proprio AFO


Case example: Sensorimotor insoles after a stroke.

The right step in the right direction or: My almost perfect performance

by Nico Mohr, journalist and entertainer from ORTHOPRESS 02/2017
Nico Mohr – Journalist und Entertainer

It has now been an incredible 13 years since I was literally hit. A completely normal day ended in a health disaster. At the age of 29, I would have expected a lot back then, but not a total failure.

It was two cerebral hemorrhages and a cerebral infarction that tore me out of my almost perfect life. As a musician and presenter, my career slowly began to take shape and “on the side” I was also involved in the media world. Family, house – what more could you wish for at a young age...

After about a quarter of a year - I had a four-week coma and early rehabilitation - I came to the sobering realization that I would be more than limited in the future due to my right-sided hemiparesis. In addition, there were coordination disorders and severely weakened motor skills due to the illness. I was able to get out of the wheelchair, but my movement was robotic and leaden. This situation was unbearable for me, especially since it completely changed my everyday life.

Gangbild nach Schlaganfall ohne Einlagen
Gait pattern without insoles
Gangbild nach Schlaganfall mit Einlagen
Gait pattern with insoles

A stroke or a cerebral hemorrhage often leads to neurological deficits that limit motor function. A typical characteristic is a foot that tilts towards the outer edge with inadequate control of the foot-lifting muscles. Because the tip of the foot cannot be raised properly, those affected often get stuck, stumble and are unsteady. Sensorimotor insoles can make a good contribution to putting the foot in the correct position and stabilizing the gait.

Countless therapies made me mentally stronger, but my gait hardly changed. Fortunately, I met a very competent team from a medical supply store, which I visited as a prescription. Our journey together began with a comprehensive conversation. It became clear that my gait could be stabilized with just slight corrections. The orthopedic technician had an exciting idea in mind: I should get a sensorimotor footbed. Even though these insoles have been around for a long time, I hadn't heard of them until now. Now such insoles were adapted to my normal shoes and after just a few steps a clear change in my gait was not only noticeable, but also noticeable to me. Since I call the stage my second home, the thought of being able to "perform" with some degree of safety again sparked great excitement.

In everyday life, I alternately wear an orthosis with a sensorimotor footbed or the sensorimotor insoles in a normal shoe. The leg, which for a long time only took unsteady steps, now appears almost normal again. I still have limitations, but the rocky and lengthy path from the wheelchair to a reasonably fluid and, above all, safe gait was worth it, as you can easily see from the comparison videos of the gait analysis.

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