PMID- 29440881
OWN - NLM
STAT- MEDLINE
DCOM- 20180713
LR  - 20220311
IS  - 1178-1998 (Electronic)
IS  - 1176-9092 (Print)
IS  - 1176-9092 (Linking)
VI  - 13
DP  - 2018
TI  - Immediate synergistic effect of a trunk orthosis with joints providing resistive 
      force and an ankle-foot orthosis on hemiplegic gait.
PG  - 211-220
LID - 10.2147/CIA.S146881 [doi]
AB  - PURPOSE: The synergistic effects of a trunk orthosis and an ankle-foot orthosis 
      (AFO) in stroke patients with a hemiplegic gait are unclear. We previously 
      developed a trunk orthosis with joints providing resistive force (TORF) to modify 
      malalignment of the trunk and pelvis and confirmed its positive effects in stroke 
      patients during level walking without an AFO. The aim of the present study was to 
      determine if this trunk orthosis and an AFO have synergistic effects during level 
      walking in community-dwelling patients with chronic stroke. METHODS: Twenty-eight 
      community-dwelling stroke patients performed level walking at a self-selected 
      speed with an AFO and again while wearing a TORF (TORF group) or a corset 
      (control group). Spatiotemporal, kinematic, and kinetic data were recorded using 
      a three-dimensional motion analysis system. RESULTS: When compared with the 
      control group, the TORF group showed significant increases in walking speed, 
      number of steps on the paretic leg per minute, and peak ankle plantar flexion 
      moment during the single stance phase. CONCLUSION: The TORF increased the ankle 
      joint plantar flexion moment at the end of the single stance phase during level 
      walking in stroke patients, leading to an increase in their gait speed because of 
      the modified trunk and pelvis alignment.
FAU - Katsuhira, Junji
AU  - Katsuhira J
AD  - Department of Prosthetics and Orthotics and Assistive Technology, Faculty of 
      Medical Technology, Niigata University of Health and Welfare, Niigata.
AD  - Department of Medical Research and Management for Musculoskeletal Pain, 22nd 
      Century Medical and Research Center, The University of Tokyo, Tokyo.
FAU - Yamamoto, Sumiko
AU  - Yamamoto S
AD  - Graduate School of International University of Health and Welfare, Tokyo.
FAU - Machida, Nodoka
AU  - Machida N
AD  - International University of Health and Welfare, School of Health Sciences at 
      Narita, Department of Physical Therapy, Chiba.
FAU - Ohmura, Yuji
AU  - Ohmura Y
AD  - International University of Health and Welfare, School of Health Sciences at 
      Odawara, Department of Physical Therapy, Kanagawa.
FAU - Fuchi, Masako
AU  - Fuchi M
AD  - Department of Occupational Therapy, Kyusyu Nutrition Welfare University, Fukuoka.
FAU - Ohta, Mizuho
AU  - Ohta M
AD  - Seiai Rehabilitation Hospital, Fukuoka.
FAU - Ibayashi, Setsuro
AU  - Ibayashi S
AD  - Seiai Rehabilitation Hospital, Fukuoka.
FAU - Yozu, Arito
AU  - Yozu A
AD  - Center for Medical Sciences, Ibaraki Prefectural University of Health Science, 
      Ibaraki, Japan.
FAU - Matsudaira, Ko
AU  - Matsudaira K
AD  - Department of Medical Research and Management for Musculoskeletal Pain, 22nd 
      Century Medical and Research Center, The University of Tokyo, Tokyo.
LA  - eng
PT  - Journal Article
DEP - 20180205
PL  - New Zealand
TA  - Clin Interv Aging
JT  - Clinical interventions in aging
JID - 101273480
SB  - IM
MH  - Aged
MH  - Ankle Joint/*physiopathology
MH  - Biomechanical Phenomena
MH  - Female
MH  - *Foot Orthoses
MH  - *Gait Disorders, Neurologic/etiology/physiopathology/rehabilitation
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Independent Living
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - *Orthotic Devices
MH  - Range of Motion, Articular
MH  - Spatio-Temporal Analysis
MH  - Stroke/*complications
MH  - Stroke Rehabilitation/*methods
MH  - Walking Speed/*physiology
PMC - PMC5804285
OTO - NOTNLM
OT  - biomechanics
OT  - gait
OT  - joint moment
OT  - motion analysis
OT  - orthosis
OT  - stroke
COIS- Disclosure Junji Katsuhira and Ko Matsudaira are directors of Trunk Solution Co., 
      Ltd. The authors report no other conflicts of interest in this work.
EDAT- 2018/02/15 06:00
MHDA- 2018/07/14 06:00
PMCR- 2018/02/05
CRDT- 2018/02/15 06:00
PHST- 2018/02/15 06:00 [entrez]
PHST- 2018/02/15 06:00 [pubmed]
PHST- 2018/07/14 06:00 [medline]
PHST- 2018/02/05 00:00 [pmc-release]
AID - cia-13-211 [pii]
AID - 10.2147/CIA.S146881 [doi]
PST - epublish
SO  - Clin Interv Aging. 2018 Feb 5;13:211-220. doi: 10.2147/CIA.S146881. eCollection 
      2018.