The Effect of Ankle Foot Orthosis Influences the Prefrontal Load in Stroke Patients During Dual Task Walking

National Cheng-Kung University Hospital26 enrolled

Overview

The goal of this clinical trial is to learn the effect of carbon fiber ankle foot rothosis (AFO) on dual-task walking perfromance and cognitive load for stroke patients. The main questions it aims to answer are: Does wearing carbon fiber AFO can improve gait and secondary task during dual task walking for individual with stroke ? Does wearing carbon fiber AFO can reduce the prefrontal load during dual task walking for individuals with stroke? Researchers will compare gait, concurrent task performance, and FNIRs activation over prefrontal area under different test conditions (with/without AFO, single walk, cognitive dual walk, motor dual walk) Participants will: execute all different conditions repeatedly in a randomized order. require to visit the lab once, about 2 hours period to complete the whole experimental protocol.

Study Type

INTERVENTIONAL

Allocation

Purpose

BASIC_SCIENCE

Masking

NONE

Enrollment

Conditions

Ankle Foot Orthosis (AFO)Dual Task Walking

Interventions

Participants wore an appropriately sized off-the-shelf carbon fiber ankle-foot orthosis (AFO) during the AFO-on condition, compared with not wearing an AFO during the AFO-off condition.

Perfrom single and dual task walking.PROCEDURE

Single-task walking was defined as walking along a 13-m pathway at a self-selected comfortable speed. Dual-task walking was defined as walking along the same pathway while concurrently performing an auditory Stroop test or holding a tray with three wooden blocks stacked on top of each other.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age over 18 years old * diagnosed with stroke hemoplegia * Mini Mental State Examination (MMSE) equal or over 24 * able to walk independently for 15 meters without any assistive device * able to follow instruction Exclusion Criteria: * aphasia that could not comprehend or verbally response * orthopedic disease of lower extremity caused discomft during walking * neurological disease besides stroke

Locations (1)

Department Physical therapy National Cheng Kung University

Tainan, Taiwan