These Tsukihoshi shoes are AFO-friendly (ankle-foot orthotic) for their continued stability, support, and comfort. Textile and synthetic leathersneakers are designed for the comfort and health of children's feet. All Tsukihoshi shoes run wider than normal medium width shoes. Run further and longer with the sweet look of the Tsukihoshiâ"¢ Euro. Machine washable synthetic leather and nylon mesh upper. Thick hook-and-loop strap creates an easy on/off. Firm Heel Counters to support active feet. Green Tea infused removable insole. Features Flex-Joint Outsole, which allows foot to bend properly. It is recommended that you order a half size down for this item. If your child is a size 10, you would order a size 9.5. Ultra-lightweight for easy movement. Tsukihoshi Toes - Free Your Toes - Generous forefoot construction allows toes to splay naturally for superior balance and comfort. Awarded the Seal of Acceptance from the American Podiatric Medical Association (APMA). Measurements: Weight: 5 oz Product measurements were taken using size 9 Toddler, width M. Please note that measurements may vary by size. Weight of footwear is based on a single item, not a pair.