The influence of an ankle foot orthosis on the percentage of weight loading during standing tasks in stroke patients

• Published in: Journal of Physical Therapy Science 2015, Vol.27(9), pp.2887-2890
• Main Authors: Jang, Sang-Hun, Lee, Myoung-Hyo, Kim, Kyoung-Don
• Format: Article
• Language: English
• Subjects: Ankle foot orthosis; Original; Stroke; Weight-bearing ability
• ISSN: 0915-5287; 2187-5626
• DOI: 10.1589/jpts.29.2887

[Purpose] The aim of this study was to investigate the effects of an ankle foot orthosis on weight-bearing abilities of stroke patients by comparing weight loading during performance of tasks in various standing positions on the affected side. [Subjects and Methods] This study was performed with 16 stroke patients. To measure the weight loading value and percentage of weight loading in affected lower extremities, 5 standing tasks were performed with and without an ankle foot orthosis in random order. [Results] In the rising from a chair, maintaining a standing position, and forward weight shifting tasks, the affected lower extremities showed a significantly higher percentage of weight loading with an ankle foot orthosis. In the tasks requiring weight shifting to one leg, weight shifting to the lateral side showed the best weight-bearing ability with or without an ankle foot orthosis, followed by the forward and backward weight shifting, respectively. There were statistically significant correlations in all 5 tasks with or without an ankle foot orthosis. [Conclusion] An ankle foot orthosis improves the weight-bearing ability, especially when shifting weight forward, resulting in increased weight-bearing ability in activities of daily living tasks such as quiet standing and rising from a chair. The 5 tasks in this study would be a fine assessment tool under clinical conditions to investigate the postural stability of the affected side with or without application of an ankle foot orthosis.