A HKAFO requires a pelvic band that is bracketed to at least one knee–ankle–foot orthosis. Often the device is built with the option to be locked or unlocked at the hip and knee joint. Having more positioning options can be important depending on the standing and mobilization needs of the patient, especially when one of the goals is prevention of contractures of the hips, knees, and ankles.18 With the use of forearm crutches, swing-through and swing-to gait patterns can be possible with this device. Some individuals may not have equal neurologic levels of motor weakness on both sides, and those patients may benefit from a higher orthosis like an HKAFO on one side and a lower orthosis contralaterally.