[fire_ice]

first of all thanks for such a detailed reply,absolutely there are postural changes present in the patient although sitting on both the butts the trunk has a lateral deviation towards the unaffected side which is coz of lack of trunk control as he is afraid that he might fall if he moves his trunk over the affected side,and over time it has become a fixed postural deformity and correction is almost impossible but still maintaining what ever possible range are present in the trunk with active trunk movements F/E/R.What else can u suggest for this fixed postural deformity????
Regarding the affected upper extremity,its not being left out although is has severe contractures so it is out of question to try any functional active movement so i m just trying out keep the arm in the weight bearing stretched position,hand mobilizations, splinting,some sensory feedback .so any suggestions for here??????/will scapular mobilization have any role here??????
And why i am more concerned about lower extremity is coz the patient and the carers are mainly emphasizing on walking rather than any other thing , now for the lower extremity as u pointed out the unaffected side definitely has increased tone coz of over use and the affected side disuse,i have been using ES,weight bearing using knee immobilizers but nothing is working , one more thing that i have seen is that some amount of contraction is seen in the affected side only if he simultaneously contracts the unaffected quads ,i think it is some sort of irradiation but i m discouraging him to do so , in addition to this he is doing bridging with pelvic tilting,kneeling for hip control..any suggestions here.In how much time fibrotic changes will occur in the muscle that is in disuse?????
Regards