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Hemiplegic gait, stroke

Stroke is the leading cause of long-term disability, and many stroke patients have hemiparesis. Hemiparesis induces ankle-control disturbances and equinovarus deformity, leading to difficulty in walking and an increased risk for falling

We prospectively evaluated gait recovery in 197 elderly subjects after hemiplegic stroke by measuring serial walking speed. Fifty-seven per cent of subjects (113/197) could not walk without human assistance on day 7 post-stroke. About 40% of this group achieved gait independence at months 1, 2, 3, and 4 post-stroke Patients with hemiplegic gait following stroke typically walk with a decreased speed, decreased and asymmetrical step length, decreased stance and single support times on the affected side, changes in joint kinematics, and overall asymmetry in many of the measurable metrics

Improving gait stability in stroke hemiplegic patients

  1. Hemiplegic gait is most commonly seen in stroke patients where the loss of arm swing and circumduction are the common abnormalities. Though extremely challenging, with a strict rehabilitation regime many stroke patients can regain proper function. This is largely dependent on the severity of the stroke incurred
  2. Hemiplegia is one of the most common impairments after stroke and contributes significantly to reduce gait performance. Although the majority of stroke patients achieve an independent gait, many do not reach a walking level that enable them to perform all their daily activities
  3. Hemiplegia typically results from disruption of the corticospinal tract above the medulla. Tone is often increased, and posture is characterized by leg extension or slight knee flexion. Hemiplegic gait includes impaired natural swing at the hip and knee with leg circumduction
  4. Hemiplegic Gait The patient stands with unilateral weakness on the affected side, arm flexed, adducted and internally rotated. Leg on same side is in extension with plantar flexion of the foot and toes
  5. e if it improves function -Short term and small effects on gait distance and endurance • States RA, Pappas E, Salem Y. Overground physical therapy gait training for chronic stroke patients with mobility deficits. Cochrane Database of Systematic Reviews 2009, Issue 3
  6. People with hemiplegic stroke may compensate for a lack of hip extension by excessively rotating their trunk forward on the swing side in late stance phase, which slightly increases the contralateral step length. Decreased or increased lateral pelvic displacement During normal walking, the feet are not placed directly in front of each other

Strokes are one of the most common causes of hemiparesis. The severity of muscle weakness that you experience can depend on the size and location of a stroke. Strokes in the womb are the most.. As gait ability is associated with independence, improvement in gait ability is an important goal in the rehabilitation of hemiplegic stroke survivors . Thus, numerous studies have investigated the gait characteristics of stroke survivors and discovered abnormal gait patterns [ 5 , 6 , 7 ] Hemiparesis resulting from stroke presents characteristic spatiotemporal gait patterns. This study aimed to clarify the spatiotemporal gait characteristics of hemiparetic patients by comparing them with height-, speed-, and age-matched controls while walking at various speeds Circumduction gait: Causes, muscle weakness, treatment. Circumduction gait is an abnormal gait in which a person in order to clear the ground lifts the leg and takes way form body and moves forward in a semicircular pattern. Circumduction gait is commonly seen in hemiplegia, hemiparesis, severe OA knee, foot drop due to nerve injury

Frontiers Post-stroke Hemiplegic Gait: New Perspective

Post-Stroke Hemiplegic Gait: A Review,Abdul Nasir Ansari,Azizur Rahman, Shiekh Imtiyaz Basharat Rashid Abstract Stroke is one of the leading causes of mortality and morbidity worldwide. After a stroke, the ability to control balance in the sitting and standing positions is a fundamental skill of motor behavior for achieving autonomy in everyday. Abstract. The following review examines the walking patterns of patients who have hemiplegia, primarily as a result of a stroke. Attention is given to the changes in the distance and temporal factors of walking, phasic patterns and joint ranges of motion throughout the walking cycle, the ground reaction forces, joint moments of force, joint powers, energy expenditure, and muscle activation. Introduction . This study compared the balance by center of pressure (COP) and its relationship with gait parameters and functional independence in left (LH) and right (RH) chronic stroke patients. Methods . In this cross-sectional study, twenty-one hemiparetic stroke patients were assessed for Functional Independence Measure (FIM), balance with a force platform, and gait in the Motion. The patient has unilateral weakness and spasticity with the upper extremity held in flexion and the lower extremity in extension. The foot is in extension so..

In Hemiplegia Physical Therapy, FES has been demonstrated to be beneficial to restore motor control, spasticity, and reduction of hemiplegic shoulder pain and subluxation. It is concluded that FES can enhance the upper extremity motor recovery of acute stroke patient. FES could reduce spasticity in stroke patient Video includes both a lateral view and an anterior-posterior view.Case studies are strictly for educational purposes. For more information about Mission Gait.. Spastic Hemiplegic Gait. Uploaded by Chris Blackmore on July 20, at 11:50 am . Like . Share . Thanks! Share it with your friends! Post stroke hemiplegic gait, today . Abstract — For this study, we evaluated two training interventions for improving gait parameters in individuals with poststroke hemiplegia using a training methodology that required them to step over objects.Gait velocity, step length, ability to step over obstacles, and walking endurance were compared before and after 2 weeks of training and 2 weeks after cessation of training

The effects of onabotulinum toxin A injection into rectus femoris muscle in hemiplegic stroke patients with stiff-knee gait: a placebo-controlled, nonrandomized trial. Am. J hemiplegic gait observed in stroke victims and to propose a clinical guide for selecting patients before treatment of a supposed disabling spasticity. Methods—A standardized physical examination procedure was performed in 135 consecutive stroke patients. All patients were able to walk without human assistance In Hemiplegia Physical Therapy, FES has been demonstrated to be beneficial to restore motor control, spasticity, and reduction of hemiplegic shoulder pain and subluxation. It is concluded that FES can enhance the upper extremity motor recovery of acute stroke patient While several studies have shown that PAFO improves gait parameters, such as stride length and walking speed, in hemiplegic patients, the effect of PAFO on gait stability remains unclear. We quantitatively assessed the effect of PAFO on gait stability in 16 hemiplegic stroke patients (mean age 55.9 ± 11.8 years; 5 female and 11 male subjects. While several studies have shown that PAFO improves gait parameters, such as stride length and walking speed, in hemiplegic patients, the effect of PAFO on gait stability remains unclear. We quantitatively assessed the effect of PAFO on gait stability in 16 hemiplegic stroke patients (mean age 55.9 +/- 11.8 years; 5 female and 11 male subjects.

Gait Recovery After Hemiplegic Stroke - PubMe

  1. Live. •. Any lesion interrupting the corticospinal pathways to one-half of the body may cause a hemiplegic gait. (1,2) The patient stands with the elbow, wrist and fingers flexed, the shoulder adducted and internally rotated, and the leg extended. There is plantar flexion of the foot and toes, either due to foot dorsiflexion weakness or to.
  2. We prospectively evaluated gait recovery in 197 elderly subjects after hemiplegic stroke by measuring serial walking speed. Fifty-seven per cent of subjects (113/197) could not walk without human assistance on day 7 post-stroke. About 40% of this group achieved gait independence at months 1,2, 3, and 4 post-stroke
  3. A cane thus improved the hemiplegic gait by assisting the affected limb to smoothly shift the center of body mass toward the sound limb and to enhance push off during preswing phase. It also improved circumduction gait during swing phase. Conclusion: Stroke patients walking with a cane demonstrated more normal spatial variables and joint motion.
  4. The wide range and hierarchy of post-stroke hemiplegic gait impairments is a reflection of mechanical consequences of muscle weakness, spasticity, abnormal synergistic activation and their interactions. Given the role of brainstem descending pathways in body support and locomotion and post-stroke spasticity, a new perspective of understanding.
  5. Understanding Inconsistent Step-Length Asymmetries Across Hemiplegic Stroke Patients: Impairments and Compensatory Gait. Neurorehabilitation and Neural Repair, 2011. Peter Beek. Melvyn Roerdink. Peter Beek. Melvyn Roerdink. Download PDF. Download Full PDF Package. This paper. A short summary of this paper
  6. Hemiplegic gait — typical in stroke patients, the leg on the affected side is extended and internally rotated and is swung in a wide arc rather than lifted to walk. Parkinsonian or propulsive gait — a stooped, stiff posture with the head and neck bent forward typical in people with Parkinson's disease
  7. Hemiplegic patient have a common gait deviation during their gait training is hyper-extension of knee or genu recurvatum. Cause of genu recurvatum are 1. Weakness of plantar flexors: 2. Flail foot i.e. polio, cerebral palsy etc 3. Tightness of plantar flexors (TA tendon) 4. Quadriceps weakness 5. Use of AFO also causes hyper extensio

Common Gait Deviations: Post-Stroke Hemiplegic Gait

OBJECTIVE: To assess the effects of cane use on the hemiplegic gait of stroke patients, focusing on the temporal, spatial, and kinematic variables. DESIGN: Case-control study comparing the effect of walking with and without a cane using a six-camera computerized motion analysis system. SETTING: Stroke clinic of a tertiary care hospital Asymmetries in spatiotemporal parameters are a symptomatic feature of hemiplegic gait. There is general consensus about the direction of asymmetry for temporal gait measures: hemiplegic stroke patients all show prolonged stance duration on the nonparetic side and increased swing duration on the paretic side. 1-5 The direction of step-length asymmetry, however, varies across stroke patients for. Although trials have evaluated the effect of arm sling use on gait or balance of patients with post-stroke hemiplegia in the past two decades, the result of their findings have varied 7, 10,11,12. THE EFFECTS OF PARTIAL UNWEIGHTING ON HEMIPLEGIC GAIT NATASHA A. CREASER MICHAEL W. JONES ABSTRACT This study Investigated the effects of 30% body weight support on gait in two individuals with hemiplegia secondary to stroke. Two subjects with right hemiplegia were tested. Each completed four trials, two full weight bearing an Poststroke hemiplegic gait is a mixture of deviations and compensatory motion dictated by residual functions, and thus each patient must be examined and his/her unique gait pattern identified and documented. Quantitative 3-dimensional gait analysis is the best way to understand the complex multifactorial gait dysfunction in hemiparetic patients

Hemiplegic Gait (Regaining Proper Walk after Having a Stroke

hemiplegic gait a gait involving flexion of the hip because of footdrop and circumduction of the leg. intermittent double-step gait a hemiplegic gait in which there is a pause after the short step of the normal foot, or in some cases after the step of the affected foot Equinus deformity of the foot is a common feature of hemiplegia, which impairs the gait pattern of patients. The aim of the present study was to explore the role of ankle-foot deformity in gait impairment. A hierarchical cluster analysis was used to classify the gait patterns of 49 chronic hemiplegic patients with equinus deformity of the foot, based on temporal-distance parameters and joint. Trunk biomechanics during hemiplegic gait after stroke: A systematic review. Van Criekinge T, Saeys W, Hallemans A, Velghe S, Viskens PJ, Vereeck L, De Hertogh W, Truijen S. Gait Posture, 54:133-143, 04 Mar 2017 Cited by: 19 articles | PMID: 28288334. Revie Key words:functional recovery, gait, gait analysis, hemiplegia, rehabilitation, stroke, walking cycle. INTRODUCTION Ambulation is a significant part of the functional recovery following stroke and depends on several factors, including size and location of the infarct (1) and premorbi Walking is possible for the majority of patients following stroke, but it rarely returns to normal. 1 Therefore, gait re-education is an important physical therapy intervention for patients following stroke. The walking patterns of both individuals without mobility problems 2 and patients with hemiplegia 3 have been well documented. The gait of people following stroke is characterized by.

Gait Training in Stroke - Physiopedi

Hemiplegic Gait - an overview ScienceDirect Topic

Hemiparesis, or unilateral paresis, is weakness of one entire side of the body (hemi-means half). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medical conditions, including congenital causes, trauma, tumors, or stroke Knee hyperextension is a common kinematic problem in the gait of people with hemiplegic stroke (Knutsson and Richards, 1979; Lehmann et al., This is inferred from knowledge of normal kinematics and gait control rather than extensive investigation of the gait patterns of stroke patients The parameters of gait analysis related to ambulatory and balance functions in hemiplegic stroke patients: a gait analysis study Min Cheol Chang1†, Byung Joo Lee2†, Na-Young Joo3 and Donghwi Park3* Abstract Background: Ambulatory and balance functions are important for maintaining general health in humans. Gait

Gait Abnormalities Stanford Medicine 25 Stanford Medicin

  1. Neuromuscular electrical stimulation (NMES) has been used to improve muscle strength and decrease spasticity of the ankle joint in stroke patients. However, it is unclear how NMES could influence dynamic spasticity of ankle plantarflexors and gait asymmetry during walking. The study aimed to evaluate the effects of applying NMES over ankle dorsiflexors or plantarflexors on ankle control during.
  2. Synonyms for hemiplegic gait in Free Thesaurus. Antonyms for hemiplegic gait. 9 synonyms for gait: walk, step, bearing, pace, stride, carriage, tread, manner of walking, pace. What are synonyms for hemiplegic gait
  3. About this item Furlove, dedicated to improving the quality of Stroke patient's life for ten years, we have joined with 150 academicians of top medical schools at home and abroad to discuss how to better and faster recover Foot Drop from stroke, hemiplegia and neuromedical disease

Hemiplegic shoulder pain can occur as early as two weeks post-stroke but an onset of two to three months is more typical. Shoulder pain can negatively affect rehabilitation outcomes as good shoulder function is a prerequisite for successful transfers, maintaining balance, effective hand function, and performing activities of daily living patients with chronic hemiplegic stroke: A pilot study. ABSTRACT: This study examined whether the walking and balance ability of adult patients with chronic hemiplegic stroke are associated differentially with the degree of gain after two types of gait intervention. Twenty four subjects with hemiplegic stroke were enrolled in this randomized study Gait recovery after hemiplegic stroke. Int Disabil a. B & L Engineering, 12309 East Florence Avenue, Santa Fe Springs, Studies 1990;12:119-22. CA 90670. Arch Phys Med Rehabil Vol 80, April 1999 Related Papers. On Self-efficacy and balance after stroke / By Karin Hellström. Trunk control test as a functional predictor in stroke patients. CONCLUSION: The Wisconsin Gait Scale is a useful tool to rate qualitative gait alterations of post-stroke hemiplegic subjects and to assess changes over time during rehabilitation training. It may be used when a targeted and standardized characterization of hemiplegic gait is needed for tailoring rehabilitation and monitoring results in gait represents a measure of gait performance stability. This study used a footprint method to quantitatively assess the effect of PAFO on gait stability in hemiplegic stroke patients. Materials and Methods Subjects Sixteen hemiplegic patients who had been prescribed PAFO were recruited as subjects. Criteria for selection were (1) unilatera

Hemiplegia And Physiotherapy Rehabilitation Exercise Detail

Conclusion: The Wisconsin Gait Scale is a useful tool to rate qualitative gait alterations of post-stroke hemiplegic subjects and to assess changes over time during rehabilitation training. It may be used when a targeted and standardized characterization of hemiplegic gait is needed for tailoring rehabilitation and monitoring results Hemiplegia means severe weakness of the limbs on one side of the body but the specific features can vary tremendously from person to person. Problems may include: Difficulty with gait Difficulty with balance while standing or walking Having difficulty with motor activities like holding, grasping or pinchin

Patient Cases in Gait Training - Flexion AbductionGait normal & abnormal

Observation and analysis of hemiplegic gait: stance phase

In this study, we recruited patients with subcortical first-time stroke with hemiplegic gait disturbances from Osaka University Hospital (M.M.) and Morinomiya Hospital (H.F.) in Osaka, Japan. We included patients aged 20-85 years, having a first episode of subcortical ischemic or intraparenchymal hemorrhagic stroke with hemiplegia, and more. The gait of people following stroke is characterized by problems with generating, timing, and grading of muscle activity, hypertonicity, and mechanical changes in soft tissues.3 Gait speed, stride length, and cadence are lower than normal values.3 Common kinematic deviations during the stance phase of the gait cycle are decreased peak hip. The objective of this thesis is to investigate the long term recovery of hemiplegic gait in severely affected stroke patients. In particular, the presence of a predictive relationship between early registered determinants and late outcome measures defined at 6 or 12 months, the relevance of longitudinally applied. Randomized Controlled Trial of Gait Training Using Gait Exercise Assist Robot (GEAR) in Stroke Patients with Hemiplegia Ken Tomida, RPT,* Shigeru Sonoda, MD, DMSc,*,† Satoshi Hirano, MD, DMSc,‡ Akira Suzuki, RPT,* Genichi Tanino, RPT, PhD,§ Kenji Kawakami, RPT,* Eiichi Saitoh, MD, DMSc,‡ and Hitoshi Kagaya, MD, DMSc‡ Purpose: This trial aimed to validate the effectiveness of using the.

Re: hemiplegic gait. Pain in the hemiplegic knee in chronic stroke could be for a number of reasons. But the classic case is not because of spasticity or inability to flex the knee. It is true that many patients are unable to flex the knee in swing phase but this is usually not particularly painful. The inability to flex the knee is most. Hemiplegia. Hemiplegia is a paralysis that affects one side of the body. It's often diagnosed as either the right or left hemiplegia, depending on which side of the body is affected. According to the National Stroke Association, as many as 9 out of 10 stroke survivors have some degree of paralysis immediately following a stroke A hemiplegic stroke survivor with a moderate to severe gait disturbance may have difficulty walking using a one-arm walker. This study aimed to test the safety and feasibility of a prototype one-arm motorized walker that uses a power-driven device to provide gait assistance to hemiplegic stroke survivors with moderate to severe gait disturbances These 5 tools were: the adapted New York Medical School Orthotic Gait Analysis (NYMSOGA) work sheet, 37 the Hemiplegic Gait Analysis Form (HGAF), 11 the Wisconsin Gait Scale (WGS), 38 the Gait Assessment and Intervention Tool (GAIT), 22 and the Rivermead Visual Gait Assessment (RVGA). 39 For this last tool, only one interrater reliability study. Effects of End-effector Type Robot Assisted Gait Therapy on Gait Pattern and Energy Consumption in Chronic Post-stroke Hemiplegic Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators

Hemiplegia Symptoms, Causes, Treatment, Impact on Day-to

In addition to changes in spatio-temporal and kinematic parameters, patients with stroke exhibit fear of falling as well as fatigability during gait. These changes could compromise interpretation of data from gait analysis. The aim of this study was to determine if the gait of hemiplegic patients changes significantly over successive gait trials. Forty two stroke patients and twenty healthy. the patients with intervertebral disc disease through gait [7]; also, the walking characteristics of stroke patients are more precisely defined as quantitative measurements. The description of kinematic changes in hemiplegic stroke patients varies

Resistance-Assisted Gait Training facilitates dorsi-flex-ion during a single cycle of swing. Key words: Stroke - Hemiplegia - Rehabilitation. T he ability to walk independently is a life enrich-ing activity and the most efficient way of getting from one place to another in the course of our daily lives.1 Stroke is the leading cause of serious long Hemiplegic shoulder pain is common in stroke survivors, developing in up to 54% of patients. The underlying mechanisms include soft tissue lesions, impaired motor function and central nervous system-related phenomena. Hemiplegic shoulder pain has many underlying causes and is challenging to manage, requiring a team approach, including physicians, therapists and caregivers

Gait analysis in hemiplegic stroke survivors who used the

Hemiplegia in infants and children is a type of Cerebral Palsy that results from damage to the part (hemisphere) of the brain that controls muscle movements. This damage may occur before, during or shortly after birth. The term hemiplegia means that the paralysis is on one vertical half of the body Hemiplegia (paralysis of one side of the body) can often occur following brain injuries, particularly strokes. These conditions can make everyday tasks extremely difficult. Here are strategies for coping with common problems due to hemiplegia and hemiparesis. Paralysis of arms or hands. If an arm or hand is paralysed, it is important to try to. Trunk biomechanics during hemiplegic gait after stroke: A systematic review. Gait Posture. Stroke commonly results in trunk impairments that are associated with decreased trunk coordination and limited trunk muscle strength. These impairments often result in biomechanical changes during walking. Additionally, the so-called pelvic step might. Hemiplegic migraine is a rare form of migraine that some people confuse with a stroke. With this type of migraine, a person may also develop neurological symptoms, including weakness on one side. In more than 80% of hemiplegic patients, equinovarus foot deformity (EVFD), resulting in abnormal walking patterns, is the main factor limiting post-stroke gait (Lin et al. in Arch Phys Med Rehabil 87:562-568, 2006 ). It usually results from spasticity of the plantar flexor and invertor muscles, associated with a deficit of the dorsiflexors.

Background: Robotic exoskeleton (RE) based gait training involves repetitive task-oriented movements and weight shifts to promote functional recovery. To effectively understand the neuromuscular alterations occurring due to hemiplegia as well as due to the utilization of RE in acute stroke, there is a need for electromyography (EMG) techniques that not only quantify the intensity of muscle. A sling is widely used in order to hold the shoulder and the arm of a patient who has suffered a cerebrovascular accident and therefore has a hemiparesis. I consider it necessary discussing the true usefulness of such a device and point out some aspects that are not usually taken into consideration hence running the [ Background: During stroke rehabilitation, physical therapists (PTs) perform gait analysis and design treatments based on this analysis. Objectives: To investigate the current trends in PTs clinical reasoning in assessing and managing gait in persons with hemiplegia

Inserts improve symmetry, velocity in stroke patientsJournal of Rehabilitation Medicine - A new orthosis for

This study describe the characteristics of hemiplegic stroke gait with principal component analysis (PCA) of trunk movement (TM) and gait event (GE) parameters by the inertial measurement unit (IMU) sensors: (1) Background: This process can determine dominant variables through multivariate examination to identify the affected, unaffected, and healthy lower-limb sides; (2) Methods: The study. Eligibility Criteria Inclusion Criteria: - Male and females of age between 18 to 85 year of age - History of one-sided ischemic or hemorrhagic stroke - Chronic: more than 6 months post-stroke (Aim 1 and Aim 2) - Subacute: within 8 weeks post-stroke (Aim 1 and Aim 3) - Residual functional impairment of a lower extremity as a result of the stroke - Ability to walk at least 15 meters with or. An ankle foot orthosis (AFO) is a commonly used device to improve gait in patients with stroke-related hemiplegia [].An AFO provides physical support to the ankle joint and foot [], with the aim of improving weight-bearing on the affected lower limb.It is estimated that over 4 million people in the United States use an AFO for gait-related impairments [] Abstract. Objective. This study investigated the effects of additional balance training using three dimensional balance trainer on dynamic balance, gait symmetry and fall efficacy in subacute hemiplegic stroke patients. Method. This study designed pretest-posttest control group. Twenty subacute stroke patients were randomly assigned to an. BACKGROUND: This study was a prospective, randomized, open, blinded-endpoint trial with the aim of examining whether gait training with a gait-assistance robot (GAR) improves gait disturbances in subacute non-ambulatory hemiplegic stroke patients more than overground conventional gait training

Using a hemi-walker - YouTube

Hemiplegic Gait: Myths and Facts about Circumduction during Gait · typical hemiplegic postural alignment · dynamic adaptations post... Jump to. Sections of this page be the kind of deviations of the swing phase of commonly observed of stroke either as a direct consequence of problem or as an adaptive strategy which is learn in order to. sion on the fastest possible speed an individual post-stroke can reach because no study asked individuals to walk be-yond their self-selected or perceived maximum walking speed. Therefore, to our knowledge, no study has explicitly tested the limits of the fastest possible gait speeds that can be achieved in persons with post-stroke hemiplegia

Prevention and management of hemiplegic shoulder painPhases of the Gait Cycle: Gait Analysis » ProtoKineticsCHILDHOOD WALKING ABNORMALITIES | SAMARPAN PHYSIOTHERAPY

Tyson SF, Thornton HA. The effect of a hinged ankle foot orthosis on hemiplegic gait: objective measures and users' opinions. Clin Rehabil 2001;15(1):53-58. Wang RY, Lin PY, Lee CC, Yang YR. Gait and balance performance improvements attributable to ankle-foot orthosis in subjects with hemiparesis. Am J Phys Med Rehabil 2007;86(7):556-562 Hemiplegia patients usually show a characteristic gait. The leg on the affected side is extended and internally rotated and is swung in a wide, lateral arc rather than lifted in order to move it forward. The upper limb on the same side is also adducted at the shoulder, flexed at the elbow, and pronated at the wrist with the thumb tucked into. Objectives:To examine and compare the effectiveness on standing balance and gait parameter of two different types of gait trainings, gait training with RAS versus gait training without RAS, was compared in two groups of hemiplegic stroke patients over a three-week period (RAS group, n = 8; control group = 8). Methods:Sixteen hemiplegic stroke. The ankle foot orthosis has some evidence to improve the walking ability and gait pattern in post-stroke hemiplegic patients. Keywords: gait, hemiplegia, meta-analysis, orthotic devices, stroke. Figures and Tables. Fig. 1. Comparison of walking speed (m/sec) between with and without AFO

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