The effects of dynamic ankle-foot orthoses in chronic stroke patients at three-month follow-up: a randomized controlled trial

Erel, Suat; Uygur, Fatma; Şimşek, İbrahim Engin; Yakut, Yakut

doi:10.1177/0269215510390719

Cited by 54 publications

(73 citation statements)

References 36 publications

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“…659 A recent meta-analysis and systematic review suggested the potential mechanism(s) associated with the above effects by demonstrating a positive effect of an AFO on ankle kinematics, knee kinematics in stance phase, kinetics, and energy cost. 658 Two RCTs 763,764 showed that after 3 months of AFO use, AFO users had better mobility while wearing the AFO. One small RCT 764 found that although a dynamic hinged AFO improved ambulatory function over a standard AFO, it induced some dependence; the standard AFO group performed better after 3 months of use when walking without any orthosis.…”

Section: Level Of Evidencementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Level Of Evidencementioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

View full text Add to dashboard Cite

show abstract

“…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

“…Se escribió a través de correo electró-nico a trece autores 38,55-66 solicitando aclaración acerca de algunos aspectos del diseño o información no indicada con el fin de completar las evaluaciones de calidad. Seis autores proporcionaron los datos solicitados [56][57][58][59][60][61] . Para el resto de los estudios solo se usaron los datos publicados.…”

Section: Calidad Metodológicaunclassified

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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“…Various studies have reported the positive effects of AFOs on the walking ability in hemiplegic pa-H CrossMark tients [4,5]. AFOs also help patients in both stance and swing phases of gait by stabilizing ankle-foot complex and preventing abrupt foot drop [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Although Solid AFO (SAFO) enhances walking speed in hemiplegic patients, the acquired speed is far less than that of the healthy subjects [9]. Thus, some efforts have been done to increase gait velocity with common SAFO [7,[10][11][12]. Considering the positive effect of rocker bar modification added to orthoses on walking velocity reported in previous studies [13][14][15], we hypothesized that adding rocker bar to a SAFO could potentially improve walking speed in hemiplegic patients.…”

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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The effects of dynamic ankle-foot orthoses in chronic stroke patients at three-month follow-up: a randomized controlled trial

Abstract: Chronic hemiparetic patients may benefit from using dynamic ankle-foot orthosis.

Cited by 54 publications

References 36 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

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

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

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