effect of rocker bar ankle foot orthosis on functional mobility in post-stroke hemiplegic patients: timed up and go and gait speed assessments

Authors

farzad farmani department of orthotics & prosthetics, school of rehabilitation sciences, hamedan university of medical sciences, hamadan, iran.سازمان های دیگر: department of orthotics & prosthetics, university of social welfare and rehabilitation sciences, tehran, iran.

mohammad ali mohseni-bandpei iranian research centre on aging, department of physiotherapy, university of social welfare and rehabilitation sciences, kodakyar ave., daneshjoo blvd., evin, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (hamadan university of medical sciences)سازمان های دیگر: institute of physical therapy, faculty of

allied health sciences, university of lahore, lahore, pakistan.

mahmood bahramizadeh department of orthotics & prosthetics, university of social welfare and rehabilitation sciences, tehran, iran.سازمان اصلی تایید شده: دانشگاه علوم بهزیستی و توانبخشی (university of social welfare and rehabilitation sciences)

abstract

objectives: ankle foot orthoses (afos) are widely utilized to improve walking ability in hemiplegic patients. the present study aimed to evaluate the effect of rocker bar ankle foot orthosis (rafo) on functional mobility in post-stroke hemiplegic patients. methods: fifteen hemiplegic patients (men and women) who were at least 6-months poststroke and able to walk without an assistive device for at least 10 meters voluntarily participated in this study. the patients were examined for three conditions: shoes only, with safo and with rafo. their functional mobility was evaluated through 10-meter walk test and timed up and go (tug) test. in addition, paired t-test was used to analyze the obtained data. results: when the patients used rafo, their gait speed significantly increased (p< 0.05). moreover, the time of performing tug test experienced a significant decrease using rafo compared with utilizing shoe only (p< 0.05). discussion: rafo led to a significant improvement in functional mobility in hemiplegic patients post stroke. this may be due to the positive effect of rocker modification on improving push off and transferring weight during the stance phase of gait.

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Journal title:
iranian rehabilitation journal

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