Overview
Functional hemiparesis, particularly following stroke, is characterized by decreased lower extremity motor control, impacting ambulation and overall mobility 1. This condition significantly affects a patient's level of participation and can lead to long-term disability 1.Diagnosis
No diagnostic criteria or specific tests were mentioned in the provided abstracts.Management
Ankle-foot orthoses (AFOs) can be used to improve body function and structure, activity, and participation in individuals with poststroke hemiplegia 1.
Functional electrical stimulation (FES) can be used to improve body function and structure, activity, and participation in individuals with poststroke hemiplegia 1.Special Populations
No specific information on special populations was provided in the abstracts.Key Recommendations
AFO and FES can each increase gait speed, mobility, and dynamic balance 1. (Evidence: Strong)
AFO and FES can increase quality of life, walking endurance, and muscle strength 1. (Evidence: Moderate)References
1 Johnston TE, Keller S, Denzer-Weiler C, Brown L. A Clinical Practice Guideline for the Use of Ankle-Foot Orthoses and Functional Electrical Stimulation Post-Stroke. Journal of neurologic physical therapy : JNPT 2021. link