Publications by authors named "Daniel Hasso"

2 Publications

  • Page 1 of 1

The effects of two different ankle-foot orthoses on gait of patients with acute hemiparetic cerebrovascular accident.

Rehabil Res Pract 2014 9;2014:301469. Epub 2014 Sep 9.

Marianjoy Rehabilitation Hospital, 26W171 Roosevelt Road, Wheaton, IL 60187, USA ; Department of Physical Therapy (MC 898), University of Illinois at Chicago, 1919 West Taylor Street, Chicago, IL 60612, USA.

Objective. To compare the effects of two types of ankle-foot orthoses on gait of patients with cerebrovascular accident (CVA) and to evaluate their preference in using each AFO type. Design. Thirty individuals with acute hemiparetic CVA were tested without an AFO, with an off-the-shelf carbon AFO (C-AFO), and with a custom plastic AFO (P-AFO) in random order at the time of initial orthotic fitting. Gait velocity, cadence, stride length, and step length were collected using an electronic walkway and the subjects were surveyed about their perceptions of each device. Results. Subjects walked significantly faster, with a higher cadence, longer stride, and step lengths, when using either the P-AFO or the C-AFO as compared to no AFO (P < 0.05). No significant difference was observed between gait parameters of the two AFOs. However, the subjects demonstrated a statistically significant preference of using P-AFO in relation to their balance, confidence, and sense of safety during ambulation (P < 0.05). Moreover, if they had a choice, 50.87 ± 14.7% of the participants preferred the P-AFO and 23.56 ± 9.70% preferred the C-AFO. Conclusions. AFO use significantly improved gait in patients with acute CVA. The majority of users preferred the P-AFO over the Cf-AFO especially when asked about balance and sense of safety.
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October 2014

Gait assessment during the initial fitting of an ankle foot orthosis in individuals with stroke.

Disabil Rehabil Assist Technol 2008 Jul;3(4):201-7

Marianjoy Rehabilitation Hospital, Wheaton, Illinois, USA.

Purpose: To evaluate if the measurement of gait parameters, examined during the fitting of an Ankle Foot Orthosis (AFO), has a beneficial effect on the gait pattern of individuals who were affected by a stroke. Also, this study seeks to provide evidence regarding the use of the portable GaitRite system in a clinical setting.

Method: Before-after trial conducted at a stroke outpatient orthotic clinic of a freestanding rehabilitation hospital. Thirteen individuals with acute and 27 individuals with chronic stroke participated in the assessment of gait velocity, cadence, step length and stance phase.

Results: AFO use significantly improves gait velocity, cadence, step, and stride length in individuals with hemiparesis due to stroke.

Conclusion: The results of the current study indicate that the assessment of temporo-spatial characteristics of gait can be incorporated into a clinical routine. This will be useful for patient education, justification of medical necessity of paying, monitoring progress, and in the decision-making process of weaning patients off orthoses.
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July 2008