Stroke / Hemiplegia

Stroke is a leading cause of long-term adult disability in the United States, with survivors frequently experiencing hemiplegia or hemiparesis — weakness or paralysis on one side of the body. Neurological rehabilitation and orthotic intervention go hand in hand: the right brace at the right time can restore functional gait, prevent contractures, and support the neuroplastic recovery process. RCAI’s stroke and hemiplegia orthotic solutions are designed to work alongside therapy, not replace it.

Common Causes of Stroke / Hemiplegia

• Ischemic stroke (blocked blood vessel) accounts for approximately 87% of all strokes
• Hemorrhagic stroke (ruptured blood vessel) — often more severe
• Hemiplegia: complete paralysis on one side of the body
• Hemiparesis: partial weakness on one side
• Spasticity: increased muscle tone causing stiffening and painful contractures
• Foot drop: inability to lift the front of the foot during gait (very common post-stroke)
• Wrist and hand drop: weakness of wrist and finger extensors
• Shoulder subluxation: partial dislocation due to loss of rotator cuff tone

Common Symptoms:

• Impaired walking speed, balance, and increased fall risk
• Difficulty with fine motor tasks: dressing, eating, writing
• Reduced arm and hand function on the affected side
• Spastic equinus foot positioning (toe-walking gait)
• Communication and cognitive challenges (depending on lesion location)

Products designed for your recovery

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Post-Stroke Rehabilitation Approaches:

• Physical therapy focused on gait retraining and balance
• Occupational therapy for upper extremity function and ADLs
• Ankle foot orthosis (AFO) for foot drop and equinus correction
• Wrist-hand orthosis (WHO) for wrist drop and spasticity management
• Shoulder support/sling for subluxation prevention
• Functional electrical stimulation (FES) to stimulate paretic muscles
• Constraint-induced movement therapy (CIMT)
• Medications: botulinum toxin (Botox) for spasticity management
• Robotics-assisted therapy and virtual reality rehabilitation

How Orthotics Support Stroke Recovery:

Orthotic devices for stroke patients serve two key roles: compensatory (substituting for lost function to restore independence) and rehabilitative (positioning the limb correctly to reduce spasticity and support neuroplastic recovery). An AFO corrects the drop foot gait pattern, reduces energy expenditure by up to 30%, and improves walking confidence. Wrist and hand orthoses prevent flexion contractures in spastic limbs during the early rehabilitation phase. RCAI’s stroke orthotic systems are lightweight, low-profile, and designed to fit inside standard footwear for maximum comfort and compliance.

All products are available with a physician’s prescription. Contact your healthcare provider or orthotist to determine the right brace for your condition.