Stroke and the orthotic approach
An overview of the process, rehabilitation stages and supportive orthosis options for movement and balance difficulties after a stroke.
Stroke and the orthotic approach
A stroke occurs when the blood flow to part of the brain is interrupted, affecting the functions of that area. Depending on the area affected, difficulties of varying degrees may be seen in movement, balance, speech and daily skills.
The recovery process varies from person to person and requires a multifaceted approach. Physiotherapy, occupational therapy and, where considered appropriate, supportive orthoses are assessed through teamwork as part of the rehabilitation plan. Diagnosis and treatment decisions are made only through a physician's assessment.
What is a stroke?
Brain tissue needs a continuous flow of blood and oxygen to maintain its functions. Interruption of this flow or damage to a blood vessel can affect the function of nerve cells in the affected area. As a result, changes may occur in the movement or sensory functions controlled by that area.
- Loss of strength or change in sensation on one side of the body
- Difficulty with balance, walking and coordination
- Effects on speech, vision or daily skills
Known risk factors
The assessment and management of the factors below are carried out under a physician's follow-up; this content is for informational purposes.
High blood pressure
Uncontrolled high blood pressure is considered among the important factors affecting vascular health.
Heart and vascular conditions
Some heart and vascular conditions are taken into account in risk assessment.
Lifestyle factors
Factors such as physical inactivity and an unbalanced diet can affect general vascular health.
Other health conditions
Some conditions, such as diabetes, are among the factors assessed by the physician.
Types of stroke
Stroke is generally considered in two groups according to the underlying mechanism. The distinction and treatment decision are made only by a physician.
Ischemic stroke
A condition that arises when blood flow is reduced due to the blockage of a vessel supplying the brain.
Hemorrhagic stroke
A condition that develops when a vessel is damaged and bleeds into the brain tissue.
Effects on movement
One of the most frequently observed effects after a stroke is loss of strength or difficulty with control in the muscles on one side of the body. This can affect walking pattern, use of the arm and balance. Over time, tension in the muscles (spasticity) may also develop.
- Difficulty controlling the foot and ankle, difficulty walking
- Loss of skill in arm and hand movements
- Changes in posture and balance
Stages of the recovery process
Early Period
After acute care, early mobilization and positioning work is planned under the physician's guidance.
Intensive Rehabilitation
Movement skills and participation in daily activities are supported through physiotherapy and occupational therapy.
Long Term
Follow-up and adjustments are made to maintain the skills gained and to adapt to daily life.
Follow-up
The support solutions and orthoses used are checked and adapted according to changing needs.
The supportive role of an orthosis
Orthoses may be considered as part of the rehabilitation plan in order to maintain joint alignment, support walking and contribute to daily activities. In conditions such as foot drop, ankle-foot orthoses may come into consideration, and when the arm is affected, arm-hand orthoses may be considered. The orthosis is selected according to the person's condition and the physician's assessment.
Supportive orthotic solutions
The solutions below are for informational purposes; suitability and selection are determined by a physician's assessment.
Ankle-foot orthoses
Intended to contribute to walking pattern and balance by supporting the foot and ankle.
Arm and hand orthoses
Dynamic orthotic solutions intended to support the alignment and position of the arm and hand area.
Frequently asked questions
Does an orthosis correct walking?
Orthoses are a supportive part of the treatment plan; the aim is to support walking pattern and comfort in daily activities. Results vary from person to person and are determined by a physician's assessment.
When does rehabilitation start?
The scope and timing of rehabilitation are determined by the physician according to the person's condition. The process is planned through teamwork.
How long should I use the orthosis?
The duration and method of use are determined by the physician according to the person's condition; regular check-ups are recommended.
This content is for informational purposes; consult your physician for diagnosis and treatment. Fittings are carried out at our licensed center addresses in line with a specialist physician's prescription/medical report.