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Search Results for: stroke
Increasing the plantar flexion resistance of an ankle foot orthosis (AFO) reduces knee hyperextension and changes foot strike pattern during gait in chronic stroke patients, according to research presented in… Continue reading
People who use an ankle foot orthosis (AFO) after a stroke retain significant deficits in neuromuscular function and blood flow many years later, according to research from the University of Oklahoma in Oklahoma City.
By Emily Delzell Continue reading
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
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.
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
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
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.
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.
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.
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.
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
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
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
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
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
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
The literature on use of AFOs for stroke management could—and should—change your practice. By Stefania Fatone, PhD, BPO(Hons)
The Original AFO Assist from Home Heart Beats is a lower body dressing aid used by stroke survivors, patients with multiple sclerosis or cerebral palsy, and other physically challenged… Continue reading
AlterG offers the AlterG Bionic Leg, a robotic assistive device that is activated by patient- initiated movement, with benefits for both the therapist and patient. The Bionic Leg is… Continue reading
Pain doesn’t always behave the way we think it will. An intervention that relieves pain in the majority of patients might not provide relief for a significant minority. But that might mean we need to change the way we think about pain.
Jordana Bieze Foster, Editor Continue reading
In 1996, after 15 years of sports podiatry practice, Douglas Richie, DPM, was frustrated by the ongoing challenge of fitting sport ankle braces to patients who also wore custom foot orthoses. The two products should have worked naturally together, but, because neither was made with the other in mind, the result was often ungainly and uncomfortable. Continue reading
High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.
By P.K. Daniel Continue reading
Bedford, MA-based bionics company BiOM announced in December 2014 that it had recently raised $6 million from Dutch and US venture firms, bringing its total funding to $48 million, according to the Boston Business Journal (BBJ). Continue reading
Preliminary research suggests the use of a kinetic return ankle foot orthosis is associated with small but significant short-term increases in calf circumference, which in turn suggests this type of device might reduce or protect against the risk of disuse muscle atrophy.
By Robert H. Meier, CO, BOCO; David C. Ruthsatz, CO, CPA; and Daniel Cipriani, PT, PhD Continue reading
Interface use has long been the subject of study and clinical emphasis in prosthetics, but too little attention has been given to the role of interfaces—padded socks in particular—in protecting the skin and soft tissues from forces experienced during ankle foot orthosis use.
By Harry “J.R.” Brandt Jr, CO, LO, BOCO Continue reading