How should you position a resident to prevent foot drop?

• A. Use footboards or proper pillow support and keep feet in a neutral position
• B. Tie the feet to the bed to prevent movement
• C. Keep feet pointed downward at all times
• D. Raise the feet above heart level

Answer: (A)

Maintaining a neutral position of the feet with proper support is essential to prevent foot drop. When the ankles are kept in a neutral or slight dorsiflexion position, the calf muscles and Achilles tendon stay stretched appropriately and are less likely to shorten into plantar flexion. Using footboards or a supportive pillow arrangement helps hold the feet and ankles in that neutral alignment, reducing the risk of contractures and making it easier to regain normal movement later.

Tying the feet to the bed is unsafe and inappropriate because it restricts circulation and movement and can cause injury or skin breakdown. Keeping the feet pointed downward (plantar flexion) encourages shortening of the calf muscles and can lead to contractures. Elevating the feet above heart level isn’t aimed at preventing foot drop and can alter alignment or circulation in ways that don’t address the risk of contractures. Frequent repositioning and skin checks should accompany the neutral positioning to protect overall comfort and safety.