Abstract

Approximately two-thirds of patients survive following a cerebral vascular accident (stroke), nevertheless about half are left with a physical incapacity. The clinical picture is frequently a combination of motor, sensory, visual and cognitive deficits. Mechanically, the use of ankle-foot orthosis (AFO) appear a good option. The objective of this study was to quantify the impact of the AFO on patients having a deficit of dorsi-flexion during gait in the aim to improve their daily lives. Different biomechanical variables were analysed such as parameters of Balance in static position and spatio-temporal (ST) ones in dynamics. Seven patients were enrolled in this study (53.57 ± 16.17 years old, 1.80 ± 0.07 m height and 89 ± 15.06 kg body mass). The pressure force plate used in this experimentation aimed to measure the patients’ behaviors with and without AFO. The results showed a significant impact of AFO in terms of ST analysis (p < 0.05). These results can be related to the fact that the orthosis supports the foot during walking and propels the step during the initial swing phase. In posturography, the results showed that patients increased their balance by using AFO (p < 0.05). This result permits the patients a better expansion of their movements during gait after an immediate benefit.

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