Diagnoses and Symptoms


Ottobock’s full upper extremities solutions provide support for the shoulder, elbow, wrist, hand, and fingers to promote rehabilitation post-stroke.


Frequency, symptoms, and rehabilitation

In approximately 79% of all stroke cases, a blood vessel that supplies the brain is blocked, e.g. by a blood clot. This results in an insufficient blood supply. Nearly 13% of patients suffer exactly the opposite; namely, bleeding in the brain due to damaged vessels. In both cases, the supply of blood to certain regions of the brain is no longer sufficient due to a local circulatory disturbance.



Every year, more than 795,000 people in the United States have a stroke, 610,000 of which are first-time cases. Stroke is a leading cause of long-term disability. More than half of stroke survivors aged 65 and over have reduced mobility as a result. Strokes cost the United States an estimated $34 billion each year, including the cost of healthcare services, medications to treat stroke, and missed days of work.



The symptoms of a stroke and their severity can vary considerably between individuals. They include:

  • Impaired vision

  • Limited field of vision

  • Disturbances in spatial perception, double vision

  • Speech and speech comprehension disorders

  • Paralysis, numbness

  • Impaired sense of touch

  • Drooping at the corner of the mouth – the leg and arm may exhibit similar symptoms (drop foot and drop hand)

  • Shoulder pain

  • Unstable knee joint function while standing

  • Torso instability

  • Dizziness with uncertain gait

  • Spasticity in various forms and degrees of severity





Stroke rehabilitation is designed to help stroke survivors become as independent as possible and attain the best possible quality of life. While rehabilitation cannot reverse the brain damage that occurs as a result of the stroke, it can help survivors relearn skills when part of the brain is damaged.


What to expect

Rehabilitative therapy typically begins in the acute-care hospital after the individual’s condition has been stabilized. Rehabilitation can include working with speech, physical, and occupational therapists. For some stroke survivors, rehabilitation to maintain and refine skills can continue for months and even years after the stroke.


Designed to work together

Research suggests starting rehabilitation within the first two weeks of stroke is beneficial to patients [1]. Ottobock’s full upper extremities solutions provide support for the shoulder, elbow, wrist, hand, and fingers to promote rehabilitation post-stroke. Wearing the Omo Neurexa Plus and the Manu Neurexa Plus together better repositions the shoulder to work against spasticity, and adding the Palmar Splint provides additional support for the hand and fingers. The WalkOn AFOs improve stability, allowing a more symmetrical gait in conjunction with the upper extremity orthoses. Together, Ottobock’s combined solutions increase functionality for patients, resulting in better care and improved patient outcomes.

[1] Coleman ER, Moudgal R, Lang K, et al. 2017

Back to everyday activities: three steps to an Ottobock orthosis

  1. Here you’ll find an overview of all the orthoses and supports that could potentially help you. Take the list with you to your next doctor’s appointment.
  2. Talk to your doctor about which orthotic device is best suited to your symptoms and condition. Your doctor can then write you a prescription for the appropriate orthotic device.
  3. Take your prescription to an O&P professional. They'll work with you to get the medical devices you need.

Ottobock orthoses and supports for stroke

The illustrated products represent treatment examples. Many different factors determine whether a product is suitable for you and whether you are capable of taking full advantage of the functionality of the product. Based on a detailed examination (anamnesis), your doctor and O&P professional will work with you to determine the treatment that is likely to be most suitable for you.