Which device should clinicians consider for enhancing mobility in individuals with decreased lower extremity motor control after a stroke?

In the context of enhancing mobility for individuals who have experienced a stroke and have decreased lower extremity motor control, considering devices like an AFO (Ankle-Foot Orthosis) and FES (Functional Electrical Stimulation) can be quite beneficial.

An AFO helps to maintain the alignment of the foot and ankle, providing support that is crucial for improving stability and facilitating walking. It addresses issues such as foot drop, which is common after a stroke, enabling better foot clearance during gait. By stabilizing the ankle, the AFO can improve overall mobility and reduce the risk of falls, allowing individuals to engage more effectively in rehabilitation exercises and daily activities.

Conversely, FES provides electrical stimulation to the muscles to enhance limb movement and improve the functional ability of those muscles. This technology can augment voluntary movement, helping stimulate muscle contractions that can improve gait patterns and overall mobility. It can also encourage muscle re-education and improve neuromuscular functioning, which is particularly important for stroke recovery.

The combination of using both devices together or choosing one based on the patient's specific needs can maximize the benefits of rehabilitation efforts. Thus, clinicians often consider utilizing either an AFO or FES, or both, to enhance mobility in their patients recovering motor