Effect of Anterior Ankle-Foot Orthoses on Weight Shift in Persons With Stroke.
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 OUTCOMEMEASURES:
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.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Suporte de Carga
/
Transtornos Neurológicos da Marcha
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Órtoses do Pé
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Pé
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Reabilitação do Acidente Vascular Cerebral
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Hemiplegia
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Tornozelo
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article