Specially designed to accommodate orthotics such as AFOs, SMOs and custom insoles, The Dean Adapt high top sneaker in dark gray is customizable for any child. Extra-long straps fit around orthotics but can also be cut to fit. A removable insole provides extra space if needed. The sneaker opens super wide and stays open thanks to the oval ring hinge design. 42% of this shoe is made with recycled materials. Order one size up if wearing with orthotics/AFOs. Double hook and loop strap is customizable and can be cut to fit. The straps’ unique hinge system keeps the straps open while putting shoes on. Mesh upper is lightweight and flexible Soft recycled mesh lining is sensory friendly. A removable insole provides extra space if needed Deep toe box lets little toes wiggle and flex, which builds strength Herringbone lug pattern provides great traction for play Like all SKR shoes, the Dean Adapt is anatomically-shaped, is lightweight and is flexible Machine Washable Awarded the Seal of Acceptance from the American Podiatric Medical Association (APMA) Vegan Care Instructions: Machine wash cold on gentle cycle with mild detergent. Do not bleach. Air dry.