Your patient recently experienced an ischemic stroke involving the middle cerebral artery (3 weeks ago).You evaluate the patient in the inpatient rehabilitation setting and the patient is able to walk 10 ft with moderate to maximal assistance of two people.The patient demonstrates a medial/lateral wobble of the right ankle in mid-stance during gait.Based on the diagnosis,prognosis,and stage of rehabilitation,you opt for which of the following approaches to address the ankle instability for gait training:

Question

Quizplus · Accepted Answer

DGiven the patient's recent ischemic stroke and current stage of rehabilitation, both a compensatory approach with an ankle foot orthosis (C) and a compensatory approach with functional electrical stimulation (D) are appropriate choices. The compensatory approach aims to adapt to the patient's current level of function and provide immediate support for the ankle instability, which is crucial in the early stages of stroke rehabilitation. An ankle foot orthosis can provide the necessary support to stabilize the ankle, while functional electrical stimulation can help in activating the muscles around the ankle to improve stability and gait pattern.

Your Patient Recently Experienced an Ischemic Stroke Involving the Middle