Effect of ankle-foot orthosis (AFO) on body sway and walking capacity of hemiparetic stroke patients.
نویسندگان
چکیده
Body sway, the total length of the sway of the center of foot pressure (CFP) and maximum walking speed were examined with and without AFO in eight post-stroke hemiparetic patients. Without AFO, the CFP moved towards the non-affected limb and the body sway was large. Wearing AFO, the CFP shifted to the midposition and the body sway became small. Without AFO, the time to walk the prescribed distance was longer, the cadence slower and the steps shorter than with AFO. However, there was no correlation between the improvements in body sway and walking capacity. The AFO compensated only for the instability of the ankle joint but not for the dysfunction of the central nervous system after the stroke.
منابع مشابه
Design and Evaluation of an Articulated Ankle Foot Orthosis with Plantarflexion Resistance on the Gait: a Case Series of 2 Patients with Hemiplegia
Ankle-foot orthoses (AFOs) have been described to have positive effects on the gait biomechanics in stroke patients. The plantarflexion resistance of an AFO is considered important for hemiplegic patients, but the evidence is still limited. The purpose of this case series was to design and evaluate the immediate effect of an articulated AFO on kinematics and kinetics of lower-limb joints in str...
متن کاملImmediate synergistic effect of a trunk orthosis with joints providing resistive force and an ankle–foot orthosis on hemiplegic gait
Purpose The synergistic effects of a trunk orthosis and an ankle-foot orthosis (AFO) in stroke patients with a hemiplegic gait are unclear. We previously developed a trunk orthosis with joints providing resistive force (TORF) to modify malalignment of the trunk and pelvis and confirmed its positive effects in stroke patients during level walking without an AFO. The aim of the present study was ...
متن کاملEffects on Foot External Rotation of the Modified Ankle-Foot Orthosis on Post-Stroke Hemiparetic Gait
OBJECTIVE To evaluate the effects of heel-opened ankle foot orthosis (HOAFO) on hemiparetic gait after stroke, especially on external foot rotation, and to compare the effects of HOAFO with conventional plastic-AFO (pAFO) and barefoot during gait. METHODS This cross-over observational study involved 15 hemiparetic patients with external rotation of the affected foot. All subjects were able to...
متن کاملThe ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients.
BACKGROUND Ankle foot orthoses (AFO) are commonly used orthotic device in order to restore the ankle foot function and to improve the balance and gait in post-stroke hemiparetic patients. However, there remain some discussions about their effectiveness on long term hemiparetic patients who had mild to moderate spasticity. AIM To investigate the relative effect of prefabricated thermoplastic p...
متن کاملEffect of AFO design on walking after stroke: impact of ankle plantar flexion contracture.
This study was conducted to compare the effects of three ankle-foot orthosis (AFO) designs on walking after stroke and determine whether an ankle plantar flexion contracture impacts response to the AFOs. A total of 30 individuals, ranging from 6-215 months post-stroke, were tested in four conditions: shoes only (SH), dorsi-assist/dorsi-stop AFO (DA-DS), plantar stop/free dorsiflexion AFO (PS), ...
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ورودعنوان ژورنال:
- The Tohoku journal of experimental medicine
دوره 156 4 شماره
صفحات -
تاریخ انتشار 1988