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Assistive walking devices in nonambulant patients undergoing rehabilitation after stroke: the effects on functional mobility, walking impairments, and patients’ opinion

Tyson, S and Rogerson, LA 2009, 'Assistive walking devices in nonambulant patients undergoing rehabilitation after stroke: the effects on functional mobility, walking impairments, and patients’ opinion' , Archives of Physical Medicine and Rehabilitation, 90 (3) , pp. 475-479.

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Abstract

Objective: To assess the immediate effects of assistive walking devices on functional mobility, walking impairments, and patients’ opinions in nonambulant patients after stroke. Design: Randomized crossover trial. Setting: Inpatient rehabilitation units of 3 United Kingdom hospitals. Participants: Twenty nonambulant patients with stroke undergoing rehabilitation to restore walking. Interventions: Five walking conditions: (1) Walking with no device (the control condition), (2) walking with a walking cane, (3) ankle foot orthosis, (4) slider shoe, and (5) a combination of all 3 devices. Main Outcome Measures: Functional mobility (functional ambulation categories), walking impairments (speed, step length of the weak leg), and patients’ opinions. Results: Functional mobility improved with all assistive devices (P�.0001–.005; effect sizes 1.68–0.52; number needed to treat�2–5). Walking impairments were unchanged (P�.800 –.988). Participants were generally positive about the devices. They felt their walking, confidence, and safety improved and found the appearance and comfort of the devices acceptable. They would rather walk with the devices than delay walking until a normative gait pattern was achieved without them. Conclusions: Assistive walking devices improved functional mobility in nonambulant rehabilitation patients with stroke. No changes in walking impairments were found. Participants were generally positive about using the devices. The results support the use of assistive walking devices to enable early mobilization after stroke; 2 patients would need to be treated with a cane or combined devices for 1 to improve functional mobility.

Item Type: Article
Uncontrolled Keywords: Ankle; Canes; Foot; Orthotic devices; Patient satisfaction; Rehabilitation; Shoes; Stroke; Walking
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 Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier
Refereed: Yes
ISSN: 0003-9993
Depositing User: Users 29196 not found.
Date Deposited: 23 Mar 2010 15:59
Last Modified: 20 Aug 2013 17:15
URI: http://usir.salford.ac.uk/id/eprint/5305

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