Transcript: After a stroke, even the most basic movements may become impaired. Learn more about how stroke-survivors work to recover their mobility. In order to move a leg, finger, or other body part, the brain must send a message to the relevant muscle through neuronal pathways. After a stroke, these pathways, or the brain itself, may be damaged, resulting in paralysis or spasticity. Paralysis is the inability to move a muscle or muscle group voluntarily. Spasticity is defined as an increase in muscle tone that makes movement difficult or uncontrollable. Spasticity can result in a tight fist that cannot be easily opened, a stiff leg, a bent elbow or a pointed foot. Paralysis and spasticity lead to balance problems. In fact, 40 percent of stroke-survivors have a serious fall in the year following their stroke, proper rehabilitation can prevent this.  The goal of rehabilitation is to make the patient as independent as possible.  Stroke survivors with mobility problems can work with a physical therapist to restore their walking ability, range of movement, and balance. Physical therapy is used to treat spasticity. A therapist will work daily with the patient, gently stretching tight muscles and repositioning body parts, in an effort to restore normal movement.  Occupational therapy is another primary part of rehabilitation. It involves relearning skills necessary for everyday life, such as dressing, eating and using the bathroom. Many prescription medications are also available to help treat the effects of spasticity and paralysis. A group of drugs called benzodiazepines act on the GABA receptor in the central nervous system to relax muscles and ease the effects of spasticity. Valium, or diazepam, and Klonopin, or clonazepam, are often recommended. Tizanidine, which is marketed under the name Zanaflex, works in the central nervous system to relax muscles. Tizanidine’s effect is short-acting and should be saved for times when immediate relief is needed. Medications such as Dantrolene sodium and baclofen, are other options for easing the contractions, tightness and paralysis of muscles. Assistive devices can improve safety and increase movement around the home. Ramps, grab bars, raised toilet seats, and tub benches are all useful options.  Movement aids, including leg braces, walkers, and wheelchairs can help stroke survivors have more independent mobility. Often, these aids provide only temporary assistance until the stroke survivor recovers.  After a stroke, a person can experience difficulty with what were once simple tasks. It’s important to be patient and understanding during the rehabilitation process.  Decreased mobility after a stroke can be devastating, but there are many treatments that can help. Work closely with a doctor and therapist to devise a rehabilitation plan that fits.