scholarly journals A Narrative Review of Alternate Gait Training Using Knee-ankle-foot Orthosis in Stroke Patients with Severe Hemiparesis

2021 ◽  
Author(s):  
Hiroaki ABE ◽  
Kei KADOWAKI ◽  
Naohide TSUJIMOTO ◽  
Toru OKANUKA
Keyword(s):  
Gait Training ◽  
Narrative Review ◽  
Stroke Patients ◽  
Ankle Foot Orthosis ◽  
Foot Orthosis

scholarly journals Change of rocker function in the gait of stroke patients using an ankle foot orthosis with an oil damper: immediate changes and the short-term effects

2011 ◽  
Vol 35 (4) ◽  
pp. 350-359 ◽  
Author(s):  
Sumiko Yamamoto ◽  
Masako Fuchi ◽  
Tadashi Yasui
Keyword(s):  
Ankle Joint ◽  
Walking Speed ◽  
Chronic Phase ◽  
Gait Training ◽  
Stroke Patients ◽  
Short Term ◽  
Ankle Foot Orthosis ◽  
Spatiotemporal Parameters ◽  
Foot Orthosis ◽  
Short Term Effects

Background: An ankle foot orthosis (AFO) using an oil damper (AFO-OD) to assist the first rocker during gait was previously developed but the effect on the other rocker functions has not been clarified. Objectives: The immediate and short-term effects on the gait of stroke patients with the AFO-OD were investigated from the viewpoint of the rocker function. Study Design: Crossover study. Methods: The gait of eight stroke patients in chronic phase without an AFO, with the AFO-OD, and the gait with AFO-OD after three weeks of continuous use and gait training were measured by 3D motion analysis. Results: Immediate changes observed on use of the AFO-OD were improvements in walking speed, the spatiotemporal parameters, and the angular change of dorsiflexion of the ankle joint. Three weeks of continuous AFO-OD use and gait training showed further improvements in walking speed and the spatiotemporal parameters as well as an increase in dorsiflexion angle and plantar flexor moment of the ankle joint of the paretic limb in stance. Conclusions: These changes produced improvement of the second rocker function, but improvement of the third rocker was insufficient. Results show the importance of gait training to take full advantage of an AFO.

scholarly journals Effect of ankle-foot orthosis on weight bearing of chronic stroke patients performing various functional standing tasks

2015 ◽  
Vol 27 (4) ◽  
pp. 1059-1061 ◽  
Author(s):  
Kyoung Don Kim ◽  
Hyun Jin Lee ◽  
Myoung Hyo Lee ◽  
Gak Hwangbo
Keyword(s):  
Weight Bearing ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Ankle Foot Orthosis ◽  
Foot Orthosis

Ankle–foot orthosis with dorsiflexion resistance using spring-cam mechanism increases knee flexion in the swing phase during walking in stroke patients with hemiplegia

2020 ◽  
Vol 81 ◽  
pp. 27-32 ◽  
Author(s):  
Yusuke Sekiguchi ◽  
Dai Owaki ◽  
Keita Honda ◽  
Kenichiro Fukushi ◽  
Noriyoshi Hiroi ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Swing Phase ◽  
Stroke Patients ◽  
Ankle Foot Orthosis ◽  
Cam Mechanism ◽  
Foot Orthosis

Evaluation of the effect of ankle-foot orthosis use on balance and mobility in hemiparetic stroke patients

2011 ◽  
Vol 33 (15-16) ◽  
pp. 1433-1439 ◽  
Author(s):  
Asuman Doğğan ◽  
Münire MengüllüoĞĞlu ◽  
Nese Özgirgin
Keyword(s):  
Stroke Patients ◽  
Ankle Foot Orthosis ◽  
Hemiparetic Stroke ◽  
Foot Orthosis

scholarly journals Clinical experiences with a convertible thermoplastic knee-ankle-foot orthosis for post-stroke hemiplegic patients

1996 ◽  
Vol 20 (3) ◽  
pp. 191-194 ◽  
Author(s):  
S. Kakurai ◽  
M. Akai
Keyword(s):  
Gait Training ◽  
Inhibitory Effect ◽  
Clinical Experiences ◽  
Recovery Stage ◽  
Physical Impairments ◽  
Ankle Foot Orthosis ◽  
Post Stroke ◽  
Walking Pattern ◽  
Accepted Practice ◽  
Foot Orthosis

As rehabilitation for post-stroke hemiplegic patients has become widely accepted practice, there has been an increase in patients who are more difficult to treat. In the prescription rationale of orthoses for hemiplegics, the knee-ankle-foot orthosis (KAFO) for the lower limb has generally been underestimated because of its inhibitory effect on the normal walking pattern and also its interference with gait training. The authors had an experience of 28 hemiplegics with severe physical impairments who were fitted with a convertible plastic KAFO. Among these patients, there were 11 cases in which the KAFO was replaced by an ankle-foot orthosis (AFO) within 1.5 to 8 months (average 4 months) following initial prescription when they were able to control their knee actively. Ambulatory capability in these patients was superior to that of the remaining KAFO group. The Barthel index of the AFO group patients was higher than the KAFO group (p<0.01). However neither age, sex, severity of hemiplegia, starting time of rehabilitation following onset of stroke, time of fitting with the orthosis, nor the functional recovery stage were critical factors between the two groups, only the incidence of major complications affected ambulatory capability.

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