For a patient with right hemiplegia, how should shoes be constructed?

In the case of a patient with right hemiplegia, it is important to consider how the foot and ankle function on both sides when devising shoe construction. The goal is to provide adequate support and stability for the hemiplegic side while allowing for optimal movement and balance.

For the right shoe, where the patient experiences hemiplegia, a lateral D ring with a medial strap is typically used. This setup is designed to secure the shoe on the outer side, preventing excessive movement that could lead to instability or falls. The medial strap assists in holding the foot in an appropriate position, offering necessary support for the weakened side.

For the left shoe, employing a medial D ring with a lateral strap helps in providing the proper fit without compromising the patient's ability to walk or stand effectively. The medial D ring secures the shoe to the foot while the lateral aspect allows for some flexibility and movement, accommodating the stronger side of the patient.

Overall, this construction allows for a stable yet adaptable shoe design that considers the unique needs and limitations of a patient with right hemiplegia, focusing on the dynamics of each foot and foot's positioning in relation to stability and mobility.