The effect of an AFO-shaped elastic band on drop-foot gait in patients with central neurological lesions

Hwang, Young-In; Yoo, Won-gyu; An, Duk-Hyun; Heo, Hyo-Jin

doi:10.3233/nre-130858

Cited by 9 publications

(10 citation statements)

References 19 publications

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“…Some researchers reported no significant changes in the walking velocity using AFOs [5,23], but in other studies reported that the walking velocity increased when an AFO was worn [24][25][26][27]. One study used an AFO with an elastic band similar to that in the current study and reported a significant increase in velocity [23] [ 19]. Some authors suggested that increased speed using an AFO is caused by the preservation of the first rocker at the initial contact and enhanced weight acceptance [28].…”

Section: ⅳ Discussionmentioning

confidence: 61%

“…The sample size was similar to that reported in previous studies [17,18]. The inclusion criteria were as follows: (a) diagnosis of hemiplegia due to hemorrhagic or ischemic stroke; (b) more than six months elapsed since the stroke; (c) ability to follow simple instructions; and (d) ability to walk independently or using assistive devices [19]. The exclusion criteria were (a) medical problems other than a neurological lesion that affected the gait patterns, (b) bilateral limb involvement [19], (c) score>2 on the modified Ashworth scale, and (d) premorbid or current orthopedic problems related to the feet [19].…”

Section: Participantsmentioning

confidence: 99%

“…The inclusion criteria were as follows: (a) diagnosis of hemiplegia due to hemorrhagic or ischemic stroke; (b) more than six months elapsed since the stroke; (c) ability to follow simple instructions; and (d) ability to walk independently or using assistive devices [19]. The exclusion criteria were (a) medical problems other than a neurological lesion that affected the gait patterns, (b) bilateral limb involvement [19], (c) score>2 on the modified Ashworth scale, and (d) premorbid or current orthopedic problems related to the feet [19]. All participants provided informed consent prior to the study, which is in keeping with the requirements of the Human Ethics Committee of Hoseo University Faculty (1041231-170810-HR-060-02).…”

Section: Participantsmentioning

confidence: 99%

“…Based on the very strong decrease in stance time and swing time in the present study, it was concluded that the treatment of foot-drop could play an important role in improving the walking pattern of stroke patients. On the other hand, the E-AFO could not provide sufficient medio-lateral stability to increase the walking velocity and step length of the less-affected side based on research using an elastic band as an assistive device[19].…”

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confidence: 99%

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Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke

Hwang

2020

KSPM

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PURPOSE: Many patients with stroke have difficulties in walking with foot-drop. Various types of ankle-foot orthoses (AFOs) have been developed, but their weight needs to be reduced with the assistance of the ankle dorsiflexor. Therefore, an elastic AFO (E-AFO) was devised that not only improves the stability and flexibility of the ankle but also assists with ankle dorsiflexion while walking. This study examined the effects of an E-AFO, on the walking patterns of foot-drop patients with stroke. METHODS: Fourteen patients walked with and without an E-AFO, and the gait parameters were assessed using the GAITRite system. The spatiotemporal data on the gait patterns of stroke patients with foot-drop were compared using paired t-tests; the level of statistical significance was set to α<.05. RESULTS: No significant differences were observed in the velocity (p=.066) and affecte+d step length (p=.980), but the affected and less-affected stance (p=.022, p=.002

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Section: ⅳ Discussionmentioning

confidence: 61%

Section: Participantsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

mentioning

confidence: 99%

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Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke

Hwang

2020

KSPM

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“…There exist devices like Hip flexion orthosis [9], Elastic band orthosis [10], Wearable tubing assistive walking device [11], AFO shaped band [12] and wearable tubing to address ankle dorsiflexion, hip and knee flexion with patient either in non-weight or weight bearing positions. Elastic resistance training has been reported to increase gait, mobility, balance and reduced pain [8][9][10][11][12][13][14][15]. Apart from its use in strengthening program, elastic band can also be used in assisted gait training [15].…”

Section: Introductionmentioning

confidence: 99%

The effect of elastic band assisted gait training to improve the gait kinematics in stroke survivors - a randomized control trial

Visoi¹,

Mohanty²,

Pattnaik³

2019

Trends Med

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Introduction: Stroke is the leading cause of serious long-term disabilities, the restoration of walking plays a prime role in his rehabilitation. The reduction in gait performance may prevent the resumption of activities of daily living. Aim of the study:To compare the effectiveness of elastic band assisted gait training over the task-oriented circuit interval gait training in stroke survivors.Methodology: A total of 50 male stroke survivors with functional ambulatory category score ≥4, mini mental state 24-30, normal cardio-pulmonary status and age between 30-60 years were recruited and randomly distributed in two groups. Group 1 received conventional exercises (task-oriented approach in the form of circuit interval gait training) and Group 2 received elastic band assisted gait training with task-oriented approach in the form of circuit interval gait training.Outcome measures: Stride length (both side), cadence, walking speed and gait profile score (both side). Measurements were taken with gait laboratory before and at the end of 6 weeks of treatment, for 45 minutes divided into nine 5-minute blocks separated by 5-minute rest periods 5 days/week. Results:Overall result of this study showed that experiment group had significantly improved in terms of speed, cadence, stride length of paretic limb, gait profile score of non paretic limb from pre to post test measurements, but no significant improvement in conventional group. Gait profile score of paretic limbs had significantly improved. Both the groups had significantly improved in terms of stride length of non paretic limb from pre to post-test measurements; however, the experiment group showed more improvement than the conventional group. Conclusion:Elastic band assisted gait training over the task-oriented circuit interval gait training is found to be effective for the hemiplegic gait.

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Design and manufacturing process of 3D printed ankle-foot orthoses for podiatry

Gupta¹,

Mittal²,

Narayan³

et al. 2023

3D Printing in Podiatric Medicine

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The effect of an AFO-shaped elastic band on drop-foot gait in patients with central neurological lesions

Cited by 9 publications

References 19 publications

Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke

Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke

The effect of elastic band assisted gait training to improve the gait kinematics in stroke survivors - a randomized control trial

Design and manufacturing process of 3D printed ankle-foot orthoses for podiatry

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