Author/Editor     Burger, Helena
Title     Ortotika pri bolnikih z možgansko žilno boleznijo
Type     članek
Source     In: Goljar N, Štefančič M, editors. Novosti v rehabilitaciji po možganski kapi. Zbornik predavanj 15. dnevi rehabilitacijske medicine; 2004 mar 26-27; Ljubljana. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year     2004
Volume     str. 143-52
Language     slo
Abstract     Orthoses are often used in rehabilitation of stroke patients. The main goal of their use is to improve function of the patient. Among lower limb orthoses, ankle foot orthoses (AFO) are the mostfrequently used. Orthotic goals are the same (stance phase stability, foot clearance, propositioning of foot, adequate step length and energy conservation) but there are also other goals that need to be specified, such as motion control, correction of deformity or compensation for weakness. Again the design, components and materials depend on ROM, sensation, magnitude of spasticity, muscle strength and selective activity and patients' expectations. AFOs are usually prescribed to patients with lower admission (and also discharge) scores of Chedoke-McMaster Stroke Impairment Invetory, total FIM score and FIM walking and walking stairs scores as well as Bergs Balance Scale scores. The results of literature review suggested that AFOs might improve velocity, stride length and gait pattern of these patients, they might also improve weight bearing on the affected side. Some use adjustable AFOs to reduce plantarflexion contractures, similar to serial casting. Knee orthoses are rarely indicated for stroke patients as they are unable to concurrently address the dysfunctions of the foot and ankle complex. Most sagittal plane knee deviations, excessive flexion or excessive extension, present with loss of control of the foot and ankle would ultimately be better addressed by an AFO and KAFO design. The Swedish knee cage has been shown to be successful when used in conjunction with an AFO. Upper limb orthosis are used for shoulder problems, to prevent contractures and improve upper limb and hand function. It is demonstrated that shoulder supports which are made upon the biomechanical principles reduce shoulder subluxation. (Abstract truncated at 2000 characters).
Descriptors     CEREBROVASCULAR DISORDERS
ORTHOTIC DEVICES