The Effect of Securing the Mediolateral Stability of the Foot on the Dynamic Balance and Gait of Chronic Stroke Patients Using an Ankle Brace
AUTHORS
Daehwan Lee,Professor, 36616, Department of Physical Therapy, Andong Science College. 189, Seoseon-gil, Seohu-myeon, Andong-si, Gyeongsangbuk-do, Republic of Korea
Jungho Lee,Professor, 219-705, Department of Physical Therapy, Kyungdong Univ., Bongpo-ri, Toseong-myeon, Goseong-gun, Gangwon-do, Republic of Korea
Younbum Sung*,Professor, 36616, Department of Physical Therapy, Andong Science College. 189, Seoseon-gil, Seohu-myeon, Andong-si, Gyeongsangbuk-do, Republic of Korea
ABSTRACT
Stroke patients have high foot instability and a high risk of falling down in walking and standing positions due to muscle and sensory disorders. There are many patients who complain of inconvenience in their daily lives, but independent walking is very difficult. In this study, the effect of walking and dynamic balance was explored by securing internal and external stability of the foot. A total of 15 patients participated in the experiment, with 10m walk tests, timed and go tests, and functional reach tests. The data were statistical comparisons through a paired t test. The walk 10m test was not statistically significant, with 19.96 ± 8.86 seconds before the device was worn and 19.50 ± 9.06 seconds after the device was worn. Time-out and Go tests were statistically significant 24.53 ± 8.53 seconds before wearing the device, 20.96 ± 7.69 seconds after wearing the device, 23.65 ± 3.58 cm before wearing the device, and 27.12 ± 4.21 cm after wearing the device. Securing internal and external stability of the foot can have a positive impact on securing a dynamic balance in which weight movement is performed.
KEYWORDS
Foot stability, Dynamic balance, Gait, Foot instruments
REFERENCES
[1] H. Abe, A. Michimata, K. Sugawara, and N. Sugaya, “Improving gait stability in stroke hemiplegic patients with a plastic ankle-foot orthosis,” Tohoku J Exp Med, vol.218, pp.193-199, (2009)
[2] B. J. Darter and J. M. Wiken, “Gait training with virtual reality-based real-time feedback: Improving gait performance following transfemoral amputation,” Physical Therapy, vol.91, no.9, pp.1385-94, (2011)
[3] Y. H. Park, Y. M. Kim, and B. H. Lee, “An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients,” Journal of Physical Therapy Science, vol.25, no.10, pp.1321-1324, (2013)
[4] L. A. B. Ferreira, H. P. Neto, L. A. C. Grecco, T. C. L. Christovão, N. A. Duart, R. D. Lazzari, M. Galli, and C. S. Oliveira, “Effect of ankle-foot orthosis on gait velocity and cadence of stroke patients: A systematic review,” J Phys Ther Sci, vol.25, no.11, pp.1503-1508, (2013)
[5] D. C. Kerrigan, M. E. Karvosky, and P. O. Riley, “Spastic paretic stiff-legged gait: Joint kinetics,” American Journal of Physical Medicine and Rehabilitation, vol.80, no.4, pp.244-249, (2001)
[6] F. T. Sarah and M. K. Ruth, “Effects of an ankle-foot orthosis on balance and walking after stroke: A systematic review and pooled meta-analysis,” American Congress of Rehabilitation Medicine, vol.94, pp.1377-1385
[7] C. D. Simons, E. H. van Asseldonk, H. van der Kooij, A. Geurts, and J. H. Buurke, “Ankle-foot orthoses in stroke: Effects on functional balance, weight-bearing asymmetry and the contribution of each lower limb to balance control,” Clin Biomech (Bristol, Avon), vol.24, pp.769-775, (2009)
[8] J. Lewallen, J. Miedaner, S. Amyx, and J. Sherman, “Effect of three styles of custom ankle foot orthoses on the gait of stroke patients while walking on level and inclined surfaces,” J Prosthet Orthot, vol.22, pp.78-83, (2010)
[9] K. H. Kim and S. H. Jang, “A convergence study on effects of progressive proprioceptive motor program training on proprioception and balance ability in chronic stroke patients,” Journal of the Korea Convergence Society, vol.9, no.10, pp.81-91, (2018)
[10] J. H. Carr, R. B. Shepherd, L. Nordholm, and D. Lynne, “Investigation of a new motor assessment scale for stroke patients,” Physical Therapy, vol.65, no.2, pp.175-180, (1985)
[11] H. J. Hillstrom, J. Song, A. P. Kraszewski, J. F. Hafer, R. Mootanah, A. B. Dufour, B. S. Chow, and J. T. Deland, “Foot type biomechanics part 1: Structure and function of the asymptomatic foot,” Gait Posture, vol.37, pp.445-451, (2013)