Ota Tomohiro, Hashidate Hiroyuki, Shimizu Natsuki, Yatsunami Mitsunobu
Department of Health Science, Graduate School, Kyorin University: 5-4-1 Shimorenjaku, Mitaka, Tokyo 181-8612, Japan.
Hatsudai Rehabilitation Hospital, Japan.
J Phys Ther Sci. 2019 Feb;31(2):127-131. doi: 10.1589/jpts.31.127. Epub 2019 Feb 7.
[Purpose] The purpose of this study was to evaluate the early effects of a knee-ankle-foot orthosis on static standing balance in people with subacute stroke. [Participants and Methods] Timed static standing balance in four standing conditions (feet apart with eyes open, feet apart with eyes closed, feet together with eyes open, and tandem stance with eyes open) was assessed in 29 inpatients (mean age: 67.3 ± 13.3 years) with subacute stroke with and without a knee-ankle-foot orthosis on the paretic lower limb. [Results] In the group of participants who were unable to stand without a knee-ankle-foot orthosis, the proportion of participants who were able to stand with a knee-ankle-foot orthosis was significantly increased in the following conditions: feet apart with eyes open and feet apart with eyes closed. In the group of participants who were able to stand without a knee-ankle-foot orthosis, the mean duration of time for which the participants with a knee-ankle-foot orthosis were able to stand was significantly longer than that for those without a knee-ankle-foot orthosis for all standing conditions. [Conclusion] A knee-ankle-foot orthosis may be a useful assistive device to support static standing balance for people with subacute stroke.
[目的]本研究旨在评估膝踝足矫形器对亚急性脑卒中患者静态站立平衡的早期影响。[参与者与方法]对29例亚急性脑卒中住院患者（平均年龄：67.3±13.3岁）在患侧下肢穿戴和不穿戴膝踝足矫形器的情况下，于四种站立条件（双脚分开睁眼、双脚分开闭眼、双脚并拢睁眼和单脚站立睁眼）下进行定时静态站立平衡评估。[结果]在不穿戴膝踝足矫形器时无法站立的参与者组中，在以下条件下，能够穿戴膝踝足矫形器站立的参与者比例显著增加：双脚分开睁眼和双脚分开闭眼。在不穿戴膝踝足矫形器时能够站立的参与者组中，对于所有站立条件，穿戴膝踝足矫形器的参与者能够站立的平均持续时间显著长于未穿戴膝踝足矫形器的参与者。[结论]膝踝足矫形器可能是一种有助于支持亚急性脑卒中患者静态站立平衡的辅助装置。
