Orthotic insole combined with an ankle-foot orthosis improve the walking ability of hemiplegic patients more effectively than an ankle-foot orthosis alone
10.3760/cma.j.issn.0254-1424.2017.06.009
- VernacularTitle:矫形鞋垫联合踝足矫形器对偏瘫患者步行功能的影响
- Author:
Yu GUO
;
Qian ZHU
;
He LI
;
Liang HAN
- Keywords:
Orthotic insole;
Ankle foot orthosis;
Hemiplegia;
Walking ability
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(6):440-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect on walking ability of the orthotic insole produced by the International College of Biomechanics (ICB) when it is combined with an ankle foot orthosis (AFO).Methods A total of 40 stroke survivors with hemiplegia were randomly divided into an observation group and a control group,each of 20.In addition to conventional medical treatment and rehabilitation,the control group received AFOs and walking rehabilitation training.The observation group accepted walking training with an ICB orthotic insole combined with an AFO.The experiment lasted 4 weeks.Timed up and go test (TUGT) times,10 m maximum walking speed (10 m MWS) and Berg balance scale (BBS) ratings were recorded before and after the treatment.Results Before the treatment there was no significant difference between the group averages in terms of any of the measures.After the treatment,significant improvement was observed in all of the measurements,with the improvements in the observation group significantly better than those in the control group,on average.Conclusion An ICB orthotic insole combined with an AFO results in better improvements in the walking ability of hemiplegic subjects than an AFO alone.