Hemiparesis (stroke-related)

Client sought pedorthic intervention following completion of the recovery phase post-CVA episode. She was fitted with bilateral custom-made orthopaedic footwear produced on 3D-foot lasts. The footwear features a carbon fibre midsole plate to limit flexion and increase propulsive forces at the push-off phase, and an elongated medial heel counter to support midfoot collapse. The footwear are fitted with a pair of custom CADCAM sensorimotor foot orthoses to stimulate the peroneal tendon and tibialis anterior tendon, along with a rearfoot medial wedge, forefoot valgus extension, and under digit lift. The Right sensorimotor orthosis was fitted onto a carbon-fibre WalkOn Flex ankle foot orthosis.

The client has achieved an increase in functional capacity due to her improved mobility when utilising the assistive technology. The devices work in unison to provide toe-up assist and sufficient clearance at toe-off addressing the foot drop, appropriate accommodation of digital deformities, reduction of ground reaction forces and plantar pressure on the metatarsal ball relieving the metatarsalgia, and improvement in balance and coordination.