Physical therapy for the gait, stance safety and stability of a patient with right hemiplegia after cerebral infarction

Abstract

We prescribed physical therapy for a patient with right hemiplegia following cerebral infarction 9 years prior. The patient had excess lower leg tilt to the outside in the right leg stance during walking. This interfered with safety and stability in the right leg stance. With motion, abnormal tone was observed in the right peroneal muscle and foot invertors. We prescribed direct stretching for the right foot invertors and facilitation for the right peroneal muscle. The patient showed improvement in the right leg tilt to the outside. Moreover, the patient gained safety and stability in the right leg stance during walking.