Impact of Alternate Gait Training Using Knee–Ankle–Foot Orthoses with Oil Damper Ankle Hinge in Patients with Subacute Severe Hemiplegia
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Subjects
2.2.1. Prospective Unified AGT Subjects
2.2.2. HC Subjects
2.2.3. Group Interventions
2.2.4. Intervention of Unified AGT Subjects
2.3. Clinical Measurements
2.4. Statistical Analyses
3. Results
3.1. Comparison of Demographics Data
3.2. Effects of AGT on FIM Gait Scores
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Unified AGT Subjects | Historical Control Subjects | ||||||
---|---|---|---|---|---|---|---|
Mean ± SD or Number | Median, Interquartile Range | 95% CI | Mean ± SD or Number | Median, Interquartile Range | 95% CI | p-Value | |
Number of subjects | 15 | 30 | |||||
Age† | 77.1 ± 9.3 | 77.0, 14 | 71.9–82.2 | 77.9 ± 5.2 | 78.5, 7 | 75.9–79.8 | 0.76 |
Sex (male/female) ‡ | 5/10 | 14/16 | 0.39 | ||||
Etiology (SAH/INF/ICH/INF and ICH) ‡ | 0/9/6/0 | 2/17/10/1 | 0.65 | ||||
Paretic side (Right/Left) ‡ | 9/6 | 12/18 | 0.21 | ||||
Stroke recurrence (yes/no) ‡ | 3/12 | 7/23 | 0.8 | ||||
Time from stroke to admission (days) * | 28.8 ± 11.2 | 27.0, 11 | 22.6–35.0 | 36.6 ± 14.6 | 37.0, 28 | 31.1–42.0 | 0.18 |
Length of hospital stay (days) † | 120.5 ± 32.4 | 139.0, 46 | 102.5–138.4 | 120.5 ± 22.7 | 116.0, 35 | 112.1–129.0 | 0.99 |
Duration of the use of Gait Innovation (days) | 41.8 ± 18.3 | 43.0, 28 | none | ||||
Duration of physical therapy (minutes) † | 7980.0 ± 2388.0 | 6940.0, 4340 | 6658.0–9302.0 | 8330.0 ± 2642.0 | 8260.0, 3840 | 7343.8–9317.4 | 0.67 |
Duration of occupational therapy (minutes) † | 6073.4 ± 2109.3 | 5240.0, 5640 | 4905.2–7241.4 | 6526.0 ± 1815.9 | 6700.0, 2000 | 5848.0–7204.0 | 0.61 |
Initial ADL (FIM total) * | 36.9 ± 11.7 | 36.0, 19 | 30.4–43.3 | 33.9 ± 11.6 | 33.5, 17 | 29.6–38.4 | 0.43 |
Initial gait ability (FIM gait) † | 1.0 ± 0.0 | 1, 0 | 1.0–1.0 | 1.0 ± 0.0 | 1, 0 | 1.0–1.0 | All patients score is 1 |
Vitality index (E) motivation * | 1.2 ± 0.4 | 1.0, 1 | 0.97–1.43 | 1.1 ± 0.4 | 1.0, 1 | 1.0–1.26 | 0.57 |
Vitality index total † | 5.8 ± 1.8 | 5.0, 3 | 4.8–6.8 | 6.1 ± 1.9 | 6.0, 2 | 5.4 -6.8 | 0.71 |
SIAS motor hip * | 1.2 ± 1.4 | 0.0, 3 | 0.4–2.0 | 1.3 ± 1.3 | 1.0, 2 | 0.8–1.8 | 0.84 |
SIAS motor knee * | 1.2 ± 1.5 | 0.0, 3 | 0.4–2.0 | 1.1 ± 1.2 | 1.0, 2 | 0.7–1.5 | 0.88 |
SIAS motor ankle * | 0.8 ± 1.3 | 0.0, 2 | 0.1–1.5 | 0.9 ± 1.4 | 0.0, 2 | 0.4–1.5 | 0.83 |
SIAS knee extension strength of the unaffected side * | 2.0 ± 0.8 | 2.0, 2 | 1.6–2.4 | 1.8 ± 1.0 | 1.5, 2 | 1.37–2.2 | 0.48 |
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Abe, H.; Nishiyama, K.; Yamamoto, Y.; Okanuka, T.; Yonezawa, Y.; Matsumoto, K. Impact of Alternate Gait Training Using Knee–Ankle–Foot Orthoses with Oil Damper Ankle Hinge in Patients with Subacute Severe Hemiplegia. Brain Sci. 2021, 11, 1430. https://doi.org/10.3390/brainsci11111430
Abe H, Nishiyama K, Yamamoto Y, Okanuka T, Yonezawa Y, Matsumoto K. Impact of Alternate Gait Training Using Knee–Ankle–Foot Orthoses with Oil Damper Ankle Hinge in Patients with Subacute Severe Hemiplegia. Brain Sciences. 2021; 11(11):1430. https://doi.org/10.3390/brainsci11111430
Chicago/Turabian StyleAbe, Hiroaki, Kazutaka Nishiyama, Yuichi Yamamoto, Toru Okanuka, Yasuhito Yonezawa, and Koji Matsumoto. 2021. "Impact of Alternate Gait Training Using Knee–Ankle–Foot Orthoses with Oil Damper Ankle Hinge in Patients with Subacute Severe Hemiplegia" Brain Sciences 11, no. 11: 1430. https://doi.org/10.3390/brainsci11111430