DOI QR코드

DOI QR Code

Effects of a Plastic Ankle Foot Orthosis on Balance and Gait of Adult with Poststroke Hemiplegia: A Systematic Review of Forcusing on Korea's Thesis

플라스틱 단하지보조기 중재가 뇌졸중 후 편마비 성인의 보행과 균형에 미치는 효과: 국내 학위 논문을 중심으로 고찰

  • Cho, Byeongmo (Dept. of Prosthetics & Orthotics, Korea National University of Welfare)
  • 조병모 (한국복지대학교 의료보장구학과)
  • Received : 2016.10.14
  • Accepted : 2016.12.12
  • Published : 2016.12.30

Abstract

Purpose : The aim of this study was to investigate the effects of plastic ankle foot orthosis on adult post-stroke hemiplegic patients walking ability and balance. Method : The searched for the case controlled clinical trials about the effects of plastic ankle foot orthosis(pAFO) for walking ability and balance using quantitative gait analysis in adult post-stroke patients. Ten trials were selected from Riss4U databases published until June 2016 in Korea. The selected trials contained a control group with pre-test and post-test design, measured walking ability and balance as a dependent variable. Result : The selected ten trials involved a total of 180 patients. The walking speed, cadence, the portion of double limb supporting, stride length on affected side were improved by plastic ankle foot orthosis. Conclusion : The plastic ankle foot orthosis has some evidence to improve the walking ability and balance in post-stroke hemiplegic patients.

References

  1. 김산옥(2007). 편마비환자의 플라스틱 단하지보조기 착용 유.무에 따른 보행 특성 연구. 한국체육대학교 대학원, 석사학위 논문.
  2. 김중휘(2000). 플라스틱 단하지 보조기와 신발 착용이 편마비 환자의 정적 선자세 균형에 미치는 영향. 대구대학교 대학원, 석사학위 논문.
  3. 김택훈(1996). 편마비 환자의 단하지 보조기 착용유무에 따른 하지 체중지지율과 보행특성의 변화에 관한 연구. 연세대학교 대학원, 석사학위 논문.
  4. 박소연(2001). 편마비 환자에서 전방형과 후방형 플라스틱 단하지 보조기의 효과 비교. 연세대학교 대학원, 석사학위 논문.
  5. 윤홍규(2013). 단하지보조기와 발목관절보조기를 착용한 상태에서의 균형운동이 편마비환자의 보행속도 및 균형능력에 미치는 영향. 고려대학교 대학원, 석사학위 논문.
  6. 이강성(2001). 편마비 환자에 대한 플라스틱 단하지 보조기와 중족골두 절단단하지보조기 착용이 기립균형과 보행에 미치는 영향. 한서대학교 대학원, 석사학위 논문.
  7. 이영민(2013). 발목보조기 착용유무가 뇌졸중환자의 하지근 활성도와 정적균형에 미치는 영향. 한림대학교 대학원, 석사학위 논문.
  8. 이전형(2011). 편마비 환자 보행에서 플라스틱 단하지 보조기 각도에 따른 생역학적 변화. 대구대학교 대학원, 박사학위 논문.
  9. 임호용(2003). 관절형 및 고정형 플라스틱 단하지 보조기가 편마비환자의 정적, 동적균형에 미치는 효과. 대불대학교 대학원, 석사학위 논문.
  10. 장영재(1999). 편마비 환자에서 플라스틱 단하지 보조기 착용에 따른 보행특성의 비교 연구. 연세대학교 대학원, 석사학위 논문.
  11. Cakar E, Durmus O, Tekin L, et al(2010). The ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients. Eur J Phys Rehabil Med, 46(3), 363-368.
  12. Chen CC, Hong WH, Wang CM, et al(2010). Kinematic features of rear-foot motion using anterior and posterior ankle-foot orthoses in stroke patients with hemiplegic gait. Arch Phys Med Rehabil, 91(12), 1862-1868.
  13. Chen CL, Yeung KT, Wang CH, et al(1999). Anterior ankle-foot orthosis effects on postural stability in hemiplegic patients. Arch Phys Med Rehabil, 80(12), 1587-1592. https://doi.org/10.1016/S0003-9993(99)90335-0
  14. Chen CK, Hong WH, Chu NK, et al(2008). Effects of an anterior ankle-foot orthosis on postural stability in stroke patients with hemiplegia. Am J Phys Med Rehabil, 87(10), 815-820. https://doi.org/10.1097/PHM.0b013e31817c150e
  15. Da Cunha IT Jr, Lim PA, Qureshy H, et al(2002). Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Arch Phys Med Rehabil, 83(9), 1258-1265. https://doi.org/10.1053/apmr.2002.34267
  16. Dogan A, Mengulluoglu M, Ozgirgin N(2011). Evaluation of the effect of ankle-foot orthosis use on balance and mobility in hemiparetic stroke patients. Disabil Rehabil, 33(15-16), 1433-1439. https://doi.org/10.3109/09638288.2010.533243
  17. Fatone S, Hansen AH(2007). Effect of ankle-foot orthosis on roll-over shape in adults with hemiplegia. J Rehabil Res Dev, 44(1), 11-20. https://doi.org/10.1682/JRRD.2006.08.0090
  18. Jaivin JS, Bishop JO, Braly WG, et al(1992). Management of acquired adult drop foot. Foot Ankle, 13(2), 98-104.
  19. Kim DY, Kim SK, Park JB, et al(2013). Effects of ankle foot orthosis on post-stroke hemiplegic gait -A meta-analysis. Brain Neurorehabil, 6(1), 1-8. https://doi.org/10.12786/bn.2013.6.1.1
  20. Mulroy SJ, Eberly VJ, Gronely JK, et al(2010). Effect of AFO design on walking after stroke: impact of ankle plantar flexion contracture. Prosthet Orthot Int, 34(2), 277-292.
  21. O'Connor J, McCaughan D, McDaid C, et al(2016). Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: systematic review, qualitative study, survey and costing analysis. Health Technol Assess, 20(55), 1-262.
  22. Pohl M, Mehrholz J(2006). Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients. Clin Rehabil, 20(4), 324-330. https://doi.org/10.1191/0269215506cr951oa
  23. Sarno JE, Lehneis HR(1971). Prescription consideration for plastic below-knee orthoses. Arch Phys Med Rehabil, 52(11), 503-510.
  24. Silver-Thorn B, Herrmann A, Current T, et al(2011). Effect of ankle orientation on heel loading and knee stability for post-stroke individuals wearing ankle-foot orthoses. Prosthet Orthot Int, 35(2), 150-162. https://doi.org/10.1177/0309364611399146
  25. Tyson SF, Kent RM(2013). Effects of an ankle-foot orthosis on balance and walking after stroke: a systematic review and pooled meta-analysis. Arch Phys Med Rehabil, 94(7), 1377-1385. https://doi.org/10.1016/j.apmr.2012.12.025
  26. Zissimopoulos A, Fatone S, Gard S(2015). Effects of ankle-foot orthoses on mediolateral foot-placement ability during post-stroke gait. Prosthet Orthot Int, 39(5), 372-379. https://doi.org/10.1177/0309364614534294