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• W3046316789 abstract "To investigate the effect of replacing canes with an elasticated orthotic-garment on balance and gait-function in chronic stroke survivors.Experimental, N-of-1 series with a replicated, ABC design with randomised phase duration in a home setting.Four cane using chronic stroke survivors (P1-4).Phase A (9-12 weeks) cane-walking as usual to establish baseline values; Phase B (9-16 weeks) intervention: orthotic-garment worn throughout the day with maximal cane-use reduction; Phase C (9-10 weeks) participant-determined follow-up: either no walking-aid, orthotic-garment or cane.Primary: Functional-Gait-Assessment (FGA), Secondary: Trunk-sway during walking measured as Total-Angle-Area (TAA°2) in frontal and sagittal-planes, both measured weekly.Visual and statistical analysis of results showed significant improvements in FGA from phase A to B in all participants. Improvement continued in phase C in P2, stabilized in P1 and P4 and deteriorated in P3. A Minimal-Clinical-Important-Difference of 6 points-change was achieved in P2 & P4. Trunk-sway reduced during walking, indicating increased stability, in two participants from phase A to B and in three participants from A to C but no TAA changes were statistically significant. In phase C participant-selected walking-aids were: P1 cane-usage reduced by 25%, P2 independent-walking with no assistive-device, S3 usual cane-usage, P4 orthotic-garment with reduced cane-usage 2-3 days-a-week, usual cane-usage 4-5 days.Although walking ability is multifactorial these results indicate that the choice of walking-aids can have a specific and clinically relevant impact on gait following stroke. Hands-free assistive-devices may be more effective than canes in improving gait-function in some patients. CLINICALTRIALS.NCT03642444." @default.
• W3046316789 created "2020-08-07" @default.
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• W3046316789 date "2020-10-01" @default.
• W3046316789 modified "2023-10-16" @default.
• W3046316789 title "Replacing canes with an elasticated orthotic-garment in chronic stroke patients – The influence on gait and balance. A series of N-of-1 trials" @default.
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• W3046316789 doi "https://doi.org/10.1016/j.jbmt.2020.06.006" @default.
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