The effect of different ankle and knee supports on balance in early ambulation of post-stroke hemiplegic patients

• Published in: Neurological sciences Vol. 38; no. 10; pp. 1811 - 1816
• Main Authors: Talu, Burcu, Bazancir, Zilan
• Format: Journal Article
• Language: English
• Published: Milan Springer Milan 01.10.2017; Springer Nature B.V
• Subjects: Ankle; Cerebrovascular system; Feet; Immobilization; Knee; Medicine; Medicine & Public Health; Neurology; Neuroradiology; Neurosciences; Neurosurgery; Original Article; Psychiatry; Statistical analysis; Stroke; Knee immobilizer brace; Rigid taping; Hemiplegia; Foot lifter orthosis; Balance
• ISSN: 1590-1874; 1590-3478
• DOI: 10.1007/s10072-017-3065-8

The purpose of this study was to compare the effects of different ankle and knee supports on balance in early ambulation of post-stroke hemiplegic patients. This is a randomized experimental study. The study sample included 20 hemiplegic patients who were able to stand with support and who had been diagnosed with a cerebrovascular accident within the last month. A knee immobilization brace (KIB) was first placed on each individual (first application), followed by placement of knee immobilizer brace and Foot Lifter Orthosis ® (FLO) (second application), and lastly, placement of KIB and rigid taping (RT) (third application). The balance parameters of the patients were evaluated using the Korebalance system. The mean age of the patients was 65.1 ± 4.7 years, and the mean number of days that had passed since stroke occurred was 14.6 ± 4.97. In calculating the front/left balance scores of the applications, statistically significant differences were observed in the comparisons of all three supports and first–second applications performed ( p  = 0.041 and p  = 0.021, respectively). Regarding the total scores between the applications, statistically significant differences were determined in balance in the comparisons on all three supports, in comparisons between the first and second applications, and in the comparisons between the second and third applications ( p  = 0.004, p  = 0.007, and p  = 0.001, respectively). Based on the findings from this study, it is recommended that the use of a knee immobilizer brace in combination with a foot lifter orthosis for post-stroke hemiplegic patients in early ambulation can lead to considerably improved standing balance.