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Issue title: TBI and Aging
Guest editors: Wayne A. Gordon
Article type: Research Article
Authors: Hwang, Young-Ina | Yoo, Won-Gyub; * | An, Duk-Hyunb | Heo, Hyo-Jina
Affiliations: [a] Department of Physical Therapy, The Graduate School, Inje University, Republic of Korea | [b] Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gyeongsangnam-do, Republic of Korea
Correspondence: [*] Address for correspondence: Won-Gyu Yoo, Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, 607 Obang-dong, Gimhae, Gyeongsangnam-do, 621-749 Republic of Korea. Tel.: +82 55 320 3994; Fax: +82 55 329 1678; E-mail: [email protected]
Abstract: We investigated the effectiveness of an AFO-shaped band as an assistive walking device in patients with neurological lesions. The participants included 11 patients with a recent history of a CVA and one multiple sclerosis patient. In each patient, the order of conditions (AFO, AFO-shaped band, barefoot) was randomized. Participants were required to walk on the GAITRite mat twice during each condition. The average gait velocity among patients using the AFO-shaped elastic band was significantly higher than those under barefoot conditions (p = 0.015). Participants using the AFO-shaped elastic band also showed a significantly higher average number of steps per minute (cadence) as compared with the barefoot and AFO conditions (p = 0.007). Significant differences in stride length on the unaffected side were found between the AFO-shaped band and barefoot conditions (p = 0.029). Our results indicated that the AFO-shaped elastic band could be useful for patients with central neurological lesions with respect to gait, especially walking velocity, cadence, and stride length on the affected side. Thus, the AFO-shaped elastic band could be a practical tool for clinicians to train patients with central neurological lesions to walk.
Keywords: Ankle foot orthosis, gait, multiple sclerosis, orthotic devices, rehabilitation, stroke
DOI: 10.3233/NRE-130858
Journal: NeuroRehabilitation, vol. 32, no. 2, pp. 377-383, 2013
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