Gait and Balance Performance Improvements Attributable to Ankle–Foot Orthosis in Subjects with Hemiparesis

Wang, Ray Yau; Lin, Pei Yi; Lee, Chao Chung; Yang, Yea Ru

doi:10.1097/phm.0b013e31806dd0d3

Cited by 50 publications

(53 citation statements)

References 23 publications

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“…Data from these studies were not Note: Data is presented for the experimental group only for those studies employing a parallel group design. None All except: [42] All except: [42] All except: [36,39] All except: [34] AFO & FES (n = 7) All All except: [46] All Only by: [28,44,45] All None All All All All…”

Section: Discussionmentioning

confidence: 99%

“…The intensity with which the interventions were given was broad. Nine studies [6,10,23,28,34,35,37,39,45] only applied the intervention for a few repetitions of walking in a single session but most commonly interventions were delivered over multiple sessions e.g. 36 sessions of locomotor training [36].…”

Section: Interventionsmentioning

confidence: 99%

“…Participants were typically greater than 6 months post-stroke, with only five studies [27][28][29][30][31][32] involving participants in the acute stages (<3 months) of recovery. Most participants were relatively able, with self-selected walking speeds between 0.4 m/s and 0.8 m/ s, indicating they were ''limited community walkers'' [33].…”

Section: Participantsmentioning

confidence: 99%

“…The interventions provided were grouped into four types: taskspecific practice of walking (n = 13) [10,[34][35][36][37][38][39][40][41][42][43]; ankle-foot orthoses (AFOs) or functional electrical stimulation (FES) (n = 7) [6,16,23,28,[44][45][46]; auditory cueing (n = 6) [10,17,[29][30][31]47] and exercise (n = 4) [32,[48][49][50]. The three remaining studies examined imagery [51,52] and balance training [53].…”

Section: Interventionsmentioning

confidence: 99%

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Interventions for coordination of walking following stroke: Systematic review

et al. 2012

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Impairments in gait coordination may be a factor in falls and mobility limitations after stroke. Therefore, rehabilitation targeting gait coordination may be an effective way to improve walking post-stroke. This review sought to examine current treatments that target impairments of gait coordination, the theoretical basis on which they are derived and the effects of such interventions. Few high quality RCTs with a low risk of bias specifically targeting and measuring restoration of coordinated gait were found. Consequently, we took a pragmatic approach to describing and quantifying the available evidence and included non-randomised study designs and limited the influence of heterogeneity in experimental design and control comparators by restricting meta-analyses to pre- and post-test comparisons of experimental interventions only. Results show that physiotherapy interventions significantly improved gait function and coordination. Interventions involving repetitive task-specific practice and/or auditory cueing appeared to be the most promising approaches to restore gait coordination. The fact that overall improvements in gait coordination coincided with increased walking speed lends support to the hypothesis that targeting gait coordination gait may be a way of improving overall walking ability post-stroke. However, establishing the mechanism for improved locomotor control requires a better understanding of the nature of both neuroplasticity and coordination deficits in functional tasks after stroke. Future research requires the measurement of impairment, activity and cortical activation in an effort to establish the mechanism by which functional gains are achieved.

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Section: Discussionmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

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Interventions for coordination of walking following stroke: Systematic review

et al. 2012

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“…Hemiplegic patients suffer from poor balance, slow walking, and weak muscles, and their lower limb is often accompanied with an equinovarus deformity in ankle-foot complex [1][2][3]. Ankle Foot Orthoses (AFOs) are widely prescribed for patients with hemiplegia to improve balance and facilitate gait.…”

Section: Introductionmentioning

confidence: 99%

Effect of Rocker Bar Ankle Foot Orthosis on Functional Mobility in Post-Stroke Hemiplegic Patients: Timed Up and Go and Gait Speed Assessments

Farmani¹,

Mohseni-Bandpei²,

Bahramizadeh³

et al. 2016

IRJ

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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. A B S T R A C T

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Review of anatomy-based ankle–foot robotics for mind, motor and motion recovery following stroke: design considerations and needs

Jiang

Lee

2018

Int J Intell Robot Appl

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Gait and Balance Performance Improvements Attributable to Ankle–Foot Orthosis in Subjects with Hemiparesis

Abstract: The maximal excursion toward the affected side improved as a result of wearing an ankle-foot orthosis. This correlated with an increase in step length on the nonaffected side and, hence, an improvement in the walking speed of the subjects with hemiparesis.

Cited by 50 publications

References 23 publications

Interventions for coordination of walking following stroke: Systematic review

Interventions for coordination of walking following stroke: Systematic review

Effect of Rocker Bar Ankle Foot Orthosis on Functional Mobility in Post-Stroke Hemiplegic Patients: Timed Up and Go and Gait Speed Assessments

Review of anatomy-based ankle–foot robotics for mind, motor and motion recovery following stroke: design considerations and needs

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