Gait assessment during the initial fitting of an ankle foot orthosis in individuals with stroke.
Gait assessment during the initial fitting of an ankle foot orthosis in individuals with stroke.
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中风患者初次安装踝足矫形器时的步态评估。
DOI：
10.1080/17483100801973023
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Aruin,AlexanderS
中科院分区：
文献类型：
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作者：
Rao,Noel;Chaudhuri,Gouri;Hasso,Daniel;D'Souza,Keith;Wening,Jason;Carlson,Cheryl;Aruin,AlexanderS
目的.评估踝足矫形器（AFO）装配期间检查的步态参数测量是否对受中风影响的个体的步态模式具有有益影响。此外，本研究旨在提供关于在临床环境中使用便携式GaitRite®系统的证据。在一家独立康复医院的中风门诊矫形诊所进行的前后试验。13名急性脑卒中患者和27名慢性脑卒中患者参与了步态速度、步频、步长和站立相的评估。AFO的使用显著改善了中风偏瘫患者的步态速度、步频、步数和步长。目前的研究结果表明，步态的时空特征的评估可以纳入临床常规。这将有助于患者教育，合理的医疗必要性支付，监测进展，并在决策过程中的病人断奶矫形器。
Purpose. To evaluate if the measurement of gait parameters, examined during the fitting of an Ankle Foot Orthosis (AFO), has a beneficial effect on the gait pattern of individuals who were affected by a stroke. Also, this study seeks to provide evidence regarding the use of the portable GaitRite® system in a clinical setting.Method. Before-after trial conducted at a stroke outpatient orthotic clinic of a freestanding rehabilitation hospital. Thirteen individuals with acute and 27 individuals with chronic stroke participated in the assessment of gait velocity, cadence, step length and stance phase.Results. AFO use significantly improves gait velocity, cadence, step, and stride length in individuals with hemiparesis due to stroke.Conclusion. The results of the current study indicate that the assessment of temporo-spatial characteristics of gait can be incorporated into a clinical routine. This will be useful for patient education, justification of medical necessity of paying, monitoring progress, and in the decision-making process of weaning patients off orthoses.