Research Article
Year 2018,
Volume: 23 Issue: 1, 26 - 33, 29.01.2018
study was to investigate the acute effect of Dyna ankle usage on balance and
gait in stroke patients.
Abstract
study was to investigate the acute effect of Dyna ankle usage on balance and
gait in stroke patients.
Materials
and Methods: Thirty individuals who
have had stroke atleast 3 months prior to assessment were included into this
study. After collecting all demographic data from the individuals, Berg balance
test, timed up and go test, analysis of gait parameters from foot prints and
Tetrax balance test were applied with and without Dyna ankle.
Results: There were no statistical significance on
Tetrax F7-8 parameter, weight distribution index, single stride length and step
width in gait analysis between groups (p>0,05). There were significant
improvement in Berg balance scores, double stride length in favor of
individuals who used Dyna ankle (p≤0,05).
Discussion
and Conclusion: In this study, we
found that the usage of Dyna ankle increased static balance and double stride
length however for dynamic balance, body sways, weight distribution and in
other gait parameters there were no acute improvements.
References
- 1. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ. 1980;58:113-30.
- 2. Mathers C, Fat DM, Boerma J (2008). The global burden of disease: 2004 update. Switzzerland: WHO.
- 3. Wang R-Y, Yen L-L, Lee C-C, Lin P-Y, Wang M-F, Yang Y-R. Effects of an ankle-foot orthosis on balance performance in patients with hemiparesis of different durations. Clin Rehabil. 2005;19:37-44.
- 4. Di Fabio RP, Badke MB. Relationship of sensory organization to balance function in patients with hemiplegia. Phys Ther. 1990;70:542-8.
- 5. Franceschini M, Massucci M, Ferrari L, Agosti M, Paroli C. Effects of an ankle-foot orthosis on spatiotemporal parameters and energy cost of hemiparetic gait. Clin Rehabil. 2003;17(4):368-72.
- 6. Mojica Jap, Nakamura R, Kobayashi T, Handa T, Morohashi I, Watanabe S. Effect of ankle-foot orthosis (AFO) on body sway and walking capacity of hemiparetic stroke patients. The Tohoku J Exp Med. 1988;156:395-401.
- 7. de Haart M, Geurts AC, Huidekoper SC, Fasotti L, van Limbeek J. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil. 2004;85:886-95.
- 8. Ryerson S. Hemiplegia resulting from vascular insult or disease. Neuro Rehabil. 1985:474-514.
- 9. Lehmann JF, Esselman P, Ko M, Smith J, Delateur B, Dralle A. Plastic ankle-foot orthoses: evaluation of function Arch Phys Med Rehabil. 1983;64:402-7.
- 10. Dyna Ankle-Dynamic Ankle Orthosis, Erişim tarihi: 22.05.2017 https://professionals.ottobockus.com/Orthotics/Custom-Orthotics/AFO--Ankle-Foot-Orthosis/Thermoplastic-AFO/Dyna-Ankle--Dynamic-Ankle-Orthosis/p/50S1
- 11. Diamond MF, Ottenbacher KJ. Effect of a tone-inhibiting dynamic ankle-foot orthosis on stride characteristics of an adult with hemiparesis. Phys Ther. 1990;70:423-30.
- 12. Pohl M, Mehrholz J. Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients. Clin Rehabil. 2006;20:324-30.
- 13. Horak FB, Wrisley DM, Frank J. The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89:484-98.
- 14. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1991;83:S7-11.
- 15. Avcı Ş, Yalçın HB: The investigation of relations among balance education, fall risk anf quaity of life in elderly, In: Ayşegül Y. Kaptanoğlu (Ed): A Current Perspective on Health Sciencies. 1st edition, Rotipo, Romania 2014: 314-29.
- 16. Riad J, Henley J, Miller F. Spastik hemiplejik beyin felcinde ayak izi ve ayağı ilerletme açısı ayak bileği güç üretiminde rol oynuyor mu? Acta Orthop Traumatol Turc. 2009;43:128-34.
- 17. Lehmann JF, Condon SM, Price R, DeLateur B. Gait abnormalities in hemiplegia: their correction by ankle-foot orthoses. Arch Phys Med Rehabil. 1987;68:763-71.
- 18. Lee Y, Her JG, Choi Y, Kim H. Effect of Ankle-foot Orthosis on Lower Limb Muscle Activities and Static Balance of Stroke Patients Authors’ Names. J Phys Ther Sci. 2014;26:179.
- 19. Niam S, Cheung W, Sullivan PE, Kent S, Gu X. Balance and physical impairments after stroke. Arch Phys Med Rehabil. 1999;80:1227-33.
- 20. Radtka SA, Oliveira GB, Lindstrom KE, Borders MD. The kinematic and kinetic effects of solid, hinged, and no ankle–foot orthoses on stair locomotion in healthy adults. Gait Posture. 2006;24:211-8.
- 21. Cruz TH, Dhaher YY. Impact of ankle-foot-orthosis on frontal plane behaviors post-stroke. Gait Posture. 2009;30:312-6.
- 22. Kobayashi T, Leung AK, Akazawa Y, Hutchins SW. Design of a stiffness-adjustable ankle-foot orthosis and its effect on ankle joint kinematics in patients with stroke. Gait Posture. 2011;33:721-3.
- 23. Gök H, Küçükdeveci A, Altinkaynak H, Yavuzer G, Ergin S. Effects of ankle-foot orthoses on hemiparetic gait. Clin Rehab. 2003;17:137-9.
- 24. Ferreira LAB, Neto HP, Grecco LAC, Christovão TCL, Duarte NA, Lazzari RD, et al. Effect of ankle-foot orthosis on gait velocity and cadence of stroke patients: a systematic review. J Phys Ther Sci. 2013;25:1503-8.
Year 2018,
Volume: 23 Issue: 1, 26 - 33, 29.01.2018
Abstract
Amaç: Bu çalışmanın amacı
Dyna ankle kullanımının inmeli bireylerde denge ve yürüme üzerine akut etkisini
araştırmaktı.
Gereç ve Yöntemler: Çalışmaya inme
geçirme süresi 3 aydan daha fazla olan toplam 30 birey dahil edildi. Tüm
bireylerin demografik bilgileri alındıktan sonra, Berg Denge skalası, Süreli
kalk ve yürü testi, ayak izi yöntemi ile yürüyüşün değerlendirilmesi ve Tetrax
denge cihazı ile ölçümler bireyler dyna ankle kullanırken ve kullanmazken
yapıldı.
Bulgular: Tetrax F7-8
parametresi, ağırlık dağılım indeksi, süreli kalk ve yürü testi, yürüyüş
analizinin tek adım uzunluğu ve adım genişliğinde fark bulunmadı (p>0,05).
Berg denge ölçümü skorlarında ve çift adım uzunluğunda Dyna ankle kullanımı
sırasında artış olduğu bulundu (p≤0,05).
Tartışma ve Sonuç: Bu çalışmada Dyna
ankle kullanımının statik denge ve çift adım uzunluğunu artırmasına rağmen
dinamik denge, gövde salınım miktarı, ağırlık dağılımı ve yürüyüşün diğer parametreleri
üzerine akut etkisi olmadığı bulundu.
Keywords
References
- 1. Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ. 1980;58:113-30.
- 2. Mathers C, Fat DM, Boerma J (2008). The global burden of disease: 2004 update. Switzzerland: WHO.
- 3. Wang R-Y, Yen L-L, Lee C-C, Lin P-Y, Wang M-F, Yang Y-R. Effects of an ankle-foot orthosis on balance performance in patients with hemiparesis of different durations. Clin Rehabil. 2005;19:37-44.
- 4. Di Fabio RP, Badke MB. Relationship of sensory organization to balance function in patients with hemiplegia. Phys Ther. 1990;70:542-8.
- 5. Franceschini M, Massucci M, Ferrari L, Agosti M, Paroli C. Effects of an ankle-foot orthosis on spatiotemporal parameters and energy cost of hemiparetic gait. Clin Rehabil. 2003;17(4):368-72.
- 6. Mojica Jap, Nakamura R, Kobayashi T, Handa T, Morohashi I, Watanabe S. Effect of ankle-foot orthosis (AFO) on body sway and walking capacity of hemiparetic stroke patients. The Tohoku J Exp Med. 1988;156:395-401.
- 7. de Haart M, Geurts AC, Huidekoper SC, Fasotti L, van Limbeek J. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil. 2004;85:886-95.
- 8. Ryerson S. Hemiplegia resulting from vascular insult or disease. Neuro Rehabil. 1985:474-514.
- 9. Lehmann JF, Esselman P, Ko M, Smith J, Delateur B, Dralle A. Plastic ankle-foot orthoses: evaluation of function Arch Phys Med Rehabil. 1983;64:402-7.
- 10. Dyna Ankle-Dynamic Ankle Orthosis, Erişim tarihi: 22.05.2017 https://professionals.ottobockus.com/Orthotics/Custom-Orthotics/AFO--Ankle-Foot-Orthosis/Thermoplastic-AFO/Dyna-Ankle--Dynamic-Ankle-Orthosis/p/50S1
- 11. Diamond MF, Ottenbacher KJ. Effect of a tone-inhibiting dynamic ankle-foot orthosis on stride characteristics of an adult with hemiparesis. Phys Ther. 1990;70:423-30.
- 12. Pohl M, Mehrholz J. Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients. Clin Rehabil. 2006;20:324-30.
- 13. Horak FB, Wrisley DM, Frank J. The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89:484-98.
- 14. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1991;83:S7-11.
- 15. Avcı Ş, Yalçın HB: The investigation of relations among balance education, fall risk anf quaity of life in elderly, In: Ayşegül Y. Kaptanoğlu (Ed): A Current Perspective on Health Sciencies. 1st edition, Rotipo, Romania 2014: 314-29.
- 16. Riad J, Henley J, Miller F. Spastik hemiplejik beyin felcinde ayak izi ve ayağı ilerletme açısı ayak bileği güç üretiminde rol oynuyor mu? Acta Orthop Traumatol Turc. 2009;43:128-34.
- 17. Lehmann JF, Condon SM, Price R, DeLateur B. Gait abnormalities in hemiplegia: their correction by ankle-foot orthoses. Arch Phys Med Rehabil. 1987;68:763-71.
- 18. Lee Y, Her JG, Choi Y, Kim H. Effect of Ankle-foot Orthosis on Lower Limb Muscle Activities and Static Balance of Stroke Patients Authors’ Names. J Phys Ther Sci. 2014;26:179.
- 19. Niam S, Cheung W, Sullivan PE, Kent S, Gu X. Balance and physical impairments after stroke. Arch Phys Med Rehabil. 1999;80:1227-33.
- 20. Radtka SA, Oliveira GB, Lindstrom KE, Borders MD. The kinematic and kinetic effects of solid, hinged, and no ankle–foot orthoses on stair locomotion in healthy adults. Gait Posture. 2006;24:211-8.
- 21. Cruz TH, Dhaher YY. Impact of ankle-foot-orthosis on frontal plane behaviors post-stroke. Gait Posture. 2009;30:312-6.
- 22. Kobayashi T, Leung AK, Akazawa Y, Hutchins SW. Design of a stiffness-adjustable ankle-foot orthosis and its effect on ankle joint kinematics in patients with stroke. Gait Posture. 2011;33:721-3.
- 23. Gök H, Küçükdeveci A, Altinkaynak H, Yavuzer G, Ergin S. Effects of ankle-foot orthoses on hemiparetic gait. Clin Rehab. 2003;17:137-9.
- 24. Ferreira LAB, Neto HP, Grecco LAC, Christovão TCL, Duarte NA, Lazzari RD, et al. Effect of ankle-foot orthosis on gait velocity and cadence of stroke patients: a systematic review. J Phys Ther Sci. 2013;25:1503-8.
There are 24 citations in total.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | January 29, 2018 |
| Acceptance Date | November 23, 2017 |
| Published in Issue | Year 2018 Volume: 23 Issue: 1 |
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