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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2020, Number 6

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Acta Ortop Mex 2020; 34 (6)

Kinematic gait pattern with silicone ankle-foot ortesis in patients with drop foot

Nossa-Almanza S, Duplat J, Rueda-Fonseca L, Jara A, Cabrera F, Romero-Cárdenas C
Full text How to cite this article 10.35366/99134

DOI

DOI: 10.35366/99134
URL: https://dx.doi.org/10.35366/99134

Language: Spanish
References: 7
Page: 371-375
PDF size: 154.89 Kb.


Key words:

Foot ankle orthosis, silicon, kinematics, drop foot, gait analysis.

ABSTRACT

Introduction: The Drop foot is a condition that is usually handled with short orthosis, usually made of polypropylene. It has also been described as being treated with silicon orthosis, little studied but which seem to improve the kinematic pattern of gait and, given its comfort, be more accepted by patients. Our study describes the kinematic characteristics of gait and patient satisfaction when using a silicon foot ankle orthosis, and compares this pattern to the non-use of the orthosis, in patients with a drop foot. Material and methods: Pseudo-experimental descriptive study in patients with dropped feet from 2010 to 2012, in which the kinematic variables of the gait pattern were evaluated from gait laboratories and in addition to the satisfaction of subjects with silicon orthosis and non-use of them. Results: Five patients with a drop foot were the subject of the study. Gait analysis of patients using the orthosis found an improvement in ankle position at initial contact, average walking speed and step length, as well as increased cadence. However, in terms of comfort compared to the non-use of the orthosis, the result was meager. Conclusions: Silicon foot ankle orthosis improve the position of the ankle in the initial contact, as well as the temporo-spatial parameters of the gait.


REFERENCES

  1. Totah D, Menon M, Jones-Hershinow C, Barton K, Gates DH. The impact of ankle-foot orthosis stiffness on gait: a systematic literature review. Gait Posture. 2019; 69: 101-11.

  2. Aboutorabi A, Arazpour M, Ahmadi BM, Saeedi H, Head JS. Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: a systematic review. Ann Phys Rehabil Med. 2017; 60(6): 393-402.

  3. Stewart JD. Foot drop: Where, why and what to do? Pract Neurol. 2008; 8(3): 158-69.

  4. Rao N, Wening J, Hasso D, Gnanapragasam G, Perera P, Srigiriraju P, et al. The effects of two different ankle-foot orthoses on gait of patients with acute hemiparetic cerebrovascular accident. Rehabil Res Pract. 2014; 2014: 301469.

  5. Hillman SJ, Prescott RJ, Hazlewood ME, Read HS, Robb JE. Edinburgh visual gait score for use in cerebral palsy. J Pediatr Orthop. 2011; 23(3): 296-301.

  6. Phillips MF, Robertson Z, Killen B, White B. A pilot study of a crossover trial with randomized use of ankle-foot orthoses for people with Charcot-Marie-Tooth disease. Clin Rehabil. 2012; 26(6): 534-44.

  7. Vinci P, Paoloni M, Ioppolo F, Gargiulo P, Santilli V. Gait analysis in a patient with severe Charcot-Marie-Tooth disease: a case study with a new orthotic device for footdrop. Eur J Phys Rehabil Med. 2010; 46(3): 355-61.



EVIDENCE LEVEL

IV




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Acta Ortop Mex. 2020 Nov-Dic;34