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    The role of AFOs with resistive moment and evaluation methods in gait rehabilitation for individuals with stroke


    10/8/19 | 2:30 PM – 3:45 PM time


    Hiroshi Hashimoto, Pacific supply Co. Ltd. (Osaka, Japan)

    Sumiko Yamamoto, International University of Health & Welfare (Tokyo, Japan)

    Koji Ohata, Kyoto University, (Kyoto, Japan)

    Yosuke Nishimoto, Kawamura Gishi Co. Ltd. (Osaka, Japan)

    Session format
    Advanced Instructional Course
    Main Conference Room, Exhibition Hall 2
    Orthotics: Lower Limb
    Target audience
    Congress registrants only
    Session Chair

    Hiroshi Hashimoto



    Lower limb orthoses, especially Ankle-Foot Orthoses (AFOs), play an important role in gait rehabilitation for individuals with stroke. Most conservative AFOs restrict the motion of ankle joints to maintain stability during gait. However, the gait analysis with 3-D motion capture systems has revealed that the imperfect rocker function are observed during the gait with stroke, which leads to declined ability of walking. Therefore, it is important to select appropriate AFOs to reconstruct the rocker function.

    An AFO with resistive moment was developed to reconstruct the first and second rocker based on the knowledge of gait analysis. It has been widely used for intensive gait trainings to facilitate the motion of the ankle in clinical settings in Japan. Moreover, a new measuring instrument, that has electrodes for EMG, load cells, a digital goniometer, an accelerometer, with a video camera, has begun to be used with the AFO to evaluate the outcome of the rehabilitation process in clinical settings.

    This advanced instructional course, by a multidisciplinary team, is aimed to give an overview of the gait analysis of stroke and the role of the AFOs, and to show how the AFOs reconstruct the gait. It also demonstrates how to evaluate the gait and the design of the interventions by using the measuring instrument and how to fit and adjust the AFOs individually.

    Statement of the objective / learning objectives

    To understand the characteristics of the gait of stroke, the role of AFOs in gait rehabilitation, and how to evaluate the gait and design of the interventions in clinical settings

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

    Simultaneous Interpretation


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