Shin Young Jun, Lee Dae Hwan, Kim Myoung-Kwon
Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University: Jillyang, Gyeongsan, Gyeongbuk 712-714, Republic of Korea.
G. O. Meditech, Republic of Korea.
J Phys Ther Sci. 2017 Nov;29(11):1899-1902. doi: 10.1589/jpts.29.. Epub 2017 Nov 24.
[Purpose] The purpose of this study is to investigate the effect of the newly designed multi joint ankle-foot orthosis on the gait and dynamic balance of stroke patients having foot drop. [Subjects and Methods] This study was conducted with 15 subjects who were diagnosed with stroke. 10-meter walk test, functional reaching test and timed up and go test were measured after each subjects wore a plastic ankle-foot orthosis and a multi joint ankle-foot orthosis that consists of orthosis joints (having free joint, anterior-stop joint, poster-stop joint, and Klenzak joint functions). In the case of the newly developed multi joint ankle-foot orthosis, the experiments were performed using posterior-stop joint and Klenzak joint. [Results] 10-meter walk test, functional reaching test and timed up and go test showed significant differences in the orthosis using posterior joint-stop function and Klenzak joint function. [Conclusion] The appropriate use of the four functions of the newly designed multi joint ankle-foot orthosis is expected to have a positive effect on improving the gait and balancing ability of stroke patients having foot drop.
[目的] 本研究旨在探讨新设计的多关节踝足矫形器对患有足下垂的中风患者步态和动态平衡的影响。[对象与方法] 本研究对15名被诊断为中风的患者进行。在每位受试者穿戴塑料踝足矫形器和由矫形器关节（具有自由关节、前止动关节、后止动关节和克莱恩扎克关节功能）组成的多关节踝足矫形器后，测量10米步行测试、功能性伸展测试和定时起立行走测试。对于新开发的多关节踝足矫形器，实验使用后止动关节和克莱恩扎克关节进行。[结果] 10米步行测试、功能性伸展测试和定时起立行走测试显示，在使用后关节止动功能和克莱恩扎克关节功能的矫形器方面存在显著差异。[结论] 合理使用新设计的多关节踝足矫形器的四项功能，有望对改善患有足下垂的中风患者的步态和平衡能力产生积极影响。
