Effect of a rigid ankle foot orthosis and an ankle foot orthosis with an oil damper plantar flexion resistance on pelvic and thoracic movements of patients with stroke during gait

Autor: Hua Ling, Hui Guo, Hao Zhou, Xiao-Qian Chang, Zi-Yang Guo, Sumiko Yamamoto, Li-Fei Cai, Jun Zhao
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BioMedical Engineering OnLine, Vol 22, Iss 1, Pp 1-18 (2023)
Druh dokumentu: article
ISSN: 1475-925X
DOI: 10.1186/s12938-023-01068-0
Popis: Abstract Background Impairments of trunk movements in gait of stroke are often reported. Ankle foot orthosis (AFO) is commonly used to improve gait of stroke; however, the effect of different types of AFOs on the pelvic and thoracic movements during gait in stroke has not been clarified. Methods Thirty-four patients with stroke were randomly allocated to undergo 2 weeks of gait training by physiotherapists while wearing a rigid AFO (RAFO) with a fixed ankle or an AFO with an oil damper (AFO-OD) that provides plantarflexion resistance and free dorsiflexion. A motion capture system was used for measurements of shod gait without AFO at baseline and with and without AFO after gait training. Two-way repeated ANOVA, Wilcoxon signed-rank test, and Mann–Whitney U test were performed for the data after the gait training to know the effect of different kinds of AFOs. Results Twenty-nine patients completed the study (AFO-OD group: 14, RAFO group: 15). Interactions were found in pelvic rotation angle, change of shank-to-vertical angle (SVA) in the stance, and paretic to non-paretic step length, which increased in AFO-OD group with AFOs (p
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