Search Results for: stroke

June 2016

Stroke rehab: Strategies to improve gait velocity

Multiple techniques can help improve gait speed after stroke, from therapeutic exercise to task-specific training to orthotic devices. Despite a growing body of research in this area, however, it is still not clear which intervention is most appropriate for which patients.

By Hank Black

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November 2015

Cadence Kickstart studied for stroke rehab

Seattle, WA-based Cadence Biomedical in October announced a National Institutes of Health-funded research collaboration with the University of Nebraska-Omaha (UNO) to study stroke survivors’ ability to adapt and… Continue reading

July 2015

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

May 2015

Cadence to sell rehab device in Stroke Belt

Seattle-based Cadence Biomedical finalized a distribution agreement in April with Ooltewah, TN-based TruMedical Solutions to sell its Kickstart neuro-rehabilitation device across the southeastern US “Stroke Belt” and to national and regional rehabilitation providers. Continue reading

March 2015

Plantar flexion resistance alters knee flexion, foot strike in stroke patients

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

August 2014

AFO users retain deficits in function, blood flow many years after stroke

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

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. Continue reading

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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October 2016

Crossover consequences of unilateral treatments

The mechanisms underlying the so-called crossover effect—when a unilateral intervention results in bilateral changes—are still unclear, but clinical applications related to lower extremity strengthening, fatigue, and stretching are already being explored by rehabilitation specialists.

By Cary Groner Continue reading

October 2016

Insole research explores postural control effects

A growing body of evidence suggests that foot orthoses may be a helpful addition to other therapies for improving balance and potentially reducing the risk of falls. The findings have been mixed, however, and clinical enthusiasm for this type of insole intervention also varies.

By Hank Black Continue reading

September 2016

Support for dry needling builds among clinicians

Dry needling is gaining momentum as an alternative therapy for myofascial pain, and is supported by a small but growing body of research as well as anecdotal evidence. But the training and expertise required to perform the procedure has become a topic of debate.

By P.K. Daniel Continue reading

August 2016

Out on a limb: Falling in with feedback

One of the interesting things about LER’s multi­disciplinary perspective is being able to follow a new idea as it is examined and embraced by one specialty after another, each with its own therapeutic goals and challenges.

By Jordana Bieze Foster, Editor Continue reading