Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 2 , Pages 181-186 , February 2007

Decreased Energy Cost and Improved Gait Pattern Using a New Orthosis in Persons With Long-Term Stroke

  • Dick H. Thijssen, MSc, PT

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Rebecca Paulus

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Caro J. van Uden, PhD, PT

      Affiliations

    • Department of Physiotherapy, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • ,
  • Jan G. Kooloos, PhD

      Affiliations

    • Department of Anatomy, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
    • ,
  • Maria T. Hopman, MD, PhD

      Affiliations

    • Department of Physiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    • Corresponding Author InformationReprint requests to Maria T. Hopman, MD, PhD, Dept of Physiology, Radboud University Nijmegen Medical Centre, Geert Grooteplein-Noord 21, PO Box 9101, 6500 HB Nijmegen, The Netherlands

References 

  1. World Health Organization. Global burden of stroke. 2006. Available at: http://www.who.int/cardiovascular_diseases/en/cvd_atlas_15_burden_stroke.pdf. Accessed November 5, 2006.
  2. Michael KM, Allen JK, Macko RF. Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil. 2005;86:1552–1556
  3. Danielsson A, Sunnerhagen KS. Energy expenditure in stroke subjects walking with a carbon composite ankle foot orthosis. J Rehabil Med. 2004;36:165–168
  4. Hsu AL, Tang PF, Jan MH. Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke. Arch Phys Med Rehabil. 2003;84:1185–1193
  5. Zamparo P, Francescato MP, De Luca G, Lovati L, di Prampero PE. The energy cost of level walking in patients with hemiplegia. Scand J Med Sci Sports. 1995;5:348–352
  6. Waters RL, Mulroy S. The energy expenditure of normal and pathologic gait. Gait Posture. 1999;9:207–231
  7. Ivey FM, Macko RF, Ryan AS, Hafer-Macko CE. Cardiovascular health and fitness after stroke. Top Stroke Rehabil. 2005;12:1–16
  8. Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35:2529–2539
  9. Franceschini M, Massucci M, Ferrari L, Agosti M, Paroli C. Effects of an ankle-foot orthosis on spatiotemporal parameters and energy cost of hemiparetic gait. Clin Rehabil. 2003;17:368–372
  10. Iwata M, Kondo I, Sato Y, Satoh K, Soma M, Tsushima E. An ankle-foot orthosis with inhibitor bar: effect on hemiplegic gait. Arch Phys Med Rehabil. 2003;84:924–927
  11. Gok H, Kucukdeveci A, Altinkaynak H, Yavuzer G, Ergin S. Effects of ankle-foot orthoses on hemiparetic gait. Clin Rehabil. 2003;17:137–139
  12. Churchill AJ, Halligan PW, Wade DT. Relative contribution of footwear to the efficacy of ankle-foot orthoses. Clin Rehabil. 2003;17:553–557
  13. Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehl-Baker L. Clinical gait assessment in the neurologically impaired (Reliability and meaningfulness). Phys Ther. 1984;64:35–40
  14. van Uden CJ, Besser MP. Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite). BMC Musculoskelet Disord. 2004;5:13
  15. Thijssen DH, de Groot P, Kooijman M, Smits P, Hopman MT. Sympathetic nervous system contributes to the age-related impairment of flow-mediated dilation of the superficial femoral artery. Am J Physiol Heart Circ Physiol. 2006;291:H3122–H3129
  16. Carter J, Jeukendrup AE. Validity and reliability of three commercially available breath-by-breath respiratory systems. Eur J Appl Physiol. 2002;86:435–441
  17. Maltais D, Bar-Or O, Galea V, Pierrynowski M. Use of orthoses lowers the O2 cost of walking in children with spastic cerebral palsy. Med Sci Sports Exerc. 2001;33:320–325
  18. Abe D, Yanagawa K, Niihata S. Effects of load carriage, load position, and walking speed on energy cost of walking. Appl Ergon. 2004;35:329–335
  19. Wannamethee SG, Shaper AG. Physical activity in the prevention of cardiovascular disease: an epidemiological perspective. Sports Med. 2001;31:101–114

 Supported by Somas (St Anthonis, The Netherlands).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)01522-X

doi: 10.1016/j.apmr.2006.11.014

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 2 , Pages 181-186 , February 2007

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