Fifty patients with severe hemiplegia due to acute stroke were selected for the study. Selection criteria were initial FIM motor score of 38 or less, and patients who were practicing gait using KAFO in the rehabilitation setting.
Exclusion criteria were serious orthopedic lower limb disease, bilateral lesions, unstable general condition with difficulty in standing and walking, parkinsonism, subarachnoid hemorrhage, and subdural hematoma.
The intervention group will receive 3 units of the usual physical therapy interventions (joint range of motion exercises, muscle strengthening exercises, basic movement exercises, and gait exercises) plus 1 unit of standing and gait exercises using KAFO among the 4 units of physical therapy interventions. The control group will also receive 3 units of usual physical therapy intervention and 1 unit of basic movement practice within the 4 units of physical therapy intervention. The intervention period for both groups will be 2 weeks, with a minimum of 5 days per week.
介入コード / Code
介入キーワード /Keyword
長下肢装具 歩行練習
knee-ankle-foot ortohosis gait
主たる評価項目 / Primary Outcome(s)
FIM(Functional Independence Measure)
FIM(Functional Independence Measure)
副次的な評価項目 / Secondary Outcome(s)
JCS(Japan Coma Scale) NIHSS(National Institutes of Health Stroke Scale)
Br.stage(Brunnstrom stage) BBS(Berg Balance Scale) FMS(Functional Movement Scale)
FAC(Functional Ambulation Categories)
JCS Japan Coma Scale NIHSS National Institutes of Health Stroke Scale
Br.stage Brunnstrom stage BBS Berg Balance Scale FMS Functional Movement Scale
FAC Functional Ambulation Categories