Utilization of Long Leg Brace to Increase the Power of Thigh Muscles in Acute Stroke Patients
Keywords:
Long Leg Brace, Knee collapse, Stroke, Genu recurvatumAbstract
Currently, the number of stroke patients has dramatically increased. Two most common side effects of a stroke are knee collapse and genu recurvatum, which can cause unsteadiness in walking. At the acute phase of stroke, patients tend to experience with the occurrence of knee collapse, which is associated with weakened thigh muscles, resulting in the patients' inability to move or extend their knees freely during their walks. In regards to genu recurvatum which is usually found at the sub-acute stage of a stroke, patients may have an imbalance control of their knee. As for treatments, a physical therapy to enhance the patients' standing and walking postures is recommended. The use of long leg brace is also an interesting alternative especially for those in the early stage of stroke. The brace designed to support the muscles of the thigh helps to strengthen weakened thigh muscles. The use of short leg brace is suggested to enhance the strength of thigh muscles, which consequently leads to the patients' proper alignment, together with speed recovery.
References
พรพิมล มาศสกุลพรรณ. ทิพยรัตน์ ศฤงคารินกุล กาญจนา ริ้วทอง พรทิพย์พา ธิมายอม และพรพิมล วิเชียรไพศาล. (2559). แนวทางการฟื้นฟูสมรรถภาพผู้ป่วยโรคหลอดเลือดสมอง. พิมพ์ครั้งที่ 3. กรุงเทพฯ, บริษัท ธนาเพรส จำกัด.
Appasamy, M. De Witt, M.E, Patel, N. Yeh,Nloom, O. & Oreste, A. (2015) Treatment strategies for genu recurvatum in adult patients withhemiparesis: A case series. American Academy of Physical Medicine and Rehabilitation. 7(10), 105-112.
Badke, M. & DiFabio, R. (1990). "Relationship of sensory to balance function in patients with hemiplegia". Physical Therapy.(70), 542-548.
Bleyenheuft, C. Bleyenheuft Y. Hanson, P. and Deltombe, T. (2010). Treatment of genu recurvatum in hemiparetic adult patients: A systematicliterature review. Annals of physical and rehabilitation medicine. (53), 189-199.
Boudarham, J., Zory, R., Genet, F., Vigne, G., Bensmail, D., Roche, N., & Pradon, D. (2013). Effects of a knee-ankle-foot orthosis on gait biomechanical characteristics of paretic and non-paretic limbs in hemiplegic patients with genu recurvatum. Clinical Biomech (Bristol, Avon). 28(1), 73-78.
Bravin, M.P. Nirav, V. & Deepak, G. (2017). Walking ability in stroke patients using knee gaiter and suspended walker for gait training. Journal of Family Medicine and Primary Care. 6(4), 795-797.
Burcu, T. & Zilan, B. (2017). The effect of different ankle and knee supports on balance in early ambulation of post-stroke hemiplegic patients. Neurological Sciences. (10), 3065-3068.
Chin, P. Rosie, A. Irving, M. & Smith, R. (1982). Studies in hemiplegic gait. In: Rose F, ed. Advances in Stroke Therapy. New York, NY: RavenPress.
Colaso, M. Joshi, J. & Singh, N. (1971). Variation of gait patterns in adulthemiplegia. Neurology India. (19), 212-216.
Davidson, I. & Waters, K. (2000). Physiotherapists working with strokepatients. Physiotherapy. (86), 69-80.
De Wit, D.C.Buurke, J.H.Nijlant, J.M.Ijzerman, M.J. andHermens, H.J. (2004). The effect of an ankle-foot orthosis on walking ability in chronic stroke patients: a randomized controlled trial. Clinical Rehabilitation. 18(5), 550-557.
John, D.H. John, W. Michel, J.R. and Fisk. A.A.O.S. (2008). Atlas of Orthoses and Assistive Devices. 4 ed. Philadelphia. Mosby Elsevier.
Karen, J.M. Fabian, E.P. Scott, C.C., Shawn, B. and Patricia, S.S. (2008). Locomotor treadmill training with partial body-weight support before overground gait in adults with acute stroke: A pilot study. Archives of Physical Medicine and Rehabilitation. (89), 684-691.
Kralj, A & Stanic, U. (1993). Enhancement of hemiplegic patientrehabilitation by means of functional electrical stimulation. Prosthetics and Orthotics International. (17), 107-114.
Lew, H.L. Lombard, L.A. Reddy, C.C. Moroz, A. Edgley, S.R, and Chae, J. (2009). Strokeand neurodegenerative disorders: 3. Poststroke rehabilitation. American Academy of Physical Medicine and Rehabilitation. 1(3 suppl), S19-S26.
Morinaka, Y. Matsuo, Y. Nojima, M. & Morinaka, S. (1982). Clinical evaluation of a knee-ankle-foot-orthosis for hemiplegic patients. Prosthetics and Orthotics International. (6), 111-115.
Naito, Y. Kamiya, M. Nakagawa, M. Morishima, N. Ishikawa, T. Ota, S. & Kanai A. (2015). Effect of a custom-made hinged knee brace with assist function for patients with acute stroke. WCPT Congress 2015 Physical Therapy. (1) : Supl 1, 1066-1067.
Padua, L.Doneddu, P.E.Iodice, F.Coraci, D.and Rossini, P.M. (2017). Transfer to inpatient rehabilitation facilities after neurological admission. Neurological Sciences. 38(4), 687-688.
Shurr, D. Harold, M. Jhon, A. and Harley, F. (1978). The Iowa Knee Orthosis. Orthotics and Prosthetics. 35(32), 20-24.
Sigal P, Asaf F, Eitan R, & Isabella S. (2015). Prevention of Genu Recurvatum in Poststroke Patients Using a Hinged Soft Knee Orthosis. American Academy of Physical Medicine and Rehabilitation. (7), 1042-1051.
Stein, J. Bishop, L. Stetin, D.J. & Wong, C.K. (2014). Gait training with a robotic leg brace after stroke: A randomized controlled pilot study. American Journal of Physical Medicine & Rehabilitation. 93(11), 987-994.
Takashi, Y. Ken, A. and Masayuki, I. (2004). Stroke Rehabilitation and Long Leg Brace.Journal Topics in Stroke Rehabilitation. 11(3), 6-8.
Trueblood, P.R, Walker, J.M, Perry, J.& Gronley, J.K. (1989). Pelvic exercise andgait in hemiplegia. Physical Therapy. (69), 18-26.
Weerdesteyn, V. De, N.M. Van Duijnhoven, H.J. & Geurts, A.C. (2008). Falls inindividuals with stroke. Journal of Rehabilitation Research and Development. (450), 1195-1213.
Woolley, S.M. (2001). Characteristics of gait in hemiplegia. Topics in Stroke Rehabilitation. (7), 1-18.
Yamanaka, T. Akashi, K. & Ishii, M. (2004). Stroke rehabilitation and long leg brace. Topics in Stroke Rehabilitation. 11(3), 6-8.