Introduction: Stroke is clinically defined as a consequence of vascular damage to the central nervous system. It is caused by various pathological processes and risk factors, most notably hypertension. Stroke can be classified as either ischemic or hemorrhagic. Immediate treatment is essential for optimal recovery after a stroke, which is why rehabilitation should begin as early as possible. Individuals who have suffered a stroke may experience foot drop and dorsiflexor weakness in the paretic lower limb, leading to more frequent falls, tripping, and a general reduction in walking ability. Ankle-foot orthoses are among the most commonly used orthotic devices. They improve walking speed, cadence, and step length. Purpose: The purpose of the thesis was to address foot drop as a consequence of stroke and to present different types of ankle-foot orthoses as assistive devices used in the management of foot drop. The aim was also to present a post-stroke patient’s experience as a case study, with an emphasis on the course of the illness and the patient’s personal perception of it. Methods: We conducted a review of relevant professional and scientific literature on the treatment of foot drop following stroke, as well as on various types of ankle-foot orthoses used for this condition. Additionally, a case study was carried out involving a patient with foot drop resulting from a stroke. Results: Ankle-foot orthoses play an important role in stabilizing the ankle and maintaining proper foot positioning during walking. The patient began rehabilitation after the stroke with daily physiotherapy, occupational therapy, and speech therapy. Due to the effects of the stroke, he experienced foot drop, which hindered his ability to walk. A custom-made ankle-foot orthosis improved his gait pattern, and he later transitioned to a prefabricated orthosis. Discussion and conclusion: After the stroke, the patient faced numerous challenges. One of the main issues was foot drop, a common problem post-stroke that significantly impacts mobility and quality of life. Effective management of foot drop often requires a combination of various interventions, with the use of ankle-foot orthoses being crucial. Recovery requires an integrated approach that includes physical rehabilitation, emotional support, and cognitive interventions to achieve optimal outcomes. Family involvement plays an important role in rehabilitation. The patient’s motivation, self-image, and presence of psychological distress significantly influence the course and success of recovery.
|