| The effects of tuning an ankle-foot orthosis footwear combination on kinematics and kinetics of the knee joint of an adult with hemiplegia. | |
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MedLine Citation:
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PMID: 20738231 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The effects of tuning the AFO footwear combination (AFOFC) for an adult with post-stroke hemiplegia were investigated. Gait analysis and tuning were carried out using a Vicon 3D motion analysis system and two force plates. Tuning of the AFOFC was accomplished by gradually modifying its design over a number of gait trials, to achieve optimal (i.e., as close as possible to normal, within the capability of the patient) knee kinematics and alignment of the Ground Reaction Force vector (GRF) relative to the knee joint. Heel wedges and a stiff rocker were used to tune mid-stance and terminal stance, respectively. Temporal-spatial parameters and selected kinetic and kinematic variables were compared between the non-tuned AFOFC, the tuned AFOFC immediately after tuning, and the tuned AFOFC after three months. There were several changes after three months compared to the non-tuned AFOFC, including improvement in stride length and a reduction in knee hyperextension. A subjective reduction in knee pain and improvement in function were also reported. The feasibility and the lack of objective evidence of tuning AFOFCs as a part of a clinical service need to be addressed in future research. |
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Authors:
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Kavi C Jagadamma; Elaine Owen; Fiona J Coutts; Janet Herman; Jacqueline Yirrell; Thomas H Mercer; Mariëtta L Van Der Linden |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Prosthetics and orthotics international Volume: 34 ISSN: 1746-1553 ISO Abbreviation: Prosthet Orthot Int Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-26 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7707720 Medline TA: Prosthet Orthot Int Country: England |
Other Details:
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Languages: eng Pagination: 270-6 Citation Subset: IM |
Affiliation:
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Department of Physiotherapy, Queen Margaret University, East Lothian, Edinburgh, UK. kjagadamma@qmu.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ankle Joint* Biomechanics / physiology Equipment Design Female Foot Joints* Gait / physiology Hemiplegia / etiology, rehabilitation* Humans Knee Joint / physiology* Middle Aged Orthotic Devices* Shoes* Stroke / complications Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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