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The effect of a hinged ankle foot orthosis on hemiplegic gait: objective measures and users' opinions.

Tyson, S and Thornton, HA 2001, 'The effect of a hinged ankle foot orthosis on hemiplegic gait: objective measures and users' opinions.' , Clinical Rehabilitation, 15 (1) , pp. 53-58.

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Abstract

Objective: To assess the effect of a hinged ankle foot orthosis (AFO) on functional mobility and gait impairments in people with a severe hemiplegia undergoing rehabilitation, and to investigate the patients' views of the hinged AFO. Design: With/without group comparison, and face-to-face questionnaire. Subjects and setting: Twenty-five subjects over 18 years, with a hemiplegia following cerebrovascular accident (CVA) undergoing rehabilitation in a regional rehabilitation unit. Outcome measures: Functional Ambulation Categories as a measure of disability. Paper walkways to measure gait impairments – stride length, step length, symmetry, cadence and velocity. Face-to-face questionnaire to determine the users' opinion of the hinged AFO. Results: Comparison of gait with and without the hinged AFO showed significant improvements in functional mobility (p = 0.000) and in some gait impairments; stride length of the weak (p < 0.005, 95% CI –8.1, –1.6) and sound legs (p < 0.014, 95% CI –8, –1), velocity (p = 0.00, 95% CI –0.1, –0.03) and cadence (p < 0.002, 95% CI –15.1, –3.8). No effect was found for step length in the weak or sound leg or symmetry. The subjects' response was positive, 24 (96%) felt they walked better with the AFO and found it comfortable. Twenty-three (92%) were unbothered by the appearance and 16 (64%) could doff and don it. Conclusion: The hinged AFO improved objective measures of gait impairments and disability and patients were positive about it.

Item Type: Article
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Science & Technology
Colleges and Schools > College of Science & Technology > School of Environment and Life Sciences
Journal or Publication Title: Clinical Rehabilitation
Publisher: Arnold Publishers
Refereed: Yes
ISSN: 0269-2155
Depositing User: H Kenna
Date Deposited: 10 Aug 2007 09:26
Last Modified: 20 Aug 2013 16:46
URI: http://usir.salford.ac.uk/id/eprint/236

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