The immediate effects of fitting and tuning solid ankle–foot orthoses in early stroke rehabilitation

Carse, Bruce; Bowers, Roy; Meadows, Barry; Rowe, Peter

doi:10.1177/0309364614538090

Cited by 30 publications

(49 citation statements)

References 28 publications

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“…Franceschini et al [12] showed improvement with use of an AFO in temporospatial parameters including increases in walking speed and cadence combined with decreases in stance time and double support time in patients with chronic hemiplegia. In the study of Carse et al, [13] patients with early stroke had an increase in walking speed, cadence and step length with a solid AFO.…”

Section: Discussionmentioning

confidence: 92%

Effect of ankle foot orthosis on gait parameters and functional ambulation in patients with stroke

Kesikburun

Yavuz²,

Güzelküçük

et al. 2017

Turk J Phys Med Rehab

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Effect of ankle foot orthosis on gait parameters and functional ambulation in patients with stroke. Turk J Phys Med Rehab 2017;63(2):143-8. ABSTRACTObjectives: This study aims to investigate the effect of ankle foot orthosis (AFO) on temporospatial parameters, ankle kinematics, and functional ambulation level in patients with stroke. Patients and methods:Records of 286 adult patients with stroke assessed in the gait and motion analysis laboratory between April 2005 and January 2013 were reviewed. The data of 28 patients (16 males, 12 females; mean age 43.2±15.9 years; range 20 to 72 years) who were analyzed with and without AFO during the same session were selected for the study. Temporospatial parameters (walking speed, cadence, opposite foot contact, double support time, single support time, step time, and step length) and ankle kinematics (ankle dorsiflexion at initial contact and midswing) were measured using the Vicon 512 motion analysis system. The video and medical records of patients were examined to determine their ambulation level according to Functional Ambulation Category.Results: Walking speed, cadence, and ankle dorsiflexion at initial contact and midswing were significantly increased while walking with AFO compared to walking barefoot (p<0.05). There were significant reduction in step time and significant increase in step length and opposite foot contact with AFO on the affected side (p<0.05). Single support time reduced significantly with AFO on the unaffected side (p<0.05). Functional Ambulation Category score improved significantly with use of AFO (p<0.05). Conclusion:The use of AFO has positive effects on gait parameters and functional ambulation in patients with stroke.

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Section: Discussionmentioning

confidence: 92%

Effect of ankle foot orthosis on gait parameters and functional ambulation in patients with stroke

Kesikburun

Yavuz²,

Güzelküçük

et al. 2017

Turk J Phys Med Rehab

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“…Changes in ankle joint position sense, which led to a significant difference in gait velocity and stride length was reported. Carse et al [35] conducted a study on 8 patients who were diagnosed with stroke. In this study, the effect of lower limb re-alignment on gait was investigated.…”

Section: Discussionmentioning

confidence: 99%

The effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients

Shin

Chung

2015

PTRS

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Objective: The purpose of this study is to investigate the effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients. Design: Randomized controlled trial. Methods: Thirty chronic stroke patients who have been diagnosed at least six months or before were recruited in Gyeongin Rehabilitation Center Hospital, located in Incheon. Patients who were enrolled in this study were randomized to experimental group (n=15) or control group (n=15). Treadmill with patella taping training group patients were applied with patellar taping when they were being trained on a treadmill. Control group patients were being trained on a treadmill without any kind of taping. Gait parameters were measured with a GAITRite Ⓡ system which evaluated gait performances. Gait trainings were done for 30 min/day, 5 days/week, for 4 weeks. Results: After treadmill training, treadmill with patella taping training group showed a significant improvement in gait abilities, including velocity, cadence, paretic and non-paretic step length, and double support period (p<0.05). However, in general treadmill group, there were no significant differences in gait parameters except velocity and cadence. There was a significant difference in gait performance in the experimental group compared with the control group, except for the gait symmetry ratio (p<0.05). Conclusions: According to this result of this study, it seems that application of patellar taping in treadmill gait training for chronic stroke patients significantly improved gait abilities of these patients. Also, we can conclude that patella taping is thought to be useful in real clinical settings where there are many chronic patients who are in need of improvement in their gait abilities.

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“…The question wording and choices for the survey were informed by the BPS, 11 Bowers and Ross' paper on the development of the BPS, 9 papers regarding AFO use in post-stroke patients, 4,5,10,[12][13][14][15][22][23][24][25][26] discussion with experts and information from books, and papers regarding designing health care surveys. [17][18][19][20][21][27][28][29][30][31] The wording of the multiple-choice responses to five questions was taken directly from the Screening Tool associated with the BPS to assess participants' understanding and ability to use this Tool.…”

Section: Survey Designmentioning

confidence: 99%

“…Stroke has been a clinical priority for NHS Scotland for over 15 years; in 2017 9,345 people were admitted to Scottish hospitals with a diagnosis of stroke . Mobility problems are a common result of stroke, and improved mobility is a high priority to Scottish stroke patients in their rehabilitation, making effective treatment key to post‐stroke services.…”

Section: Introductionmentioning

confidence: 99%

“…Their use is supported for post‐stroke patients by SIGN Guideline 118, the International Society of Prosthetics and Orthotics (ISPO) Consensus Conference on Stroke, and the Best Practice Statement: Use of Ankle‐Foot Orthoses Following Stroke (BPS) . AFOs have been shown to improve walking speed, weight bearing asymmetry, stride length, patient self‐confidence, and completion of functional tests in post‐stroke patients.…”

Section: Introductionmentioning

confidence: 99%

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Post‐stroke ankle‐foot orthoses: Examining referral trends in the Scottish multi‐disciplinary team

Morrow

Bowers

2019

Health Planning & Management

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Summary Purpose As per the Best Practice Statement: Use of Ankle‐Foot Orthoses Following Stroke (BPS), members of the stroke multidisciplinary team should refer stroke patients with mobility problems to orthotics. Therefore, the objectives of this study were to (1) assess awareness of the BPS; (2) assess referral patterns and trends; and (3) identify barriers to referral to the Orthotic Service in Scotland. Methods An online survey of the stroke MDT, working in Scotland, whose current role involves work with stroke patients. A survey was distributed via the Scottish Stroke Allied Health Professionals Forum, Scottish Stroke Nurses Forum, British Association of Stroke Physicians, and Scottish Stroke Managed Clinical Networks. Results Statistically significant association was found between: Awareness of BPS and NHS Board Area; Profession and whether clinicians have referred to orthotics; Confidence in assessment criteria and profession; Referral to departments other than Orthotics and profession. Conclusion Physiotherapists are relied upon by members of the Stroke MDT to identify mobility problems and refer to Orthotics. The BPS should be re‐disseminated, particularly to the East of Scotland and GPs, to improve awareness of referral criteria. Reduced waiting list times and joint physiotherapist‐orthotist clinics may reduce referral barriers to the Orthotic Service.

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The immediate effects of fitting and tuning solid ankle–foot orthoses in early stroke rehabilitation

Cited by 30 publications

References 28 publications

Effect of ankle foot orthosis on gait parameters and functional ambulation in patients with stroke

Effect of ankle foot orthosis on gait parameters and functional ambulation in patients with stroke

The effect of treadmill gait training with patellar taping on gait abilities in chronic stroke patients

Post‐stroke ankle‐foot orthoses: Examining referral trends in the Scottish multi‐disciplinary team

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