Improving Gait Stability in Stroke Hemiplegic Patients with a Plastic Ankle-Foot Orthosis

Abe, Hiroaki; Michimata, Akira; Sugawara, Kazuyoshi; Sugaya, Naoki; Izumi, Shin Ichi

doi:10.1620/tjem.218.193

Cited by 80 publications

(73 citation statements)

References 19 publications

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“…Walking aids such as walkers and canes may be used along with AFO. Further, use of AFO has been reported to improve step length and stride length of lower extremities, step width, cadence, walking speed and functional ambulation (Abe et al, 2009;Chu, 2001).…”

Section: Conventional Managementmentioning

confidence: 99%

Understanding gait control in post-stroke: Implications for management

Verma

Arya

Sharma

et al. 2012

Journal of Bodywork and Movement Therapies

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Section: Conventional Managementmentioning

confidence: 99%

Understanding gait control in post-stroke: Implications for management

Verma

Arya

Sharma

et al. 2012

Journal of Bodywork and Movement Therapies

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“…En cuanto al uso de otros productos de apoyo como el bastón, se permitió el uso del bastón en algunos estudios 17,67,69,71,72 , en otro no se permite su uso 70 y en tres no se especificó 56,57,61 .…”

Section: Resultados Descripción De Los Estudiosunclassified

Efecto de la ortesis de tobillo pie en el control postural tras el accidente cerebrovascular: revisión sistemática

Padilla¹,

Molina‐Rueda²,

Diego³

2014

Neurología

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“…A careful evaluation of the literature, showed how clinicians and technicians tried to demonstrate in the last years the perceptive value and rehabilitative usefulness of DAFOs to in luence the gait pro ile of adults and children affected by central or peripheral nervous system damages [7][8][9][10][11][12]. The original aspect of this study was to investigate, for the irst time, the in luence of a personalized rehabilitative model on the functional response of different ankle foot orthoses in a cohort of patients affected by neurological gait pattern.…”

Section: Discussionmentioning

confidence: 99%

“…The ''traditional''anklefoot orthoses (AFO) are rigid and designed to immobilize the ankle joint at a de ined angle. Different studies demonstrated that immobilization of the ankle joint reduces pain [7,8], stimulate proprioception [8] and enhance gait for many patients with severe locomotive disorders [9][10][11]. The current modern design of AFOs includes articulated devices capable of assisting plantar lexion during stance.…”

Section: Introductionmentioning

confidence: 99%

How does a Personalized Rehabilitative Model influence the Functional Response of Different Ankle Foot Orthoses in a Cohort of Patients Affected by Neurological Gait Pattern?

Falso¹,

Cattaneo²,

Foglia³

et al. 2017

J Nov Physiother Rehabil

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Background: Orthoses need to support physiotherapy as well as surgical treatment. Related to patient's rehabilitative goals and pathological gait pattern, orthotists have to produce an orthoses that using an adjustable ankle joint system with preloaded disc springs can store the energy brought in by the body weight and produce a tuning effect on patient's gait and sense of balance. The purpose of this study was to establish how a personalized proprioceptive individualized rehabilitative treatment could infl uence the functional response of different AFOs (Ankle Foot Orthoses) in a cohort of patients affected by neurological gait pattern. Methods:Five patients affected by different neurological gait pattern and volunteered to participate to this study were recruited. The comparative spatio-temporal and functional effect on gait pattern of 3 types of AFOs was investigated under 4 study conditions: 1) without AFO or free-walk (FW); 2) wearing a Codivilla spring, 3) wearing a carbon unjointed AFO ("Toe-Off"); 4) wearing an innovative carbon-kevlar dynamic joint DAFO (DAFONS=Dynamic Ankle Foot Orthoses with Neuroswing). In line with our rehabilitative model, patients underwent to a weekly treatment session, 80 minutes duration per session, for 4 weeks. Evaluation was made before (time T3=time of recruitment) and after our individualized rehabilitative treatment course (time T4=1 month from T3) by using: a. G-Walk sensor (by BTS) spatio-temporal measures in different gait performances; b. clinical/functional outcome measures (Modifi ed Ashworth Scale or MAS for the affected upper and lower limb; Medical Research Council or MRC; orthostatic stability evaluation by using the Berg Balance Scale or BBS).Findings: A comparative analysis of clinical and instrumental data, performed in the pre-defi ned four investigational conditions, showed:√ a statistical insignifi cant change of MRC and MAS scales at time T4, with a signifi cance trend outcome observed at the same time by using the Wilcoxon Signed Rank Test √ a statistical signifi cant difference between test duration (sec) by using Toe-Off vs DAFONS and by using Codivilla spring vs Toe-Off √ a statistical signifi cant increase of the stride length on the left side (% cycle length) by using DAFONS compared to Toe-Off for patient P1, P3 and P5 with a parameter decrease by using DAFONS compared to Codivilla spring and Toe-Off use for patient P2 √ a statistical signifi cant correlation between BBS trend and test duration (sec) by using Codivilla spring at time T3 and T4 √ a statistical signifi cant correlation between the BBS trend and the double gait support duration on the right side (% cycle) with number of left step cycles by using DAFONS at time T3 and T4 √ in a comparative post-treatment visual gait analysis a modifi cation of each patient's static and dynamic postural assessment by using 3 different types of orthoses Interpretation:In line with our study design we noted at the end of the proposed rehabilitative treatment an amelioration of gait quality with th...

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Improving Gait Stability in Stroke Hemiplegic Patients with a Plastic Ankle-Foot Orthosis

Cited by 80 publications

References 19 publications

Understanding gait control in post-stroke: Implications for management

Understanding gait control in post-stroke: Implications for management

Efecto de la ortesis de tobillo pie en el control postural tras el accidente cerebrovascular: revisión sistemática

How does a Personalized Rehabilitative Model influence the Functional Response of Different Ankle Foot Orthoses in a Cohort of Patients Affected by Neurological Gait Pattern?

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