AFOs, Amelia’s walking has become straighter. She’s started putting the correct pressure on her feet, and her balance has improved quite a lot.”
View patient story

Supramalleolar Orthosis (SMO)

An SMO supports the ankle and foot just above the ankle bone or malleoli. Unlike more rigid braces, SMOs are made with lightweight, flexible materials to allow for a more natural range of movement while still offering support.

Typically, they are shorter than ankle foot orthoses (AFOs) and do not come as far up the calf. Unlike more rigid braces, SMOs are made with lightweight, flexible materials to allow for a more natural range of movement while offering support.

Dynamic Ankle Foot Orthosis (DAFO)

A Dynamic Ankle Foot Orthosis (DAFO) is a custom-made brace that supports the ankle and foot. Unlike rigid orthotics, a DAFO is thin and flexible enough to help with balance and stability while allowing the foot to move more freely.

It wraps around the patient’s entire foot to improve stability and gives excellent proprioceptive feedback from the ground using its dynamic footplate, so the brain is more aware of the position and movement of the foot.

This can be particularly beneficial for those with neurological disorders like cerebral palsy and spina bifida.

Reciprocating Gait Orthosis

A Reciprocating Gait Orthosis (RGO) is designed to assist individuals in walking by supporting a natural, reciprocal gait pattern. This device typically features jointed metal frames, straps, and components that attach to the user’s legs and torso. Its main function is to mimic the natural walking motion by coordinating the movement of the legs. So when one leg moves forward, the other moves backward, allowing for a smoother, more efficient walking pattern.

RGOs are equipped with hinges at the hip and knee joints, enabling dynamic movement and coordination. A locking mechanism provides added stability during standing or resting phases. The user initiates movement through weight shifting or by using assistive devices, with the RGO converting this motion into a coordinated walking pattern.

We specialise in the design and manufacture of bespoke RGOs particularly for spinal injury patients. Enhancing mobility and promoting greater independence in walking.

Learn more about the Reciprocating Gait Orthosis (RGO)

Knee Ankle Foot Orthosis in carbon fibre

Knee Ankle Foot Orthosis (KAFO)

A Knee Ankle Foot Orthosis (KAFO) is a custom-made brace that supports the entire leg, across the knee, ankle, and foot. KAFOs provide full leg support from the thigh to the foot.

They help patients with cerebral palsy improve stability, alignment, and mobility by supporting weakened or spastic muscles and preventing joint deformities. KAFOs are also prescribed for people with muscle-weakening conditions or paralysis, such as for post-polio syndrome, muscular dystrophy, multiple sclerosis, or spinal cord injury.

The Agilik™ smart orthosis

The Agilik™ smart orthosis from Bionic Power is a state-of-the-art lightweight device designed to enhance walking by working with the user’s natural movement. Specifically, the Agilik™ can effectively address crouch gait, a tiring and exhausting walking pattern typical of cerebral palsy patients.

Unlike exoskeletons, which support a patient’s body and move for them, the Agilik™ provides dynamic assistance and resistance during walking. This helps users stand straighter, walk more easily, walk for longer and build strength.

The London Orthotic Consultancy has been appointed the paediatric specialist centre for the Agilik™ smart orthosis in the UK.

Lycra suits

Lycra suits offer dynamic compression, helping cerebral palsy patients with motor control, posture, and sensory feedback. These suits are designed to improve coordination and reduce involuntary movements.

Orthotic 3D Printed wrist splint with purple straps

3D-printed wrist splints

Orthotic wrist splints are specially designed to help manage and improve wrist and hand contractures. These splints gently stretch tight muscles and tendons, supporting the wrist in a neutral or functional position to reduce stiffness and prevent further deformities.

Blue and yellow Hummel adaptive footwear with bespoke heels

Custom footwear

Custom footwear is tailored to accommodate unique foot shapes and alignments. For cerebral palsy patients, they offer better comfort, support, and durability, often used alongside orthotic devices like AFOs or SMOs.