The Influence of Rocker Bar Ankle Foot Orthosis on Gait in Patients with Chronic Hemiplegia

被引:16
作者
Farmani, Farzad [1 ,2 ]
Mohseni-Bandpei, Mohammad-Ali [3 ]
Bahramizadeh, Mahmood [2 ]
Aminian, Gholamreza [2 ]
Abdoli, Ali [4 ]
Sadeghi-Goghari, Mohammad [5 ]
机构
[1] Hamadan Univ Med Sci, Sch Rehabil Sci, Dept Orthot & Prosthet, Hamadan, Iran
[2] Univ Social Welf & Rehabil Sci, Dept Orthot & Prosthet, Tehran, Iran
[3] Univ Social Welf & Rehabil Sci, Dept Physiotherapy, Tehran, Iran
[4] Hamadan Univ Med Sci, Sch Med, Dept Neurosurg, Hamadan, Iran
[5] Kerman Univ Med Sci, Sch Paramed Sci, Dept Physiotherapy, Kerman, Iran
关键词
Rocker bar ankle foot orthosis; gait; patients; hemiplegia; STROKE PATIENTS; WALKING; BALANCE; METAANALYSIS;
D O I
10.1016/j.jstrokecerebrovasdis.2016.02.021
中图分类号
Q189 [神经科学];
学科分类号
071006 [神经生物学];
摘要
Background: This study aimed to evaluate the effect of rocker bar ankle foot orthosis (RAFO) on the spatiotemporal characteristics of gait in chronic hemiplegic patients compared with the effect of solid ankle foot orthosis (SAFO). Methods: Following ethical approval, 18 patients with chronic hemiplegia, at least 6 months post stroke, were investigated in barefoot condition, with SAFO and RAFO in random sequences. Their spatiotemporal characteristics were examined by 2 force platforms and a Vicon motion analysis system. Results: There were significant changes in spatiotemporal outcome measures between barefoot condition and using SAFO and RAFO (P < .05). Compared with SAFO, RAFO resulted in significantly more step length, faster gait velocity, and less preswing time (P < .05), although no significant differences were seen regarding step width and cadence (P > .05). Furthermore, RAFO led to significant increases in hip extension and knee flexion at toe-off, whereas SAFO did not change these parameters (P < .05). Conclusion: Findings of the present study showed that RAFO further improves gait abilities in chronic hemiplegic patients compared with SAFO, which could be due to the positive effect of added rocker bar on push-off function during the late stance phase of gait.
引用
收藏
页码:2078 / 2082
页数:5
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