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Relative contribution of footwear to the efficacy of ankle-foot orthoses
CHURCHILL AJG; HALLIGAN PW; WADE DT
CLIN REHABIL , 2003, vol. 17, n° 5, p. 553-557 Doc n°: 109749 Localisation : Documentation IRR Descripteurs : EC25 -ORTHESES DE MEMBRE INFERIEUR Objective: To examine the relative effects of footwear and an ankle-foot orthosis (AFO) on hemiplegic gait. Design: A case series with three contrasting conditions: walking without footwear, with footwear alone, and with footwear and an AFO. Spatio-temporal parameters reflecting walking performance were analysed using an analysis of variance ( ANOVA). Patients: Five patients with hemiplegia and reduced mobility following stroke. Setting: A specialist rehabilitation centre. Intervention: Wearing either footwear alone, or footwear with an AFO. Measures: Video recordings of gait were subjected to a kinematic analysis to determine spatio-temporal parameters. Results: Stride length was increased by an average of 5 cm when wearing footwear. An additional 5-cm increase was also observed when wearing an AFO. Swing velocity was also affected by the manipulation. Conclusions: The appropriate comparative baseline for assessing the efficacy of an AFO is subjects walking with existing footwear and not barefoot. Langue : ANGLAIS Identifiant basis : 2003227849 |
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