Search Results for: stroke

May 2014

Post-stroke balance: AFO use may improve self-efficacy

Ankle foot orthoses (AFOs) improve self-reported balance confidence and may also improve physical functioning in individuals with chronic poststroke hemiplegia, according to a study published in the April issue of… Continue reading

March 2014

Walking the walk: Overground training boosts poststroke gait

Chronic stroke patients who can walk independently but retain gait deficits experience greater gains in both walking speed and quality with an overground walking intervention than with body-weight supported treadmill training (BWSTT), according to results of a pilot study epublished by Clinical Rehabilitation in February.

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June 2013

Inserts improve symmetry, velocity in stroke patients

Learned disuse of the affected limb can lead to weight-bearing asymmetries in patients with stroke-related hemiparesis. Compelled body-weight shift therapy, using shoe inserts to force loading of the affected limb, can help patients achieve a more symmetrical gait.

By Alexander S. Aruin, PhD

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April 2013

Poststroke bone changes in patients who use AFOs

The medical literature suggests that changes in bone density and other bone characteristics after stroke persist after patients have regained ambulatorystatus. Whether ankle foot orthoses have a shielding effect on bone remodeling, however, remains unclear.

By Kyle Sherk, MS, CPO

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March 2013

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

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November 2012

Tibial bone health asymmetries persist in stroke survivors despite use of AFOs

Tibial bone mineral density in stroke survivors who use ankle foot orthoses (AFOs) remains significantly higher in the unaffected limb than the affected limb after more than a decade, according to research from the University of Oklahoma in Oklahoma City.

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September 2012

Multimodal adaptive rehab improves propulsive impulse in stroke patients

Gait training on a dual-belt treadmill in an adaptive virtual environment can help improve propulsive impulse in the paretic limbs of individuals with hemiparesis following stroke, according to research from the University of North Carolina at Chapel Hill.

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April 2012

AFOs may improve foot placement in patients with poststroke foot drop

Ankle foot orthoses (AFOs) designed to correct foot drop during swing and provide toe clearance may facilitate more accurate foot placement, according to preliminary data presented in March at the American Academy of Orthotists & Prosthetists annual meeting in Atlanta.

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April 2012

Orthotic considerations for foot drop after stroke

When prescribing an ankle foot orthosis or neuroprosthesis for a patient with acute drop foot following stroke, lower extremity practitioners should consider the device’s potential effects on neural plasticity and motor relearning in addition to its potential effects on gait.

By Chad Lairamore, PhD, PT, CBISt

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January 2012

Muscle activation data suggest gap in poststroke gait rehabilitation

Improving gait and coordination among stroke survivors should involve developing rehabilitation techniques that target abnormal muscle timing characteristics, suggests recent research from the Louis Stokes Cleveland VA Medical Center, OH. The study, e-published in December by Rehabilitation Practice and Research, … Continue reading

November 2011

Bespoke for stroke: Temporary custom shoe improves gait

Recent research from the Netherlands suggests that a custom-made orthopedic shoe designed for temporary use can enhance early mobilization after stroke, improving functional mobility, walking speed, and gait.

By Emily Delzell

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September 2011

Patients feel both electrical stimulation and AFOs have a place in stroke rehab

Although patients with drop foot show an overall preference for functional electrical stimulation over ankle foot orthoses, individuals familiar with both therapies recognize the benefits and drawbacks of the two modalities, according to research published in the September issue of … Continue reading

May 2011

Dorsiflexed AFO alignment improves gait variables in post-stroke patients

An ankle foot orthosis that orients the ankle in slight dorsiflexion may help improve knee flexion during gait and reduce the risk of heel ulcers in post-stroke patients, according to research from Marquette University in Milwaukee. Investigators performed gait analysis … Continue reading

January 2011

Two tests in days after stroke predict independent walking 6 months later

Two simple tests performed within 72 hours of an ischemic stroke can help predict the likelihood of achieving independent gait after six months, according to research from the Netherlands. In 154 first-ever ischemic stroke patients who were unable to walk … Continue reading

September 2009

Stroke: The evidence for orthotic treatment

The literature on use of AFOs for stroke management could—and should—change your practice. By Stefania Fatone, PhD, BPO(Hons)

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June 2014

A virtual reality approach to lower extremity rehab

When commercially available active video games are used in rehabilitation settings, often the level of challenge does not match the patient’s ability level. Customized interventions can address these limitations while capitalizing on the fun and motivating aspects of the technology.

By Rachel Proffitt, OTD, OTR/L Continue reading

April 2014

Patient Perspective: Taking an alternative path to chronic foot pain relief

After a year in a fracture boot with a broken foot, I thought my ordeal was over. I was wrong. The broken bone in my foot, sustained after a fall down a staircase in my home, had occurred midway down the fifth metatarsal bone below my little toe—a site that is notoriously difficult to heal, according to my podiatrist.

By Barbara Boughton Continue reading

April 2014

Cadence Kickstart enters Korean market

Seattle-based Cadence Biomedical inked a distribution agreement on March 6 with a Korean medical device importer for the US company’s KickstartPT and KickstartPersonal systems. Continue reading

April 2014

Step Sensor 
Vibration Therapy

The Step Sensor is the first offering in Brownmed’s new line of vibration therapy products under the Intellinetix brand. The Step Sensor is a low-
profile, discreet device designed to harness the power of vibration to improve balance… Continue reading

March 2014

Bariatric surgery: Effects on patient gait and function

Existing data suggest bariatric surgery-induced weight loss can lead to rapid improvements in gait and physical function. The surgery may also help to address factors associated with knee osteoarthritis, which itself can affect mobility and function in obese patients.

By Andrew W. Froehle, PhD, Neal Dollin, MS, Richard T. Laughlin, MD, Donovan D. Teel II, MD, Richard J. Sherwood, PhD, and Dana L. Duren, PhD

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March 2014

Influence of stride length on mechanics of pitching

Because power in baseball pitchers is generated from the feet through the core to the throwing arm, the study of stride length and its impact on pitching performance may help define an optimum technique that better protects pitchers from upper extremity injuries.

By Ryan L. Crotin, PhD, and Dan K. Ramsey, PhD

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February 2014

WalkOn Reaction AFO

Ottobock announces the launch of the WalkOn Reaction AFO. Fabricated from a prepreg advanced carbon composite, the Reaction is lightweight, low profile, and extremely tough. It is designed for patients with weak dorsiflexion, poststroke impairment, traumatic brain injury, multiple sclerosis, neuromuscular atrophy, peroneal paralysis, and partial foot amputation.

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February 2014

Charcot-Marie-Tooth: AFO mechanics and gait patterns

Patients with Charcot-Marie-Tooth disease showing the greatest increase in speed appear to respond to and utilize the energy storing and releasing properties of a carbon fiber composite ankle foot orthosis differently from those who had smaller increases in walking speed.

By Janet S. Dufek, PhD; Edward S. Neumann, PhD, PE, CP; M. Cameron Hawkins, PhD; and Brendan J. O’Toole, PhD

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February 2014

Exploring treatment options for intermittent claudication

Despite the documented benefits of supervised exercise in patients with claudication, its effect on actual clinical practice has been disappointing due to a lack of reimbursement. But practitioners and research­ers have been investigating other options, with encouraging preliminary results.

By Cary Groner

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December 2013

Quikiks: gears up for first production run of hands-free shoes, available in early 2014

Perhaps watching television can be good for you. About six years ago, Steve Kaufman was watching the late-night CNBC show “The Big Idea with Donny Deutsch,” during which successful entrepreneurs tell how they got started in business. At the end of the show, the host would challenge viewers to come up with their own big ideas.

By Larry Hand

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