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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
Summary
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.
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.

