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Correcting Sherrington's Gait Dysfunction With an Off the Shelf Knee Orthotic.

Ihsan Balkaya1, Eric L Altschuler1

  • 1Department of Physical Medicine and Rehabilitation, Metropolitan Hospital, New York, NY, USA.

Canadian Prosthetics & Orthotics Journal
|August 24, 2023
PubMed
Summary
This summary is machine-generated.

An off-the-shelf knee orthotic improved gait and mobility in a stroke patient with sensory loss. This intervention addressed a deficit similar to those observed in animal models over a century ago.

Keywords:
Genu recurvatumKnee OrthoticProprioceptionSherrington

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Stroke survivors often experience hemisensory loss, impacting gait and functional mobility.
  • Proprioception deficits significantly hinder motor control and balance.
  • Restoring functional mobility is crucial for post-stroke recovery and quality of life.

Purpose of the Study:

  • To describe the use of an accessible knee orthotic for a patient with post-stroke hemisensory loss.
  • To evaluate the orthotic's effectiveness in correcting gait and improving functional mobility.
  • To present a case study demonstrating a potential therapeutic approach for sensory-related gait impairments.

Main Methods:

  • A patient with post-stroke hemisensory loss, including proprioception deficits, was assessed.
  • An off-the-shelf knee orthotic was applied to address gait abnormalities.
  • Video documentation was used to illustrate the functional changes.

Main Results:

  • The knee orthotic demonstrated efficacy in correcting the patient's gait.
  • Significant improvements in functional mobility were observed post-intervention.
  • The case highlights a practical application of orthotic intervention for sensory-compromised gait.

Conclusions:

  • Off-the-shelf knee orthotics can be a viable, accessible tool for managing gait and mobility issues post-stroke.
  • This intervention offers a potential solution for functional deficits related to proprioception loss.
  • The findings provide a clinical parallel to historical animal research on sensory-motor deficits.