Author/Editor		Osrečki, Ksenija; Cikajlo, Imre; Burger, Helena
Title		Vpliv ortoz za gleženj in stopalo na ravnotežje - delni rezultati
Translated title		Influence of ankle-foot orthoses on balance - preliminary results
Type		članek
Vol. and No.		Letnik 12, št. 3
Publication year		2013
Volume		str. 46-53
ISSN		1580-9315 - Rehabilitacija
Language		slv
Abstract		Izhodišča: V literaturi ni trdnih dokazov o vplivu ortoz za gleženj in stopalo na ravnotežje. Namen študije je bil ugotoviti takojšen vpliv dveh različnih tipov ortoz za gleženj in stopalo na dinamično ravnotežje pri osebah z različnimi okvarami. Metode: Vključili smo 24 oseb, ki so obiskale ambulanto za ortotiko zaradi težav pri hoji in smo jih oskrbeli z ortozo za gleženj in stopalo (prvič ali ponovno) ter so bile pripravljene sodelovati. Z napravo Postural Response Assessment Device, ki umetno generira motnje ravnotežja ali perturbacije, smo izmerili njihovo dinamično ravnotežje z ortozo in brez nje ter ga primerjali z normativnimi odzivi pri zdravi, neprizadeti populaciji. Rezultati: Vse vključene osebe so imele težave z ravnotežjem. Serijska ortoza za gleženj in stopalo iz polipropilena, ki deluje kot zadnja prožna vzmet, je omogočala bolj normalno amplitudo odziva na perturbacijo naprej ter naprej in na stran okvare ter nazaj in nazaj na stran okvare tako v anteriornoposteriorni kot v mediolateralni smeri. Ortoza tudi minimalno vpliva na zakasnitev odziva. Individualno narejena ortoza iz polipropilena je omogočala amplitudo odziva znotraj normativa, predvsem pri perturbacijah na stran okvare. Zaključki: Delni rezultati nakazujejo, da ortoze za gleženj in stopalo, ki delujejo kot zadnja prožna vzmet, izboljšajo ravnotežje pri vseh vključenih osebah (takoj po nastanku okvare in tudi več let pozneje), ki imajo splošne težave z vzdrževanjem ravnotežja. Kaže se tudi pozitiven učinek individualno narejenih ortoz za gleženj in stopalo na ravnotežje.Background: The review of available literature shows no conclusive evidence of impact of the ankle-foot orthosis on balance. The purpose of the study was to determine the immediate impact of two different types of ankle-foot orthoses on the dynamic balance in persons with disabilities. Methods: 24 subjects who have visited the outpatient clinic for prosthetics due to the difficulties in walking were included in the study. Those expressing the will to participate were provided with an ankle-foot orthosis (either the first orthosis or a replacement). Using the Postural Response Assessment Device that artificially generates balance disorder, or perturbations,the participants dynamic balance was assessed with and without orthoses and compared with normative responses obtained from a healthy unaffected population. Results: All the participants demonstrated problems with maintaining balance. The serial ankle-foot orthosis made of polypropylene acted as a rear flexible spring and enabled a postural response more compliant with the norm after the forward and forward-lateral and backward and backward lateral perturbation in both the anterior-posterior and the mediolateral direction. The orthosis also had a minimum impact on the delay of the response. Custom-made orthosis from polypropylene enabled postural response with amplitudes within the norm, especially during perturbations on the affected side. Conclusion: Partial results indicate that the ankle-foot orthosis acting as a flexible rear spring can improve balance capabilities of the participants (immediately after or several years after the occurrence of the disorder), who tend to have difficulties with maintaining balance. The custom-made ankle-foot orthoses also demonstrated a positive impact on balance capabilities.
Keywords		ankle-foot orthosis balance postural responses ortoze za gleženj in stopalo ravnotežje odzivi