Jacqueline Montgomery

Improvement of Physical Function after Stroke: Surgical and Orthotic Management†

Initial and subsequent programs for the orthotic and surgical management of the post‐stroke patient are outlined, particularly with regard to impairment of the lower extremities in hemiplegic patients. New developments in functional electrical stimulation are described.

Therapy evaluation and management of patients with hemiplegia.

Appropriate treatment of the hemiplegic patient depends on a thorough evaluation of sensation and motion in the affected extremities. Realistic goals for self-care, mobility, home, and community skills may be then established. The basic role of therapy when dealing with a stroke patient includes preventing and correcting deformities, improving a patients functional ability, and increasing strength, control, and upper extremity use when appropriate. Medical intervention may be necessary to augment the occupational and physical therapy programs in the areas of relief of pain and correction of deformities.