Donning methods of ankle-foot orthoses in hemiparetic stroke patients : Effect of type of orthosis, physical function and balance on wearing methods

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  • SASAKI Noriha
    Department of Rehabilitation, Matsuda Hospital
  • SATAKE Masahiro
    秋田大学大学院医学系研究科保健学専攻理学療法学講座
  • ITO Tomoaki
    医療法人社団志仁会介護老人保健施設ラ·サンテふよう
  • KIMOTO Yusuke
    秋田リハビリテーション学院
  • IWASAWA Satomi
    秋田県立リハビリテーション·精神医療センター
  • TERUI Yoshino
    秋田大学大学院医学系研究科保健学専攻理学療法学講座
  • UEMURA Sachiko
    秋田大学大学院医学系研究科保健学専攻理学療法学講座

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Other Title
  • 脳卒中片麻痺者の短下肢装具の装着方法について
  • —装具の種類および身体機能・バランス能力との関係—

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<p>This study aimed to investigate the methods used for donning ankle-foot orthoses (AFOs) in hemiparetic stroke patients and ascertain the effect of AFO type, physical function and balance on these AFO-wearing methods. The study subjects were 26 hemiparetic stroke patients (18 men, 8 women ; mean age : 59.3±12.0 years) who could independently attach and remove AFOs. AFO-donning methods were broadly classified into three types : standing method (donning an orthosis while standing on the floor) and crossed-leg method (donning an orthosis with the legs crossed), and others. There was a significant difference in the type of orthosis between the standing method and cross-leg method. Sensation and trunk flexion function were significantly better when the orthosis was attached by the standing method. Knee-extension muscle strength and seated balance were significantly better when the orthosis was put on by the crossed-leg method. Our results suggest that the differences in the AFO type, physical function and balance may affect the AFO-donning method used by hemiparetic stroke patients.</p>

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