Jennifaye Brown, PT, PhD, NCS presents. Stroke-related leg weakness requires an ankle foot orthosis (AFO) and long-term use may signify persistent impairment, resulting in chronic illness perception. Individuals with unilateral stroke (IwS) ages 30-65 walking at least 10 feet with custom hinged or solid AFO for at least one month discussed AFO impact on recovery. Qualitative analysis of semi-structured interviews generated information regarding AFO appearance, fit and function. Six themes resulted: AFO impact, innate AFO properties, AFO modifications and maintenance, self-perceptions, communication, and future recommendations. Consistent with previous research, AFOs were seen as beneficial for walking but limiting advanced mobility. Functional recovery was valued less and motor return more because AFO use signified body “weakness” rather than body function for walking. AFOs limited clothing and shoe options, diminishing the power of choice. Orthotists and physical therapists should engage in shared decision-making process with IwS about AFO options and modifications during motor recovery and consider attire preferences.

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