The influence of an ankle-foot orthosis on the spatiotemporal gait parameters and functional balance in chronic stroke patients

Bouchalová, Vendula; Houben, Els; Tancsik, Dorine; Schaekers, Lotte; Meuws, Leni; Feys, Peter

doi:10.1589/jpts.28.1621

Cited by 14 publications

(5 citation statements)

References 35 publications

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“…The study findings showed that using an AFO could positively influence the walking speed of hemiplegic stroke survivors. Besides, Bouchalová et al [22] reported significant improvements in single support time, double support time, and step length of the more affected side in mild hemiplegic stroke survivors. However, these studies also suggested that it might not be easy for stroke survivors with strong plantarflexion spasticity to apply a plastic AFO.…”

Section: Discussionmentioning

confidence: 98%

A novel hinged ankle foot orthosis for gait performance in chronic hemiplegic stroke survivors: a feasibility study

et al. 2018

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Stroke survivors with gait disturbances may use ankle foot orthoses (AFOs). However, most AFOs come in one-piece styles, which make it difficult for spasticity-affected stroke survivors to don. AFOs are also limited since they do not properly prevent ankle joint for foot drop by itself. Therefore, the present study developed a novel hinged AFO by adding a locking device to a hinged joint. We then tested its feasibility in 9 hemiplegic stroke survivors by investigating temporalspatial gait parameters using the GAITRite in the following 3 conditions: no AFO, traditional AFO, and novel hinged AFO. There was no significant difference in spatiotemporal gait parameters among the different conditions. There were greater decreases in gait velocity, cadence, step length, and stride length in the novel hinged AFO group than in the no AFO and traditional AFO groups. This novel hinged AFO was developed to prevent foot drop. However, the AFO did not show significant differences in gait parameters because it consists of metal with extra weight and volume. Functionally, it prevented foot drop. It also improved convenience by its releasable design. Thus, further studies are needed to develop an AFO that improves gait and is convenient to use for hemiplegic stroke survivors.

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Section: Discussionmentioning

confidence: 98%

A novel hinged ankle foot orthosis for gait performance in chronic hemiplegic stroke survivors: a feasibility study

et al. 2018

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“…The decreased range of motion in the affected ankle joint is explained by the effect of foot orthoses being used in four study participants. The foot orthoses are known to limit the range of motion in the ankle while preventing foot drop, instability in the direction of supination, easing foot clearance, and thereby increasing walking speed and other gait kinematics [ 65 ]. Further, diminished ankle joint ranges were explained by frequently observed weaknesses of dorsiflexion as well as plantar flexion at terminal stance and toe off [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of a Wearable Sensing System and Online Gait Analysis Report in Persons after Stroke

Schwarz

Husain

Einaudi

et al. 2023

Sensors

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The restoration of gait and mobility after stroke is an important and challenging therapy goal due to the complexity of the potentially impaired functions. As a result, precise and clinically feasible assessment methods are required for personalized gait rehabilitation after stroke. The aim of this study is to investigate the reliability and validity of a sensor-based gait analysis system in stroke survivors with different severities of gait deficits. For this purpose, 28 chronic stroke survivors (9 women, ages: 62.04 ± 11.68 years) with mild to moderate walking impairments performed a set of ambulatory assessments (3× 10MWT, 1× 6MWT per session) twice while being equipped with a sensor suit. The derived gait reports provided information about speed, step length, step width, swing and stance phases, as well as joint angles of the hip, knee, and ankle, which we analyzed for test-retest reliability and hypothesis testing. Further, test-retest reliability resulted in a mean ICC of 0.78 (range: 0.46–0.88) for walking 10 m and a mean ICC of 0.90 (range: 0.63–0.99) for walking 6 min. Additionally, all gait parameters showed moderate-to-strong correlations with clinical scales reflecting lower limb function. These results support the applicability of this sensor-based gait analysis system for individuals with stroke-related walking impairments.

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“…8,18 Based on these observations, wearing foot orthoses has been proposed as a support of the functional rehabilitation of patients with chronic muscle dystrophy, 19 spinal muscular atrophy, 20 or chronic stroke. 21 Most activities of daily living are performed at submaximal levels of exertion and this is reproduced during a PR programme. Moreover, the 6MWT reflects the functional capacity for daily physical activities.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Rehabilitation is Improved by In-Shoe Foot Orthosis Intervention

Jammes

Rkain

Weber

et al. 2020

EMJ

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Some studies have found that patients with asthma have bilateral foot dorsal flexion limitations, contributing to impaired quality of life. The authors hypothesised that foot misalignments could also occur in patients with chronic obstructive pulmonary disease (COPD), and that foot orthoses could increase the motor benefits of their pulmonary rehabilitation (PR). Presented herein are the results from a nonrandomised controlled study in 40 patients with COPD. Twenty patients had foot misalignment (Group 1) and wore foot orthoses for a 1-month PR period. Their data were compared to those obtained in 20 other patients with COPD who had no foot misalignment and did not wear foot orthoses (Group 2). Bodily fatigue, 6-minute walk test (6MWT) distance, peak plantar flexion force (PFF), and oscillations of the centre of pressure (CoP) were measured. Measurements were performed prior to and following completion of PR (Groups 1 and 2), immediately after wearing the foot orthosis (Group 1), and after completion of PR plus foot orthoses (Group 1). In Group 2, PR increased the 6MWT distance, but did not increase PFF nor reduce CoP oscillations and fatigue scale. Wearing the foot orthosis for the first time significantly increased the 6MWT distance (+98+12 m). Following PR with foot orthoses (Group 1), a further increase in 6MWT distance occurred (+120+13 m), bodily fatigue was reduced, PFF increased, and CoP oscillations decreased. In patients with COPD and foot misalignment, foot orthoses enhanced the functional capacity and improved the postural control.

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The influence of an ankle-foot orthosis on the spatiotemporal gait parameters and functional balance in chronic stroke patients

Cited by 14 publications

References 35 publications

A novel hinged ankle foot orthosis for gait performance in chronic hemiplegic stroke survivors: a feasibility study

A novel hinged ankle foot orthosis for gait performance in chronic hemiplegic stroke survivors: a feasibility study

Reliability and Validity of a Wearable Sensing System and Online Gait Analysis Report in Persons after Stroke

Pulmonary Rehabilitation is Improved by In-Shoe Foot Orthosis Intervention

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