Contracture - Daily stretching of the hemiplegic limbs to avoid contractures, and patients and families should be taught proper stretching techniques to avoid injury and to maximize effectiveness., Pressure Sores - Regular assessment of skin and the use of objective scales of risk such as the Braden scale and regular skin inspection with documentation., DVT - Intermittent pneumatic compression/ sequential compression devices spur blood flow by intermittently applying pressure on the calf muscles and vasculature. Elastic compression stockings/graduated compression stockings, promote venous blood flow by applying a pressure gradient from the ankle more proximally., Incontinence - Because of the risk of skin breakdown, the social stigma, and the burden of care associated with incontinence, management of bowel and bladder continence is an essential part of the rehabilitation process., Shoulder Subluxation - For people in wheelchairs, lap trays and arm troughs might be useful positioning devices. The use of slings, especially during ambulation training to protect the shoulder from injury. Adjuvant treatments, including strapping, acupuncture, and neuromuscular electrical stimulation (NMES)., Falls - The impairments in balance, gait, motor control, perception, and vision contribute to a heightened fear of falling in individuals with stroke. Fear of falling can lead to reduced levels of physical activity and deconditioning.,
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