The professional shift toward the use of the movement system framework for pediatric physical therapy provides an opportunity to look closely at the basis for orthotic treatment recommendations. As movement system experts, physical therapists are uniquely suited to organize and integrate information based on a patient’s health condition, the kinesiopathological model, and task analysis. Prioritization of one area of the ICF model versus another may lead to drastically different orthotic recommendations, as a device which supports optimal development of Body Functions and Structures may decrease short term efficiency for Activities. Physical therapists must facilitate discussions with patients and families to select individualized and targeted orthotic intervention. This session will encourage physical therapists to work with patients, families, and team members to prioritize individual goals in the context of the ICF model. Based on a developmental kinesiopathological framework, movement impairment syndromes for the pediatric foot and ankle will be proposed for discussion. Session participants will then have the opportunity to discuss prioritization of goals for sample patients and develop individualized recommendations.