Stroke Post-stroke gait dysfunction Hemiparetic gait Foot drop Stroke Hemiparesis Ankle-Foot Orthoses Gait Walking Rehabilitation Stroke Rehabilitation Foot Drop Orthotic Devices Mobility Limitation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adults aged 18 years or older 2.Diagnosis of ischemic or hemorrhagic stroke confirmed by medical records 3.Presence of gait dysfunction related to impaired ankle control, such as reduced foot clearance or toe drag during walking 4.Ability to ambulate at least 10 meters with or without a walking aid 5.Medically stable and able to follow simple instructions 6.Willingness to participate and provide written informed consent, In cases where the participant is unable to sign, a fingerprint may be used in place of a signature, or a legally authorized representative may sign on behalf of the participant, with the presence of a witness.
Exclusion criteria
Exclusion criteria: 1.Severe cognitive impairment or communication disorder that precludes understanding of study procedures 2.Severe lower limb musculoskeletal conditions unrelated to stroke that significantly affect gait (severe osteoarthritis, recent fracture) 3.Fixed ankle contracture or severe deformity preventing proper fitting of the ankle foot orthosis. 4.Other neurological conditions affecting gait (Parkinson's disease, peripheral neuropathy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gait speed baseline, immediately use of AFO and 2 weeks after intervention 10-Meter Walk Test (10MWT) | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional walking ability baseline, immediately use of AFO and 2 weeks after intervention Functional Ambulation Category,Toe Drag during walking with device baseline, immediately use of AFO and 2 weeks after intervention Toe drag will be assessed during the 10-Meter Walk Test (10MWT) ,User satisfaction 2 weeks after intervention 5-point Likert scale questionnaire,Adherence 2 weeks after intervention daily AFO usage duration (hours per day),Safety 2 weeks after intervention Falls, Near-falls, Device-related complications (e.g., skin irritation, pressure areas, or wounds) | — |
Countries
Thailand
Contacts
Rehabilitation department, Chonburi hospital