Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2010 September;46(3) > European Journal of Physical and Rehabilitation Medicine 2010 September;46(3):363-8

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063


eTOC

 

ORIGINAL ARTICLES  


European Journal of Physical and Rehabilitation Medicine 2010 September;46(3):363-8

language: English

The ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients

Cakar E. 1, Durmus O. 1, Tekin L. 2, Dincer U. 1, Kiralp M. Z. 1

1 Gülhane Military Medical Academy, Haydarpasa Training Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey;
2 Corlu Military Hospital, Tekirdag, Turkey


FULL TEXT  


BACKGROUND: Ankle foot orthoses (AFO) are commonly used orthotic device in order to restore the ankle foot function and to improve the balance and gait in post-stroke hemiparetic patients. However, there remain some discussions about their effectiveness on long term hemiparetic patients who had mild to moderate spasticity.
AIM: To investigate the relative effect of prefabricated thermoplastic posterior leaf spring AFO (PLS-AFO) on balance and fall risk.
DESIGN: A cross-over interventional study
SETTING: The Department of PMR of a tertiary hospital.
POPULATION: Twenty-five chronic post-stroke long duration hemiparetic patients who had Ashworth grade 1-2 spasticity at affected calf muscles and lower limb Brunnstrom stage 2-3 and also able to walk independently without an assistive device.
METHODS: Berg Balance Scale (BERG), and the postural stability test (PST) and the fall risk test (FRT) of Biodex balance systems were used for the assessments. All of the patients were assessed with AFO and without AFO. All assessments were made with footwear.
RESULTS: The mean post-stroke duration was 20,32±7,46 months. The BERG scores were 42,12±9,05 without AFO and 47,52±7,77 with AFO; the overall stability scores of FRT were 3,35±1,97 without AFO and 2,69±1,65 with AFO (P<0,001).
CONCLUSION: It was found that the prefabricated thermoplastic PLS-AFO improve balance and provide fall risk reduction in chronic post-stroke ambulatory hemiparetic patients who had mild to moderate spasticity on their affected lower limb.
Clinical rehabilitation impact. These results encourage the usage of AFO on long duration hemiparetic patients in order to provide better balance and lesser fall risk.

top of page

Publication History

Cite this article as

Corresponding author e-mail

drecakar@yahoo.com