Applying braces to the legs in the rehabilitation of hemiplegic patients calls for discrimination. A brace that aids in standing may hinder walking; a patient who needs the knee support of a long brace at first may eventually become able to walk as well with either a short leg brace or none at all. The history of a 61-year-old man after sudden onset of total right-sided paralysis and aphasia illustrates the importance of frequent, apparently minor adjustments in determining the progress of the patient. Bracing is a significant consideration in the management of some hemiplegic patients. When it is necessary, a prompt and judicious choice should be made among devices of the kind here described, and frequent inspection and adjustment may be necessary.
Kenneth C. Archibald. LEG BRACING IN HEMIPLEGIA. JAMA. 1959;171(8):1061–1065. doi:10.1001/jama.1959.03010260017004