The child should stand on the ramp with their heels close to the lowest corner of the slope. The feet can be pointing directly forward or angled outwards. The compound slope angle will ensure the required level of dorsiflexion in any position with the heel positioned towards the lowest corner of the ramp.

The child should be encouraged to stand on the ramp with a straight and upright posture. If the child needs to push their bottom out, raise their heels or shows signs of discomfort then the angle is too high and a lower slope angle should be selected.