Hemiplegia is a major consequence of stroke survivors and contributes significantly to the neuromuscular dysfunction such as hemiparesis with common residual disability with an abnormal muscle tone. Clinicians often face difficulties to identify an appropriate assistive device. This study helps to determine better assistive devices for prescription.

: A simple walk way method has been used to take different data from all the groups with extensive review of literature. Material used as dynamic ankle foot orthotic, FES, EMG analyser with power laboratories, electrodes and signal analysis, interpreted EMG data GAIT analysis with two different types of assistive device. The root mean square values (RMS) and median frequency (MF) were applied to evaluate the EMG studies in GAIT through SPSS. Experimental hypothesis is the combination of hybrid ankle foot device with FES effectiveness than the conventional dynamic device in terms of physiological cost index, energy consumption and GAIT. The null hypothesis is reverse effectiveness.

Post data analysis in experimental and controlled group shows choosing ana appropriate method, the result obtained after statistical analysis between the two groups and an independent t test. No significant difference found in step length, physiological cost index, 
Root mean square value, step length, cadence except the velocity and main frequency in tibialis anterior and significant differences found in pre (1 87+ 0 834) and post (1 27+ 0 458) in modified Ashworth scale.

Use of a hybrid assistive device with FES improves the standing, walking, climbing with stairs for the improvement in CVA patients. The purpose of the assistive device is to provide stability and freedom of the body by reduction of muscles that require electrical stimulation reducing muscle fatigue and energy consumption and increasing stride length and walking speed, significant walking speed cadence stride length and step length measured in all control groups and experimental groups.

The result of this study shows that the combination with neuromuscular electrical stimulation with a dynamic ankle foot orthotic device reduces spasticity in upper motor neuron lesions and provides better performance in all gait parameters.