The effect of wearing the orthosis of hand function on gait spatiotemporal parameters in patients with hemiplegia after stroke
Objective:To investigate the effect of hemiplegic lateral hand wearing a hand functional brace on the three-dimensional gait of patients after stroke.Methods:This experiment was a one-time intervention control study between groups.The whole body three-dimensional gait analysis system was tested before and after wearing a hand functional brace in 40 stroke patients,and the spatiotemporal and kinematic parameters of the three-dimensional gait were collected and compared before and after intervention.Results:The walking ability and gait of the patients could be significantly improved by wearing a hand functional brace,their cadence and gait speed were significantly increased(P<0.001),the stride length of the affected side was increased(P<0.001),the support phase of the affected side was shortened(P<0.05),and the swing phase was increased(P<0.05).There were no significant differences in the spatiotemporal and kinematic parameters before and after intervention.Conclusion:Wearing hand functional braces on the affected side of stroke patients with sequelae of high hand muscle tone can improve walking speed and gait,which may be explained by the theory of"upper and lower limb integration".This intervention method has further clinical research value,and also has reference value for further exploring the mechanism of hand function improvement on lower limb and overall gait and walking ability improvement.
strokehand functional bracethree-dimensional gait analysis systemupper and lower extremities integration
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NSTL
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