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.

Kinematic and kinetic benefits of implantable peroneal nerve stimulation in people with post-stroke drop foot using an ankle-foot orthosis

2018 ◽  
Vol 36 (4) ◽  
pp. 547-558 ◽  
Author(s):  
Frank Berenpas ◽  
Sven Schiemanck ◽  
Anita Beelen ◽  
Frans Nollet ◽  
Vivian Weerdesteyn ◽  
...  
Keyword(s):  
Nerve Stimulation ◽  
Peroneal Nerve ◽  
Drop Foot ◽  
Ankle Foot Orthosis ◽  
Post Stroke ◽  
Peroneal Nerve Stimulation ◽  
Foot Orthosis

A Soft Wearable Robotic Ankle-Foot-Orthosis for Post-Stroke Patients

2019 ◽  
Vol 4 (3) ◽  
pp. 2547-2552 ◽  
Author(s):  
Junghan Kwon ◽  
Ji-Hong Park ◽  
Subyeong Ku ◽  
YeongHyeon Jeong ◽  
Nam-Jong Paik ◽  
...  
Keyword(s):  
Stroke Patients ◽  
Ankle Foot Orthosis ◽  
Post Stroke ◽  
Foot Orthosis

scholarly journals The effect of changing plantarflexion resistive moment of an articulated ankle–foot orthosis on ankle and knee joint angles and moments while walking in patients post stroke

2015 ◽  
Vol 30 (8) ◽  
pp. 775-780 ◽  
Author(s):  
Toshiki Kobayashi ◽  
Madeline L. Singer ◽  
Michael S. Orendurff ◽  
Fan Gao ◽  
Wayne K. Daly ◽  
...  
Keyword(s):  
Knee Joint ◽  
Joint Angles ◽  
Ankle Foot Orthosis ◽  
Post Stroke ◽  
Foot Orthosis

scholarly journals Gait Improvement of Post-stroke Hemiplegic Patients due to Continuous Use of an Ankle-Foot Orthosis with an Oil Damper “Gait Solution”

2011 ◽  
Vol 26 (5) ◽  
pp. 673-677 ◽  
Author(s):  
Hirokazu HARUNA ◽  
Shunichi SUGIHARA ◽  
Keisuke KON ◽  
Yasuyuki HAYAKAWA ◽  
Toshiya NOSAKA
Keyword(s):  
Ankle Foot Orthosis ◽  
Post Stroke ◽  
Continuous Use ◽  
Foot Orthosis

scholarly journals The effect of ankle–foot orthoses on self-reported balance confidence in persons with chronic poststroke hemiplegia

2013 ◽  
Vol 38 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Angelika Zissimopoulos ◽  
Stefania Fatone ◽  
Steven Gard
Keyword(s):  
Study Design ◽  
Self Efficacy ◽  
Foot Orthoses ◽  
Ankle Foot Orthosis ◽  
Balance Confidence ◽  
Post Stroke ◽  
Study Results ◽  
Ankle Foot Orthoses ◽  
Foot Orthosis ◽  
Confidence Scale

Background: One intervention often used to address physical impairments post stroke is an ankle–foot orthosis. Ankle–foot orthoses may improve walking speed, stride length, and gait pattern. However, effects on balance, crucial for safe ambulation, are thus far inconclusive. One aspect of balance shown to contribute to functional ability is self-efficacy. Self-efficacy, defined as the belief in one’s ability to succeed in particular situations, has been shown to be more strongly associated with activity and participation (as defined by the International Classification of Functioning, Disability, and Health) than physical performance measures of gait or balance. Objectives: We investigated whether self-efficacy, or balance confidence when referred to in the context of balance capabilities, is improved with ankle–foot orthosis use. Study design: Repeated measures study design. Methods: Balance confidence was measured using the Activities-specific Balance Confidence Scale in 15 persons with chronic poststroke hemiplegia, with and without their regular ankle–foot orthosis. Results: Activities-specific Balance Confidence Scale scores were significantly higher ( p ≤ 0.01) for the ankle–foot orthosis condition compared to no ankle–foot orthosis. Conclusions: One mechanism by which ankle–foot orthosis use may influence balance is improved balance confidence. Future work should explore the specific mechanisms underlying this improvement in self-efficacy. Clinical relevance Self-efficacy may be an important factor to consider when evaluating functioning post stroke. Rehabilitative interventions that improve balance confidence may help restore participation and overall functioning in pathological populations, particularly in the fall-prone poststroke population. Study results provide evidence for improvements in balance confidence with ankle–foot orthosis use.

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