Immediate Effects of Ankle-Foot Orthosis Using Wire on Static Balance of Patients with Stroke with Foot Drop: A Cross-Over Study

被引:8
作者
Lee, Jung-Hoon [1 ,2 ]
Choi, Im-Rak [3 ]
Choi, Hyun-Su [4 ]
机构
[1] Dong Eui Univ, Dept Phys Therapy, Coll Nursing Healthcare Sci & Human Ecol, Busan 47340, South Korea
[2] Dong Eui Univ, Integrated Phys Med Inst, Busan 47340, South Korea
[3] Good Samsun Hosp, Dept Rehabil Therapy Team, Sports Exercise Therapy Ctr, Busan 47007, South Korea
[4] Dong Eui Univ, Grad Sch, Dept Biomed Hlth Sci, Busan 47340, South Korea
基金
新加坡国家研究基金会;
关键词
stroke; foot drop; static balance; ankle-foot orthosis; wire; TO-STAND MOVEMENT; MOTOR RECOVERY; GAIT; WALKING; PEOPLE; REHABILITATION; HEMIPARESIS; PERFORMANCE; DISABILITY; MOBILITY;
D O I
10.3390/healthcare8020116
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The aim of this study was to investigate the immediate static balance effects of bare foot, UD-Flex ankle-foot orthosis (AFO), and AFO using wire (AOW) of patients with stroke with foot drop. Seventeen patients with stroke with foot drop (8 men and 9 women) were randomized to three conditions (bare foot, UD-Flex AFO, or AOW made with a flexible material). Static balance was assessed using the Zebris (Zebris GmbH, Isny, Germany) and BioRescue (RM Ingenierie, Rodez, France) pressure platform by a single examiner, who did not design the AOW. The order of testing with the equipment was random. The center of pressure path length (mm) measured using Zebris showed significant differences among the three conditions (bare foot, 484.47 +/- 208.42; UD-Flex AFO, 414.59 +/- 144.43; AOW, 318.29 +/- 157.60) (p< 0.05). The bare-foot condition was not significantly different from the UD-Flex AFO condition (p> 0.05), but was significantly different from the AOW condition (p< 0.05). The surface area ellipse (mm(2)) measured using BioRescue showed significant differences among the three conditions (bare foot, 241.35 +/- 153.76; UD-Flex AFO, 277.41 +/- 381.83; AOW, 68.06 +/- 48.98) (p< 0.05). The bare-foot condition was not significantly different from the UD-Flex AFO condition (p> 0.05), but the AOW condition was significantly different from the bare-foot (p< 0.05) and from the UD-Flex AFO conditions (p< 0.05). We suggest using the AOW made of flexible materials and wire instead of the UD-Flex AFO to improve immediate static balance of patients with stroke with foot drop after stroke. Further studies on the effects of dynamic balance and gait are required.
引用
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页数:11
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