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Titre : | Microprocessor Controlled Knee Ankle Foot Orthosis (KAFO) vs Stance Control vs Locked KAFO: A Randomized Controlled Trial (2021) |
Auteurs : | Susan Deems-Dluhy ; Shenan Hoppe-Ludwig ; Chaithanya Krishna Mummidisetty ; Patrick Semik ; Allen W. Heinemann ; Arun Jayaraman |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 2, 2020) |
Article en page(s) : | p. 233-244 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.08.013 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Membre inférieur ; Micro-ordinateurs ; Orthèses ; Réadaptation |
Résumé : |
Objective
To evaluate the potential of a microprocessor swing and stance controlled knee-ankle-foot orthosis (MPO) to improve balance, functional mobility, and quality of life in individuals with lower-extremity impairments as compared to a stance-control-orthosis (SCO) and conventional knee-ankle-foot orthosis (KAFO) over a use-period of a month. Design Randomized crossover study. Setting Ambulatory research laboratory and home and community for community-dwelling adults. Participants Persons (N=18) who actively used a unilateral KAFO or SCO for impairments due to neurologic or neuromuscular disease, orthopedic disease, or trauma. Intervention Participants were trained to acclimate and use SCO and MPO. Main Outcome Measures The 6-minute walk test (6MWT), 10-m walk test, Berg Balance Scale (BBS), functional gait assessment (FGA), hill assessment index, stair assessment index (SAI), Five Times Sit to Stand Test, crosswalk test, Modified Falls Efficacy Scale, Orthotic and Prosthetic Users Survey (OPUS), and World Health Organization Quality of Life (WHQOL)BREF Scale. Results Significant changes were observed in participants self-selected gait speed (P=.023), BBS (P=.01), FGA (P=.002), and SAI (P<.001 between baseline and post-mpo assessment. similar significant differences were seen when comparing with post-sco data. during the persons using mpo walked significantly longer than their device. participants reported higher quality of life scores in opus physical health domain whoqol-bref after mpo. fewer falls wearing versus an sco or locked kafo> Conclusions The MPO may contribute to improved quality of life and health status of persons with lower-extremity impairments by providing the ability to have better walking speed, endurance, and functional balance. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320309400#! |