Articulated ankle-foot orthoses associated with home-based task-specific training improve functional mobility in patients with stroke: a randomized clinical trial.
Introduction: We compared fixed and articulated ankle-foot orthoses (AFOs) in home-based mobility tasks to assess short-term mobility, dynamic balance, quality of life, anxiety/depression, disability level, stroke severity, autonomy, human functioning, and patient satisfaction. Methods: This was a t...
| Publicado en: | Topics in Stroke Rehabilitation Vol. 32; no. 3; pp. 280 - 294 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183842451&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183842451 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10749357 0OG jtl: Topics in Stroke Rehabilitation issn: 10749357 maglogo: N pubinfo: dt: Apr2025 vid: 32 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 183842451 179571322 183842451 183842451 10.1080/10749357.2024.2399467 183842451 ppf: 280 ppct: 14 formats: tig: atl: Articulated ankle-foot orthoses associated with home-based task-specific training improve functional mobility in patients with stroke: a randomized clinical trial. aug: au: Paula, Gabriela Vieira de Luvizutto, Gustavo José Miranda, Luana Aparecida Regina da Silva, Taís Silva, Lucas Tadeu Carvalho Winckler, Fernanda Cristina Modolo, Gabriel Pinheiro Chiloff, Cristiane Lara Mendes Zanati Bazan, Silméia Garcia Costa, Rafael Dalle Molle da Martin, Luis Cuadrado Bazan, Rodrigo affil: Internal Medicine Department, Botucatu Medical School, Botucatu, Brazil sug: subj: Stroke Rehabilitation Foot Orthoses Physical Mobility Evaluation Task Performance and Analysis Home Environment Balance, Postural Evaluation Functional Status Functional Training Quality of Life Brazil Human Randomized Controlled Trials Random Assignment Male Female Middle Age Aged Comparative Studies NIH Stroke Scale Anxiety Depression Severity of Illness Autonomy Patient Satisfaction Attitude to Disability Stroke Patients Barthel Index Checklists Scales Psychological Tests Questionnaires Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: We compared fixed and articulated ankle-foot orthoses (AFOs) in home-based mobility tasks to assess short-term mobility, dynamic balance, quality of life, anxiety/depression, disability level, stroke severity, autonomy, human functioning, and patient satisfaction. Methods: This was a two-arm, parallel-group, randomized controlled trial with concealed allocation, assessor blinding, and a complete case analysis involving patients with chronic stroke. The participants were randomized into two groups: fixed (n = 24) and articulated (n = 23) AFOs. The AFOs were custom-fabricated, and both groups performed four-week home-based mobility tasks five days weekly. Primary outcome measures included changes in balance and mobility assessed using the Tinetti Performance-Oriented Mobility Assessment (POMA), Timed Up and Go (TUG) test, and Functional Ambulation Category (FAC). Secondary outcomes included quality of life, anxiety/depression, disability, stroke severity, autonomy, human functioning, and patient satisfaction. Results: In a between-group comparison, after adjusting for age, sex, stroke severity, and thrombolysis, the articulated AFO group showed better performance in the TUG test (p = 0.020; d = 0.93), POMA-Gait (p = 0.001; d = 0.53), POMA-Total (p = 0.048; d = 0.98), and FAC (p = 0.003; d = 1.03) than the fixed AFO group. Moreover, significant difference was noted in human functioning (moving around using equipment)between the groups (p = 0.047; d = 92). Conclusion: A program involving home-based mobility tasks and articulated AFOs improved functional mobility after stroke. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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