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The effects of dynamic ankle-foot orthoses in chronic stroke patients at three-month follow-up: A randomized controlled trial

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dc.contributor.author Erel, S.
dc.contributor.author Uygur, F.
dc.contributor.author Şimşek, I.E.
dc.contributor.author Yakut, Y.
dc.date.accessioned 2019-08-16T12:03:36Z
dc.date.available 2019-08-16T12:03:36Z
dc.date.issued 2011
dc.identifier.issn 02692155 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/5997
dc.description.abstract Objective: To investigate the short- and long-term effects of dynamic ankle foot orthoses on functional ambulation activities in chronic hemiparetic patients. Design: Randomized controlled trial. Setting: University's neurological rehabilitation outpatient clinic and orthotics department. Subjects: Twenty-eight chronic hemiparetic patients of level 3-5 according to Functional Ambulation Classification and with a maximum spasticity level of 3 according to Modified Ashworth Scale, were randomly assigned to the study and control groups. Interventions: The control group (n=14) was assessed with tennis shoes whereas the study group (n=14) was assessed initially with tennis shoes and after three months with dynamic ankle foot orthosis. Measures: Functional Reach, Timed Up and Go, Timed Up Stairs, Timed Down Stairs, gait velocity and Physiological Cost Index. Results: In the initial assessment no difference was found between the groups for any of the measured parameters (P>0.05). After three months, intergroup comparisons while the patients in the study group were wearing dynamic ankle-foot orthosis showed a significant difference in favour of the study group for Timed Up Stairs 12.00 (10.21) seconds study versus 15.00 (7.29) seconds control group; for gait velocity 0.99 (0.45) m/s study versus 0.72 (0.20) m/s control group and for Physiological Cost Index 0.12 (0.06) beats/min study versus 0.28 (0.13) beats/min control group (P<0.05). No difference was found between the groups for Functional Reach, Timed Up and Go, Timed Down Stairs (P>0.05). Conclusion: Chronic hemiparetic patients may benefit from using dynamic ankle-foot orthosis. © 2011 The Author(s).
dc.language.iso English
dc.relation.isversionof 10.1177/0269215510390719
dc.subject Dynamic ankle-foot orthosis
dc.subject Functional ambulation activities
dc.subject Stroke
dc.subject adult
dc.subject ankle
dc.subject article
dc.subject clinical trial
dc.subject controlled clinical trial
dc.subject controlled study
dc.subject female
dc.subject foot
dc.subject human
dc.subject male
dc.subject middle aged
dc.subject neurologic disease
dc.subject orthotics
dc.subject paraplegia
dc.subject pathophysiology
dc.subject physiology
dc.subject randomized controlled trial
dc.subject stroke
dc.subject time
dc.subject walking
dc.subject Adult
dc.subject Ankle Joint
dc.subject Female
dc.subject Foot Joints
dc.subject Gait Disorders, Neurologic
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Orthotic Devices
dc.subject Paraparesis
dc.subject Time Factors
dc.subject Walking
dc.title The effects of dynamic ankle-foot orthoses in chronic stroke patients at three-month follow-up: A randomized controlled trial
dc.type Article
dc.relation.journal Clinical Rehabilitation
dc.identifier.volume 25
dc.identifier.issue 6
dc.identifier.startpage 515
dc.identifier.endpage 523
dc.identifier.index Scopus

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