Abstract

Stroke can cause hemiplegic symptoms in upper and lower limbs, which need a variety of management techniques. Orthotic devices can improve mobility, reduce the risk of falls and enhance rehabilitation; all multidisciplinary team members need to be familiar with them. Devices include ankle-foot orthoses to improve mobility and dropped foot, and dynamic elastomeric fabric orthoses to manage tone and biomechanical deficit in neurological conditions, including stroke. Functional electrical stimulation (FES) can be used to train and strengthen muscles, reduce spasticity and as part of the walking process. Orthotic devices and FES can improve functional outcomes, reduce length of hospital stay and reduce carer burden, so are cost effective as well as assisting in stroke rehabilitation.

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