Deans' stroke musings: Evaluation of balance and orthotic gait training techniques for rehabilitation in hemiplegic stroke patients

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.

Wednesday, April 30, 2025

Evaluation of balance and orthotic gait training techniques for rehabilitation in hemiplegic stroke patients

No protocols were written and delivered to all 10 million yearly stroke survivors, so you failed at your only job; getting survivors recovered!

Evaluation of balance and orthotic gait training techniques for rehabilitation in hemiplegic stroke patients

Scientific Reports volume 15, Article number: 15059 (2025) Cite this article

Metrics details

Abstract

Stroke-induced hemiplegia is a major cause of long-term disability, often leading to lower limb deformities and abnormal gait. Ankle-foot orthoses (AFO) have shown effectiveness in improving these conditions, but limited research explores the benefits of combining AFO therapy with balance training. This study aimed to explore the effects of combining balance training exercises with orthotic intervention on various gait characteristics in stroke patients with lower limb paralysis. This randomized controlled trial (RCT) involved 32 patients, 12–18 weeks post-stroke, randomized into two groups: balance training only (n = 16) and balance training with orthotics (n = 16). Gait performance was evaluated at baseline and post intervention using the Timed Up and Go Test (TUG) and 10-Meter Walk Tests. The combination therapy group showed significant improvements in gait parameters. For the 10-Meter Walk Test, the mean pre-intervention speed was 0.31 ± 0.03 m/s, and post-intervention speed was 0.40 ± 0.03 m/s. In the TUG test, mean pre-intervention time was 27.04 ± 2.04 s, and post-intervention time was 20.55 ± 2.30 s (p < 0.05). These improvements were greater than those observed in the balance-only group. The combination of balance training and AFO therapy significantly improves gait in chronic hemiplegic stroke patients. This approach offers a promising(NOT GOOD ENOUGH! Where are your EXACT REHAB PROTOCOLS? If you don't have them; you're fucking incompetent!) rehabilitation strategy to enhance functional mobility and quality of life in stroke survivors.