Comparison between actual ambulatory independence levels after alternate gait training using a knee-ankle-foot orthosis and independence levels predicted based on Niki’s independence prediction method.

髙橋 智佳, 阿部 浩明, 佐藤 亘, 梅木 淳

doi:10.57302/jatpt.3.2_128

Bibliographic Information

Other Title

足部可動性を有する長下肢装具を用いた前型歩行トレーニングの実施による実際の退院時の歩行予後と二木による予後予測指標を用いた際の退院時の歩行自立度との比較

Abstract

Purpose : The purpose of this study was to investigate whether providing alternate gait training using a knee-ankle-foot orthosis with an oil damper ankle hinge （KAFO-OD） results in therapeutic effects surpassing the outcomes predicted using previously reported prognostic method for ambulatory independence.Methods : Forty-three stroke patients underwent alternate gait training using a KAFO-OD at a convalescent rehabilitation ward. We retrospectively investigated each patient’s predicted ambulatory independence level based on Niki’s independence prediction method, and compared them with the patient’s actual independence level at discharge.Results : According to Niki's prediction indicators, three patients were predicted to achieve ambulatory independence, 28 were predicted to be dependent, and prediction was not possible for the remaining 12 patients. However, assessment at discharge showed that 27 patients achieved ambulatory independence, while 16 remained dependent.Conclusion : Providing alternate gait training using a KAFO-OD for stroke patients may improve ambulatory independence levels at discharge.

Journal

Journal of Assistive Technology in Physical Therapy

Journal of Assistive Technology in Physical Therapy 3 (2), 128-137, 2024-03-29

Japanese Society of Assistive Technologies in Physical Therapy

Keywords

Details 詳細情報について

CRID: 1390581148791492096

DOI: 10.57302/jatpt.3.2_128

ISSN: 24366951

Text Lang: ja

Data Source

JaLC

Abstract License Flag: Allowed

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