Department of Physical Therapy, The Graduate School, Inje University, Gyeongsangnam-do, Korea.
NeuroRehabilitation. 2012;31(4):387-93. doi: 10.3233/NRE-2012-00808.
This study investigated how to improve the walking patterns in stroke patients by using the Dual AFO, which was devised as an alternative AFO consisting of two thin pierced plastic pieces for the lower leg and foot. Fifteen individuals with hemiplegia were recruited. Participants were seven males and eight females. Gait parameters were measured with the GAITRite system to analyze the spatial and temporal parameters of walking by stroke patients.The Dual AFO significantly improved the step time of the non-affected foot compared with barefoot walking. There was no significance difference in the affected swing time between the two conditions, and participants with the Dual AFO had a significantly shorter non-affected swing time. There was a significant difference in the affected single support time between walking with and without the Dual AFO. Additionally, the velocity was increased significantly in subjects with the Dual AFO compared with barefoot. Consequently, the Dual AFO might enhance stability during the stance phase on the affected side and mobility during the swing phase on the non-affected side to promote better walking in stroke patients.
本研究旨在探讨如何通过使用双 AFO 来改善中风患者的行走模式，双 AFO 是一种由两个用于小腿和脚部的薄穿孔塑料片组成的替代 AFO。本研究招募了 15 名偏瘫患者。参与者包括 7 名男性和 8 名女性。使用 GAITRite 系统测量步态参数，以分析中风患者的行走空间和时间参数。与赤脚行走相比，双 AFO 显著改善了非患脚的步时。两种情况下患侧摆动时间没有显著差异，使用双 AFO 的患者非患侧摆动时间明显缩短。患侧单足支撑时间在使用和不使用双 AFO 之间存在显著差异。此外，与赤脚相比，使用双 AFO 的受试者速度明显增加。因此，双 AFO 可能会增强患侧站立阶段的稳定性和非患侧摆动阶段的活动性，从而促进中风患者更好地行走。
