Ankara Physical Medicine Rehabilitation Education and Research Hospital, Ankara, Turkey.
Disabil Rehabil. 2011;33(15-16):1433-9. doi: 10.3109/09638288.2010.533243. Epub 2010 Nov 22.
We evaluated the effect of ankle-foot orthosis (AFO; articulated, plantar flexion stopped) use on balance and mobility in hemiparetic stroke patients in this study. Fifty-one hemiplegic patients who had completed the rehabilitation programme were included in the study. Subjects were assessed during the Ashburn walking and stair test, the time Up & Go test, the Berg Balance Scale (BBS) and the mobility subscale of the stroke rehabilitation assessment of movement (STREAM) in the presence and absence of AFO. The patients were asked about their evaluations of AFO in terms of its desirability/undesirability. All the subjects showed improvements in gait speed, balance and mobility with AFO use. However, there was no statistically significant difference between the durations of stair climbing with or without AFO; 45.1%% of the subjects indicated that their gait speed increased; 35.3%% indicated that they step on more confidently and 60.8%% indicated that they consider AFO unaesthetic. It was determined that the use of an AFO resulted in improvements in both balance and ambulation activities of hemiparetic patients.
本研究评估了踝足矫形器（AFO；铰接式，跖屈停止）对偏瘫脑卒中患者平衡和移动能力的影响。51 名完成康复计划的偏瘫患者纳入本研究。在存在和不存在 AFO 的情况下，通过 Ashburn 步行和楼梯测试、起身和行走测试、Berg 平衡量表（BBS）和运动康复评估的移动性亚量表（STREAM）评估受试者。询问患者对 AFO 的评价，包括其是否理想/不理想。所有受试者在使用 AFO 后，步态速度、平衡和移动能力都有所改善。然而，在有无 AFO 的情况下，爬楼梯的时间没有统计学上的显著差异；45.1%的受试者表示他们的步态速度提高了；35.3%的受试者表示他们更自信地踩下去，60.8%的受试者表示他们认为 AFO不美观。结果表明，AFO 的使用可改善偏瘫患者的平衡和步行活动。
