Abstract: The objective of this study is to explain the importance of use of AFOs and exercise in children with toe walking due to calf muscle tightness, to provide advance rehabilitation techniques that can reduce the effects of progressive contractures, postural deformities and imbalance and to explain the best treatment and guidelines to parents to make the child maximum independent. This is an experimental based study in which participants are randomly selected. Fifty male and female participants (children) of age between 03 yrs –12 yrs are selected who presents with toe walking due to tightness in Achilles tendon. All participants are assessed prior to treatment and then reassessed after three month of therapy. Data was collected through an assessment form. Data was analyzed by the paired T-test statistics .The result shows a significant difference (p=0.00) in the variables of cadence, pain (VAS), ankle dorsiflexion & planter flexion range (p<0.005).The mean result for pre and post cadence is (-5.820), post treatment cadence improved because of achieving improved ankle dorsiflexion range. The study demonstrated that use of AFOS and exercises can achieve good ankle function and range of motion can be improved .The study shows that children with Toe walking due to Achilles tendon tightness can improve their walking pattern and ADLs by the use of AFOS & exercises.