Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke

Paula, Gabriela Vieira de; Silva, Taís Regina da; Souza, Juli Thomaz de; Luvizutto, Gustavo José; Bazan, Silméia Garcia Zanati; Módolo, Gabriel Pinheiro; Winckler, Fernanda Cristina; Antunes, Letícia Cláudia de Oliveira; Martin, Luís Cuadrado; Costa, Rafael Dalle Molle da; Bazan, Rodrigo

doi:10.1097/md.0000000000017317

Cited by 11 publications

(10 citation statements)

References 26 publications

(25 reference statements)

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“…The particular results of ankle strength and balance in the two groups can be approached regarding the foot and ankle’s specific biomechanics and involvement in postural balance. Besides, the study results emphasize the importance of ankle functionality and stability in stroke patients [ 44 ]. Another significant contribution on the outcomes is the combination of MT exercises which improves muscle strengths and dedicated VR technology for rehabilitation which incorporates augmented feedback with visual mirror feedback, enriching the individual’s perception of the environment, through visual, hearing and proprioception stimulation [ 45 , 46 ].…”

Section: Discussionmentioning

confidence: 96%

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Miclăuş

Roman

Henter

et al. 2021

IJERPH

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More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group (n = 31) received VR therapy and MT, while the control group (n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength (p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups (p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion (p < 0.05, Cohen’s d 0.693), muscle strength (p < 0.05, Cohen’s d 0.924), lower extremity functionality (p < 0.05, Cohen’s d 0.984) and postural balance (p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.

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Section: Discussionmentioning

confidence: 96%

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Miclăuş

Roman

Henter

et al. 2021

IJERPH

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“…Stroke is one of the most common causes of impairment for motor function and gait in adults [41], which also depends on the location and severity of brain damage. The main motor issues in stroke survivors are movement limitations, changes in muscle tone, spasticity and impaired motor control [42]. In addition to motor dysfunctions, sensory functions such as visual and vestibular inputs are altered in stroke [43].…”

Section: Discussionmentioning

confidence: 99%

Immersive Virtual Reality in Stroke Patients as a New Approach for Reducing Postural Disabilities and Falls Risk: A Case Series

2020

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Stroke is a neurologic disorder considered the first cause of disability worldwide due to motor, cognitive, and sensorial sequels. Balance dysfunctions in stroke survivors increase the risk of falls and physiotherapeutic rehabilitation is essential to reduce it. Virtual reality (VR) seems to be an alternative to conventional physiotherapy (CT), providing virtual environments and multisensorial inputs to train balance in stroke patients. The aim of this study was to assess if immersive VR treatment is more effective than CT to improve balance after stroke. This study got the approval from the Ethics Committee of the University of Almeria. Three chronic ischemic stroke patients were selected. One patient who received 25 sessions of immersive VR intervention for two months was compared with another patient who received equivalent CT and a third patient with no intervention. Balance, gait, risk of falling, and vestibular and visual implications in the equilibrium were assessed. After the interventions, the two patients receiving any of the treatments showed an improvement in balance compared to the untreated patient. In comparison to CT, our results suggest a higher effect of immersive VR in the improvement of balance and a reduction of falls risk due to the active upright work during the VR intervention.

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“…Modern robotics have made tremendous progress and contribution to healthcare as they can help physicians perform various tasks (74)(75)(76)(77)(78)(79)(80). Robotic adoption is increasing tremendously in hospitals-robotics help regain and improves the function in both upper and lower extremities.…”

Section: Roboticsmentioning

confidence: 99%

The Application of Technological Intervention for Stroke Rehabilitation in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Selamat

Ainuddin

et al. 2022

Front. Public Health

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BackgroundThe technological intervention is considered as an adjunct to the conventional therapies applied in the rehabilitation session. In most high-income countries, technology has been widely used in assisting stroke survivors to undergo their treatments. However, technology use is still lacking in Southeast Asia, especially in middle- and low-income countries. This scoping review identifies and summarizes the technologies and related gaps available in Southeast Asia pertaining to stroke rehabilitation.MethodsThe JBI manual for evidence synthesis was used to conduct a scoping study. Until September 2021, an electronic search was performed using four databases (Medline, CINAHL, Scopus, ASEAN Citation Index). Only the studies that were carried out in Southeast Asia were chosen.ResultsForty-one articles were chosen in the final review from 6,873 articles found during the initial search. Most of the studies reported the implementation of technological intervention combined with conventional therapies in stroke rehabilitation. Advanced and simple technologies were found such as robotics, virtual reality, telerehabilitation, motion capture, assistive devices, and mobility training from Singapore, Thailand, Malaysia, and Indonesia. The majority of the studies show that technological interventions can enhance the recovery period of stroke survivors. The consultation session suggested that the technological interventions should facilitate the needs of the survivors, caregivers, and practitioners during the rehabilitation.ConclusionsThe integration of technology into conventional therapies has shown a positive outcome and show significant improvement during stroke recovery. Future studies are recommended to investigate the potential of home-based technological intervention and lower extremities.

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Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke

Abstract: Supplemental Digital Content is available in the text

Cited by 11 publications

References 26 publications

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

Immersive Virtual Reality in Stroke Patients as a New Approach for Reducing Postural Disabilities and Falls Risk: A Case Series

The Application of Technological Intervention for Stroke Rehabilitation in Southeast Asia: A Scoping Review With Stakeholders' Consultation

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