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    Can Orthoses Play a Therapeutic Role in Early Post-Stroke Management

    10/5/19 | 2:30 PM – 3:45 PM time

    Presenters

    Stefania Fatone, Northwestern University (Chicago, USA)

    Nerrolyn Ramstrand, Jonkoping Univeristy (Jonkoping, Sweden)

    Cleveland Barnett, Nottingham Trent University (Nottingham, United Kingdom)

    Paul Charlton, Peacocks Medical Group (Newcastle Upon Tyne, United Kingdom)

    Session format
    Symposium
    Category
    Orthotics: Lower Limb
    Target audience
    Congress registrants only
    Session Chair

    Stefania Fatone

    Languages
    English
    Agenda

    Abstract

    Motor control deficits are common and a major contributor to mobility problems post-stroke, with walking limitations present in 75% of persons post-stroke. Research regarding orthotic intervention post-stroke during the acute phase is limited. This is despite the idea that a “window of opportunity” exists for optimal rehabilitation after stroke. The most common feature of motor impairment early post-stroke is a reduction in the force generating capacity of lower extremity muscles. Of particular relevance to gait re-training, is the idea that the nervous system responds best to interventions that provide an appropriate dynamic stimulus to drive recovery. These ideas have led to development of “assist-as-needed strategies” in lower-limb assisted robotic gait training that guide the leg by applying a force rather than imposing a trajectory. Similar principles may be harnessed when using orthoses to facilitate gait re-training. The major demand on the lower-limbs during standing and walking is gravity, which applies moments across the joints that need to be controlled by the neuromuscular system. An ankle-foot orthosis (AFO) may be used to re-adjust and manipulate the neuromuscular demands placed upon the individual by positioning the foot in relation to the lower leg to provide optimal alignment of the lower-limb to the ground during walking. We hypothesize that an AFO can facilitate re-learning of the skilled coordination required for walking in early post-stroke gait re-training by influencing both biomechanical and neurophysiological variables.

    Statement of the objective / learning objectives

    To discuss theoretical concepts and research evidence that may support a hypothesis regarding the therapeutic role of orthoses in early post-stroke gait re-training.

    This session focuses on the topic Orthotics: Lower Limb Neurological.

    Simultaneous Interpretation

    Japanese

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