Diverse Plantarflexor Module Characteristics Influence Immediate Effects of Plastic Ankle-Foot Orthosis on Gait Performance in Patients With Stroke: A Cross-sectional Study.
Arch Phys Med Rehabil
; 105(7): 1322-1329, 2024 07.
Article
em En
| MEDLINE
| ID: mdl-38458374
ABSTRACT
OBJECTIVE:
To investigate the immediate effects of plastic ankle-foot orthosis (AFO) on locomotor performance in patients with stroke and determine how such effects might undergo alteration when distinct plantarflexor (PF) module subtypes are considered.DESIGN:
Cross-sectional study.SETTING:
Two university hospitals.PARTICIPANTS:
Fifty-two patients with stroke and 21 of those without stroke (N=73).INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Motor modules were identified through non-negative matrix factorization, and participants were classified into 3 groups independent-normal-timing, independent-altered-timing, and merged PF modules. To assess the effects of the AFO, gait measurements reflecting locomotor performance were obtained with and without the presence of the plastic AFO for each group.RESULTS:
The independent-altered-timing group had increased paretic propulsion, greater non-paretic step length, and faster walking speed after the administration of the plastic AFO; however, these significant changes were not observed in the independent-normal-timing and merged PF module groups. Notably, patients in the independent-normal-timing and merged PF module groups exhibited longer paretic stance times.CONCLUSION:
This study suggests that the immediate effects of plastic AFO depend on the PF module subtype. These findings can potentially guide clinical decision-making regarding AFO selection for stroke rehabilitation in patients with diverse gait control characteristics.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos Neurológicos da Marcha
/
Órtoses do Pé
/
Reabilitação do Acidente Vascular Cerebral
Limite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
/
Arch. phys. med. rehabil
/
Archives of physical medicine and rehabilitation
Ano de publicação:
2024
Tipo de documento:
Article