If a patient has right hemiplegia, how should shoes be constructed for them?

In the context of designing shoes for a patient with right hemiplegia, the structure of the footwear is crucial to provide support, stability, and comfort. Right hemiplegia indicates that the right side of the body is affected, which typically includes muscle weakness or paralysis. Therefore, when constructing the shoes, the goal is to enhance function and safety while accounting for the functional limitations on the affected side.

Choosing a medial D ring and lateral strap for the left shoe allows for better support and control on the stronger side of the patient’s body. It enables secure fitting which can help push-off during walking. For the right shoe, using a lateral D ring and a medial strap helps stabilize the foot, ensuring that the shoe does not come off easily, as the patient may struggle with muscle control and balance on that side. Additionally, the medial strap helps to maintain foot alignment, which is essential to prevent conditions like foot drop or instability that could arise from compensatory gait patterns.

This specific configuration also facilitates the adjustment of the shoe lacing, which can be beneficial for ease of use by the patient or caregiver. Overall, option C effectively addresses the needs of a patient with right hemiplegia by ensuring that both shoes are tailored to provide the