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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 2002 June;38(2):57-64
Energy cost and gait assessment for hemiplegic walking: effects of an ankle-foot orthesis
Franceschini M., Massucci M., Ferrari L., Agosti M., Paroli C.
From the Department of Geriatrics and Rehabilitation Hospital of Parma, Parma
*Department of Rehabilitation ASL n. 3 of Umbria, Trevi (Perugia)
**Medical School of Physical Medicine and Rehabilitation University of Parma, Parma
Background. The aim of this study was to assess the efficiency of foot-ankle orthosis in the ambulation of chronic hemiplegics, in terms of functionality, improvement of space-time parameters and decreasing energy cost measured by clinical, functional and instrumental aid.
Methods. Nine patients were recruited from the Walking Analysis Laboratory of our Rehabilitation Department. A group of 9 chronic hemiplegic patients were evaluated during walking with and without orthesis by gait analysis. The outcome measures were: Perry and Garret Walking Handicap Scale, basographic analysis, electromyography (EMG) and study of energy cost.
Results. Our study shows that the use of foot-ankle orthoses leads to a significant improvement in walking in chronic hemiplegic subjects. We observed that the orthosis corrects the gait pattern, significantly improves the functionality of walking and space-time parameters with an important reduction in energy cost without affecting energy consumption. Moreover there is a significant correlation between the improve-ment in space-time parameters and the reduction of energy cost.
Conclusions. The orthesis, even during the clinical stability phase, can lead to a significant improvement in patient performance.