cerebrovascular accident (stroke). Brain stem stroke syndrome
Conditions
Interventions
Intervention 1: Intervention group: ankle foot orthosis (AFO) with plantar flexion resistance and 2 kind of shoes (standard shoe and rocker shoe). Intervention 2: Control group: Intervention group: an
Sponsors
Iran National Science Foundation
Eligibility
Sex/Gender
All
Age
40 Years to 68 Years
Inclusion criteria
Inclusion criteria: Age between 40 to 68 Stroke patients should have plantarflexors spasticity at least 2 according to the modified Ashworth scale (MAS) A minimum of 6 months poststroke No involvement in the contralateral limb Able to walk independently Patients should have the passive ability to dorsiflex ankle joint
Exclusion criteria
Exclusion criteria: The presence of hammered toes, Fixed contraction in the ankle, hip and knee joints, Having a history of cardiovascular and pulmonary disease Patients with knee hyperflexion Very poor balance based on TUG test
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Temporal-spatial parameters (walking speed, step length, stride length, cadence). Timepoint: In this study, after fabrication of orthoses for patients, the subjects use the made orthosis for adapting in daily living for 2 weeks. Then, patients refer to gait biomechanics laboratory, and gait parameters are measure in two condition, without orthosis and with orthosis. Method of measurement: Three-dimensional movement capture system (vicon).;Walking Kinematic (sagittal joints angles of ankle, knee and hip, and pelvic 3-dimensional angles in pelvis and thorax). Timepoint: In this study, after fabrication of orthoses for patients, the subjects use the made orthosis for adapting in daily living for 2 weeks. Then, patients refer to gait biomechanics laboratory, and walking Kinematic are measure in two condition, without orthosis and with orthosis. Method of measurement: Three-dimensional movement capture system (vicon).;Walking Kinetic (sagittal joints moments of ankle, knee and hip, anterior-posterior ground reaction force). Timepoint: In this study, after fabrication of orthoses for patients, the subjects use the made orthosis for adapting in daily living for 2 weeks. Then, patients refer to gait biomechanics laboratory, and walking Kinetics are measure in two condition, without orthosis and with orthosis. Method of measurement: Kistler forceplate. | — |
Secondary
| Measure | Time frame |
|---|---|
| Fatigue during walking with orthoses. Timepoint: In this study, after fabrication of orthoses for patients, the subjects use the made orthosis for adapting in daily living for 2 weeks. Then, patients refer to gait biomechanics laboratory, and fatigue variable are measure in two condition, without orthosis and with orthosis by the questionnaire. Method of measurement: Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAliyeh Daryabor
University of social welfare and rehabilitation sciences
Outcome results
None listed