What can clinicians provide to improve dynamic balance in individuals with poststroke hemiplegia?

To improve dynamic balance in individuals with poststroke hemiplegia, the use of an Ankle-Foot Orthosis (AFO) or Functional Electrical Stimulation (FES) is particularly effective. AFOs are designed to support the ankle and foot, enhancing stability and promoting proper gait patterns. By providing this support, AFOs can contribute to improved balance during movement, which is crucial for individuals who often face challenges maintaining stability due to weakened muscles or lack of coordination following a stroke.

FES, on the other hand, uses electrical signals to stimulate muscle contractions, which can help in restoring functional movement patterns and improving overall limb control. This is especially beneficial during dynamic activities like walking or navigating uneven surfaces, where balance is continuously challenged.

The combination of these devices not only enhances postural control but also facilitates the practice of movement strategies that allow for safer mobility. Consequently, incorporating either AFO or FES into rehabilitation programs can significantly support individuals with hemiplegia in their recovery efforts, ultimately leading to improved balance and greater independence.