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Clin Rehabil. 2011 Jun;25(6):515-23. doi: 10.1177/0269215510390719. Epub 2011 Feb 1.

The effects of dynamic ankle-foot orthoses in chronic stroke patients at three-month follow-up: a randomized controlled trial.

Author information

1
Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey. erelsuat@hotmail.com

Abstract

OBJECTIVE:

To investigate the short- and long-term effects of dynamic ankle foot orthoses on functional ambulation activities in chronic hemiparetic patients.

DESIGN:

Randomized controlled trial.

SETTING:

University's neurological rehabilitation outpatient clinic and orthotics department.

SUBJECTS:

Twenty-eight chronic hemiparetic patients of level 3-5 according to Functional Ambulation Classification and with a maximum spasticity level of 3 according to Modified Ashworth Scale, were randomly assigned to the study and control groups.

INTERVENTIONS:

The control group (n = 14) was assessed with tennis shoes whereas the study group (n = 14) was assessed initially with tennis shoes and after three months with dynamic ankle foot orthosis.

MEASURES:

Functional Reach, Timed Up and Go, Timed Up Stairs, Timed Down Stairs, gait velocity and Physiological Cost Index.

RESULTS:

In the initial assessment no difference was found between the groups for any of the measured parameters (P > 0.05). After three months, intergroup comparisons while the patients in the study group were wearing dynamic ankle-foot orthosis showed a significant difference in favour of the study group for Timed Up Stairs 12.00 (10.21) seconds study versus 15.00 (7.29) seconds control group; for gait velocity 0.99 (0.45) m/s study versus 0.72 (0.20) m/s control group and for Physiological Cost Index 0.12 (0.06) beats/min study versus 0.28 (0.13) beats/min control group (P < 0.05). No difference was found between the groups for Functional Reach, Timed Up and Go, Timed Down Stairs (P > 0.05).

CONCLUSION:

Chronic hemiparetic patients may benefit from using dynamic ankle-foot orthosis.

PMID:
21285288
DOI:
10.1177/0269215510390719
[Indexed for MEDLINE]

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