343 KB20 KB200820252014Goljar, NikaLahovič, TjašaRudolf, Markoletnik:13številka:2str. 43-47ISSN:1580-9315COBISSID:1954409URN:URN:NBN:SI:doc-AWJMSVQXslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)Anklefoot dropgleženjhitrost hojemožganska kapOrthotic Devicesortotski pripomočkipadajoče stopaloStrokewalking speedUporaba serijsko izdelanih ortoz za gleženj pri osebah po preboleli možganski kapi| Use of mass-produced ankle-and-foot orthoses for patients after stroke|Background: It is known that ankle and foot orthoses ways improve gait pattern in patients after stroke in many. Mass-produced orthoses for the ankle are available on the Slovenian market to patients with impaired upper motor neuron. The aim of our study was to assess the influence of such ankle orthoses on irregularities in gait, the pressure on the impaired foot and walking speed in patients after stroke with mild abnormalities in gait. Methods: Fourteen patients after stroke who were admitted to inpatient rehabilitation at the University Rehabilitation Institute in Ljubljana for the first time were included in the study. They were fitted with a mass-produced ankle orthosis and then clinical analysis of their gait pattern was conducted, and the 10-meter walking test and the timed-up-and-go test were performed. Plantar pressures were measured using the F-Scan system with and without the orthosis. Results: Clinical gait analysis showed that the ankle orthosis partially prevented foot drop in the swing phase. The F-Scan measurements did not show any significant differences in the distribution of pressure when comparing the patients' walking with and without the ankle orthosis. The timed tests showed significant improvement when using the orthosis: the mean time of the 10-meter walking test with an ankle orthosis was 15.6 seconds and without orthosis it was 17.3 seconds (p<0.01); with ankle orthosis the patients completed the timed-up-and-go test in 17.3 seconds on average whereas without orthosis the mean time was 18.2 seconds (p <0.05). Conclusion: Mass-produced orthoses for the ankle partially improve gait in patients after stroke and with mild paresis of the lower limb leading to moderate abnormalities in gait patternIzhodišča: Dokazano je, da ortoze za gleženj in stopalo na številne načine vplivajo na izboljšanje vzorca hoje pri bolnikih po možganski kapi. Na slovenskem tržišču so sedaj na voljo serijske ortoze za gleženj, namenjene bolnikom z okvaro zgornjega motoričnega nevrona. V študiji smo želeli ugotoviti, kakšen je vpliv serijskih ortoz za gleženj na nepravilnosti pri hoji, pritiske na okvarjeno stopalo in hitrost hoje pri bolnikih po možganski kapi z blažjimi nepravilnostmi pri hoji. Metode: Štirinajstim bolnikom po preboleli možganski kapi, prvič na bolnišnični rehabilitacijski obravnavi v Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije - Soča, smo namestili eno od serijskih ortoz za gleženj in opravili klinično analizo hoje, časovno merjeni test hoje na 10 m, časovno merjeni test "vstani in pojdi" ter s sistemom F-Scan merili pritiske v čevljih z ortozo in brez nje. Rezultati: Po klinični oceni hoje so serijske ortoze za gleženj delno preprečile padanje stopala v fazi zamaha. Z F-Scan meritvijo nismo izmerili pomembnih razlik v razporeditvi pritiskov pri hoji z ortozo za gleženj ali brez nje, izboljšali pa so se rezultati časovno merjenih testov. Bolniki so razdaljo 10 m z ortozo za gleženj v povprečju prehodili v 15,6 s in brez ortoze povprečno v 17,3 s ( p <0,01). Časovno merjeni test "vstani in pojdi" so bolniki z ortozo za gleženj v povprečju opravili v 17,3 s in brez ortoze v povprečju v 18,2 s ( p <0,05). Zaključek: Serijsko izdelane ortoze za gleženj delno izboljšajo hojo bolnikov po preboleli možganski kapi z blažjo parezo spodnjega uda in zmernimi nepravilnostmi pri hojiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča