During which recovery stage is it appropriate to resist hip abduction on the uninvolved side to facilitate the involved side?

The appropriate stage for resisting hip abduction on the uninvolved side to facilitate the involved side is when spasticity is resolved. In this stage, the individual typically has greater control over their movement patterns and can start incorporating more functional tasks. Resistance on the uninvolved side can provide a beneficial mechanical stimulus that encourages activation and coordination of the involved side, promoting motor learning and enhancing functional recovery.

During the flaccid period, the involved limb lacks tone and muscle activation, making it unsuitable for resistance training, as there is insufficient strength to respond effectively. Similarly, at the height of spasticity, the presence of uncontrolled muscle contractions can disrupt movement patterns, making it ineffective and possibly harmful to apply resistance at this time. When emerging voluntary control is present, while there may be some basic movement ability, the resistance applied is more effective once spasticity is resolved and the individual has further developed their motor control. Therefore, the stage following the resolution of spasticity is optimal for implementing resistance strategies.