Your browser doesn't support javascript.
loading
Effect of Anterior Ankle-Foot Orthoses on Weight Shift in Persons With Stroke.
Chen, Chiung-Ling; Chen, Fen-Fen; Lin, Chung-Hui; Lou, Shu-Zon; Chang, Hsin-Yi; Yeung, Kwok-Tak.
Afiliação
  • Chen CL; School of Occupational Therapy, Chung Shan Medical University, Taichung City, Taiwan; Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung City, Taiwan.
  • Chen FF; School of Occupational Therapy, Chung Shan Medical University, Taichung City, Taiwan.
  • Lin CH; School of Occupational Therapy, Chung Shan Medical University, Taichung City, Taiwan; Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung City, Taiwan.
  • Lou SZ; School of Occupational Therapy, Chung Shan Medical University, Taichung City, Taiwan.
  • Chang HY; Room of Occupational Therapy, Department of Rehabilitation, Cishan Hospital, Kaohsiung City, Taiwan.
  • Yeung KT; School of Occupational Therapy, Chung Shan Medical University, Taichung City, Taiwan; Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung City, Taiwan. Electronic address: gordon@csmu.edu.tw.
Arch Phys Med Rehabil ; 96(10): 1795-801, 2015 Oct.
Article em En | MEDLINE | ID: mdl-25998222
ABSTRACT

OBJECTIVE:

To examine the effects of an anterior ankle-foot orthosis (AAFO) on the speed and accuracy of weight shift in persons with stroke.

DESIGN:

Cross sectional, repeated measures.

SETTING:

Neurologic rehabilitation department.

PARTICIPANTS:

People with stroke (N=24) who were unable to voluntarily dorsiflex the foot against gravity. INTERVENTION The weight-shift performance was measured with and without the AAFO. MAIN OUTCOME

MEASURES:

The speed and accuracy of sustained and cyclic bilateral weight shift were measured using the computerized dynamic posturography. The movement velocity, maximum excursion, and directional control of sustained weight shift were calculated using the limits of stability test. The on-axis velocity gap, directional control, and stability of cyclic bilateral weight shift were calculated using the rhythmic weight shift test.

RESULTS:

For sustained weight shift, the maximum excursion of weight shift to the affected side was greater with the AAFO (P=.002). For cyclic bilateral weight shift, the on-axis velocity gap in the mediolateral (ML) direction was smaller at a fast speed (P=.004). The stability of the ML and anteroposterior weight shift was higher at slow (P=.002 and P<.001, respectively) and fast (P=.001 and P<.001, respectively) speeds when wearing the AAFO.

CONCLUSIONS:

The findings demonstrated that persons with stroke who wear an AAFO might improve the excursion of the sustained weight shift to the affected side and the speed and stability of cyclic bilateral weight shift in the ML direction.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Suporte de Carga / Transtornos Neurológicos da Marcha / Órtoses do Pé / Pé / Reabilitação do Acidente Vascular Cerebral / Hemiplegia / Tornozelo Idioma: En Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Suporte de Carga / Transtornos Neurológicos da Marcha / Órtoses do Pé / Pé / Reabilitação do Acidente Vascular Cerebral / Hemiplegia / Tornozelo Idioma: En Ano de publicação: 2015 Tipo de documento: Article