Effects of an Ankle-Foot Orthosis on Gait While Performing an Attention Demanding Task in People With Poststroke Hemiplegia
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Nova Scotia Health Authority
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Velocity
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
We hypothesize that: (1) gait stability will be increased when wearing an ankle-foot orthosis (plastic brace supporting the foot and ankle); (2) an attention demanding task will decrease gait stability and (3) the improvement in gait stability due to ankle-foot orthosis use will be greater during an attention demanding task.
Detailed Description
A quasi-experimental, randomized 2 x 2 factorial within subjects study with the factor of walking condition (2 levels, walking with and without ankle-foot orthotic device) and attention condition (2 levels, walking with and without attention task).
Investigators
Kim Parker
Rehabilitation Engineer
Nova Scotia Health Authority
Eligibility Criteria
Inclusion Criteria
- •be over the age of 18;
- •have the presence of hemiplegia after stroke;
- •be wearing an ankle-foot orthosis for at least 6 weeks;
- •be able to walk independently and comfortably for a minimum distance of 12 m with or without assistive aids (AFOs, canes and walkers);
- •be able to read and understand English, follow verbal instructions and provide verbal answers to questions;
- •be able to reach criterion on the attention task (described below)
- •be competent to give informed consent as determined by clinical team and noted in the health chart
Exclusion Criteria
- •have history of balance deficits not related to stroke;
- •be at high risk of falling during the study;
- •suffer from severe aphasia or dementia as determined by health chart and/or initial cognitive screening using the Montreal Cognitive Assessment (MoCA) test.
Outcomes
Primary Outcomes
Velocity
Time Frame: up to one week
walking velocity
Secondary Outcomes
- trunk acceleration(up to one week)
- Step length variability(up to one week)
- The Berg Balance Scale(up to one week)