What device can assist in improving ankle dorsiflexion during the initial contact phase in patients poststroke?

An AFO (Ankle-Foot Orthosis) or FES (Functional Electrical Stimulation) is highly effective in improving ankle dorsiflexion during the initial contact phase in patients post-stroke. These devices support the foot and ankle, preventing foot drop, which is a common issue after a stroke due to muscle weakness or spasticity.

An AFO provides mechanical support by maintaining the ankle in a neutral or slightly dorsiflexed position, allowing for proper foot placement during walking, which is critical for stability and safe ambulation. This orthotic device is designed to help patients regain proper gait mechanics by facilitating appropriate ankle positioning and movement during the walking cycle.

On the other hand, Functional Electrical Stimulation (FES) can stimulate the muscles responsible for dorsiflexion, assisting in activating those muscles during walking, which helps reinforce proper movement patterns and promotes neuroplasticity in the affected areas of the brain.

Together, AFOs and FES not only help with the physical support needed for movement but also play a role in the rehabilitation process by improving motor control and facilitating better outcomes in gait training. This makes them particularly beneficial in addressing the specific needs of post-stroke patients struggling with dorsiflexion during the initial contact