Therapeutic effect of gait training with two types of ankle-foot orthoses on the gait of the stroke patients in the recovery phase.

Content Provider	Europe PMC
Author	Daryabor, Aliyeh Yamamoto, Sumiko Motojima, Naoyuki Tanaka, Souji
Copyright Year	2022
Abstract	ObjectivesThis study aimed to demonstrate the therapeutic effect of gait training using ankle-foot orthoses (AFOs) on the gait of stroke patients when not wearing AFOs with two different types of AFO, an AFO with an oil damper (AFO-OD) that resists plantarflexion and an AFO with a plantarflexion stop (AFO-PS), and to display the possible differences between the AFO types.Patients and methodsForty-two patients (38 males, 4 males, mean age: 59.7±10.9; range, 38 to 81 years) with subacute stroke were randomized to either an AFO-PS or an AFO-OD group. Participants were given gait training in a two-week period by physiotherapists wearing their allocated AFO. Nineteen patients were assigned to the AFO-PS group and 20 to the AFO-OD group. Patients' gait without an AFO before gait training and then after two weeks of training wearing allocated AFOs was recorded through a three-dimensional movement capture system.ResultsA therapeutic effect through two weeks of continuous use of AFOs and gait training was found in both AFO groups (main effect of time) in the spatiotemporal factors, ankle joint moments, ankle power generation, shank-to-vertical angle, and center of gravity velocity throughout the stance phase, pre-swing knee angular velocity, and hip flexion moment in pre-swing. The results did not show a large interaction between two AFOs group.ConclusionThese findings reveal that both AFOs had significant therapeutic effects on stroke gait. There was no significant difference between the two AFO groups. Further studies with a control group representing the effects of gait training without wearing an AFO are needed.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9366476&blobtype=pdf
ISSN	25870823
Journal	Turkish Journal of Physical Medicine and Rehabilitation [Turk J Phys Med Rehabil]
Volume Number	68
DOI	10.5606/tftrd.2022.7866
PubMed Central reference number	PMC9366476
Issue Number	2
PubMed reference number	35989954
e-ISSN	25871250
Language	English
Publisher	Bayçınar Medical Publishing
Publisher Date	2022-06-01
Access Restriction	Open
Rights License	This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. Copyright © 2022, Turkish Society of Physical Medicine and Rehabilitation
Subject Keyword	Ankle-foot orthosis gait orthotic stroke therapeutic effect training
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation