■我们比较了以家庭为基础的行动任务中的固定式和铰接式踝足矫形器(AFO),以评估短期行动能力,动平衡,生活质量,焦虑/抑郁,残疾水平,中风严重程度,自主性,人类功能,患者满意度。
■这是一只双臂,平行组,隐蔽分配的随机对照试验,评估者盲法,以及涉及慢性中风患者的完整病例分析。参与者被随机分为两组:固定(n=24)和关节(n=23)AFO。AFO是定制的,两组每周5天执行为期4周的家庭移动任务。主要结果指标包括使用Tinetti以绩效为导向的流动性评估(POMA)评估的平衡和流动性变化,定时启动和启动(TUG)测试,和功能性步行类别(FAC)。次要结果包括生活质量,焦虑/抑郁,残疾,中风严重程度,自主性,人类功能,患者满意度。
■在组间比较中,在调整了年龄之后,性别,中风严重程度,和溶栓,铰接式AFO组在TUG测试中表现更好(p=0.020;d=0.93),POMA步态(p=0.001;d=0.53),POMA-总计(p=0.048;d=0.98),和FAC(p=0.003;d=1.03)比固定AFO组。此外,两组间的人体功能(使用设备四处走动)存在显著差异(p=0.047;d=92).
■一项涉及基于家庭的移动性任务和铰接式AFO的计划改善了中风后的功能移动性。
UNASSIGNED: We compared fixed and articulated ankle-foot orthoses (AFOs) in home-based mobility tasks to assess short-term mobility, dynamic balance, quality of life, anxiety/depression, disability level, stroke severity, autonomy, human functioning, and patient satisfaction.
UNASSIGNED: This was a two-arm, parallel-group, randomized controlled trial with concealed allocation, assessor blinding, and a complete case analysis involving patients with chronic stroke. The participants were randomized into two groups: fixed (n = 24) and articulated (n = 23) AFOs. The AFOs were custom-fabricated, and both groups performed four-week home-based mobility tasks five days weekly. Primary outcome measures included changes in balance and mobility assessed using the Tinetti Performance-Oriented Mobility Assessment (POMA), Timed Up and Go (TUG) test, and Functional Ambulation Category (FAC). Secondary outcomes included quality of life, anxiety/depression, disability, stroke severity, autonomy, human functioning, and patient satisfaction.
UNASSIGNED: In a between-group comparison, after adjusting for age, sex, stroke severity, and thrombolysis, the articulated AFO group showed better performance in the TUG test (p = 0.020; d = 0.93), POMA-Gait (p = 0.001; d = 0.53), POMA-Total (p = 0.048; d = 0.98), and FAC (p = 0.003; d = 1.03) than the fixed AFO group. Moreover, significant difference was noted in human functioning (moving around using equipment)between the groups (p = 0.047; d = 92).
UNASSIGNED: A program involving home-based mobility tasks and articulated AFOs improved functional mobility after stroke.