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The effect of tibia inclination on gait pattern of stroke patients with genu recurvatum who wear an Ankle Foot Orthosis: A pilot study

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dc.contributor.authorPrawina Sutdeten_US
dc.contributor.authorNattapong Polhanen_US
dc.contributor.authorVoraluck Prakotmongkolen_US
dc.contributor.authorJutharat Poomulnaen_US
dc.contributor.authorFika Trifanien_US
dc.contributor.authorTanty Iswanaen_US
dc.contributor.authorL. K. Nipunien_US
dc.contributor.authorM. De Silvaen_US
dc.contributor.authorSeng Tharinen_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2020-01-27T10:14:37Z
dc.date.available2020-01-27T10:14:37Z
dc.date.issued2019-01-01en_US
dc.description.abstract© 2019 - IOS Press and the authors. All rights reserved. BACKGROUND: Four hemiplegia post-stroke patients with 10°-30° genu recurvatum recruited for three-dimensional gait analysis to investigate optimum inclination in a Rigid Tuned Ankle Foot Orthosis (RT-AFO). OBJECTIVE: 1) To investigate the optimum inclination in a Rigid Tuned Ankle Foot Orthosis (RT-AFO) in order to stabilize stance knee kinematics in the sagittal plane for stroke patients with 10?-30? genu recurvatum, and 2) to compare the effects of RT-AFO with different inclinations on spatio-temporal parameters. METHODS: Three dimensional gait measurements were performed in five conditions for four participants: walk without AFO (T1), walk with RT-AFO in 0? inclination (T2), walk with RT-AFO in 5? inclination (T3), walk with RT-AFO in 10? inclination (T4), and walk with RT-AFO in 15? inclination (T5). RESULT: Application of tibial inclination in the AFO reduced the genu recurvatum in participants who experienced stroke. Genu recurvatum was significantly reduced in conditions T3, T4 (p< 0.001) and in T5 (p< 0.05). Optimum inclination was found at 15? tibial inclination measured during mid-stance. This study reported a statistically significant improvement in cadence in condition T4 (RT-AFO 10?) (p< 0.01). There were no significant results for improvement of walking speed and stride length. CONCLUSION: These results highlight the potential to optimize inclination of a Rigid Tuned Ankle Foot Orthosis for patients affected by stroke and also indicate the potential clinical applications of tuning the AFO in rehabilitation treatment of stroke patients.en_US
dc.identifier.citationTechnology and Disability. Vol.31, No.3 (2019), 77-82en_US
dc.identifier.doi10.3233/TAD-180211en_US
dc.identifier.issn1878643Xen_US
dc.identifier.issn10554181en_US
dc.identifier.other2-s2.0-85073250677en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14594/51980
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85073250677&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleThe effect of tibia inclination on gait pattern of stroke patients with genu recurvatum who wear an Ankle Foot Orthosis: A pilot studyen_US
dc.typeArticleen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85073250677&origin=inwarden_US
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