Introduction: Hereditary motor and sensory neuropathy type 2 is a rare axonal neuropathy that causes progressive muscle weakness, sensory disturbances, and foot deformities. Due to the progression of the disease, patients are often functionally limited and require multidisciplinary management. Purpose: The aim of this thesis is to investigate the role of orthotic management and rehabilitation in adolescents and adults diagnosed with hereditary motor and sensory neuropathy type 2, as well as the fabrication of individually designed ankle-foot orthoses with orthopedic insoles for a patient with this condition. Special emphasis is placed on examining the effects of ankle-foot orthoses and orthopedic insoles on gait and stability. Methods: The thesis is based on a practical implementation carried out in two phases. The first phase included a traditional measurement procedure using plaster casts and the classic processing of the plaster model. The second phase consisted of manual finishing of the plaster positive and the fabrication of orthopedic insoles. Gait analysis was performed using a sensor platform under three conditions: without orthoses, with serial orthoses, and with individually manufactured orthoses. In addition, aspects of rehabilitation were examined, including physiotherapy, strength training, balance exercises, stretching, and hydrotherapy, supported by a review of relevant literature. Results: Gait measurements showed that walking without orthoses led to pronounced foot drop, uneven force distribution, and forefoot overload. Serial orthoses partially improved heel activation and stability, but asymmetries remained. Individually made orthoses contributed to a more even distribution of loads across the entire plantar surface, though some asymmetries remained. They were more effective in reducing the consequences of foot drop, but further optimization of the design would be advisable to achieve an even better effect. Discussion and conclusion: The results confirm that the combination of individually manufactured orthoses and targeted rehabilitation programs represents the most appropriate approach to managing hereditary motor and sensory neuropathy type 2. This approach reduces disease-related consequences, improves gait stability, and significantly contributes to maintaining functional abilities and quality of life.
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