They went about this research wrong. The question to answer is; Which method leads to better ambulation without the AFO? The whole point is to walk them out of the AFO.
http://lermagazine.com/issues/march/eight-weeks-of-early-afo-use-significantly-enhances-benefits-of-stroke-rehabilitation
Use of an ankle foot orthosis (AFO) within six weeks of stroke
results in better balance outcomes and earlier independent ambulation
than if AFO use is delayed, according to research from the Netherlands.
Investigators from Roessingh Research & Development in Enschede
randomized 18 patients to receive AFOs at either the time of inclusion
in the study (within six weeks of stroke) or eight weeks later. Both
groups received the same rehabilitation, with a focus on balance and
ambulation, the only difference being that the “late” group did the
first eight weeks of rehabilitation without an AFO while the “early”
group did all rehabilitation while wearing AFOs. Balance measures were
assessed every two weeks for 16 weeks.
AFOs were prefabricated nonarticulated devices made from
polypropylene in three different rigidities to accommodate a range of
patient needs. Device fitting involved particular attention to the
alignment of the AFO within the shoe and the alignment of the knee and
hip, said Jaap Buurke, PT, PhD, scientific manager of the research
cluster Restoration and Human Function at Roessingh Research &
Development, who presented his group’s findings at the ISPO World
Congress in Hyderabad on behalf of graduate student Corien Nikamp.
At follow up, both groups demonstrated significant improvement on the
Berg Balance Scale and Functional Ambulation Categories balance tests,
but improvements in the early AFO group were more pronounced and
occurred earlier than in the late group. Early AFO users achieved
independent ambulation earlier than those in the late group, and there
was a trend toward better outcomes on the 10-m walk test, six-minute
walk test, and Timed Up and Go test for the early group.
More at link.
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
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I would like to know how the group that didn't wear an AFO walked. My PT had to tie my foot to my calf with an Ace bandage because I could not lift my toes.
ReplyDeleteMine taped my toes upright to my ankle, That didn't last long, I broke the tape.
DeleteI had tape and two Ace bandages plus my shoe and it didn't help.
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