Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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Comparison of gait ability according to types of assistive device for ankle joint of chronic hemiplegic stroke survivors

발목관절 보조 도구에 따른 만성 뇌졸중 편마비 장애인의 보행 비교

  • Park, Dong-Chun (Graduate School of Kyungnam University, Department of Health Science, Physical Therapy Part) ;
  • Jung, Jung-Hee (Graduate School of Kyungnam University, Department of Health Science, Physical Therapy Part) ;
  • Kim, Won-Deuk (Graduate School of Kyungnam University, Department of Health Science, Physical Therapy Part) ;
  • Son, Il-Hyun (Graduate School of Kyungnam University, Department of Health Science, Physical Therapy Part) ;
  • Lee, Yang-Jin (Graduate School of Kyungnam University, Department of Health Science, Physical Therapy Part) ;
  • Lee, GyuChang (Kyungnam University, Department of Physical Therapy)
  • 박동천 (경남대학교 일반대학원 건강과학과 물리치료학전공) ;
  • 정정희 (경남대학교 일반대학원 건강과학과 물리치료학전공) ;
  • 김원득 (경남대학교 일반대학원 건강과학과 물리치료학전공) ;
  • 손일현 (경남대학교 일반대학원 건강과학과 물리치료학전공) ;
  • 이양진 (경남대학교 일반대학원 건강과학과 물리치료학전공) ;
  • 이규창 (경남대학교 물리치료학과)
  • Received : 2021.01.13
  • Accepted : 2021.03.09
  • Published : 2021.09.30
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Abstract

Background: The purpose of this study was to compare the differences in gait and mobility according to the types of assistive device for ankle joint including ankle foot orthosis (AFO), non-elastic tape, elastic tape, and high ankle shoes in chronic hemiplegic stroke survivors. Design: A cross-over design. Methods: Twelve hemiplegic stroke survivors participated in this study, and they walked under 5 different conditions including bare feet, wearing a AFO, wearing a non-elastic tape, wearing a elastic tape, and wearing a high ankle shoes. During the participants walked, the spatio-temporal gait analysis and mobility examinations were performed. For the spatio-temporal gait analysis (gait velocity and cadence, step length, stride length, and single and double leg support time) and mobility examinations, the gait mat, TUG and TUDS were used. Results: As s results, on the AFO, non-elastic tape, elastic tape, and high ankle shoes, there were significantly differences in the all spatio-temporal gait parameters, TUG, and TUDS compared to barefoot (p<0.05). In particular, all spatio-temporal gait parameters, TUG, TUDS were significantly improved with AFO compared to barefoot. TUG was significantly improved with AFO compared to non-elastic tape, TUG and TUDS were significantly improved with AFO compared to elastic tape, gait velocity was significantly improved with non-elastic tape compared to high ankle shoes, gait velocity and TUG were significantly improved with elastic tape compared to high ankle shoes, and TUDS was significantly improved with non-elastic tape compared to elastic tape. Conclusion: The AFO, non-elastic tape, elastic tape, and high ankle shoes showed a positive effect on gait and mobility compared to barefoot, and among them, wearing AFO was most effective for improving gait and mobility of chronic hemiplegic stroke survivors.

Keywords

References

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