RESUMEN
Objectives: Ankle Foot Orthoses [AFOs] are widely utilized to improve walking ability in hemiplegic patients. The present sludy aimed to evaluate the effect of Rocker bar Ankle Foot Orthosis [RAFO] on functional mobility in posl-stroke hemiplegic patients
Methods: Fifteen hemiplegic patients [men and women] who were at leasl 6-months posl-stroke and able to walk without an assisUve device for at lea
The patients were examined for three conditions: shoes only, with SAFO and with RAFO. Their functional mobility was evaluated through 10-meter walk test and Timed Up and Go [TUG] tesl In addition, paired t-tesl; was used to analyze the obtained data
Results: When the patients used RAFO, their gait speed significantly increased [P<0.05]. Moreover, the time of performing TUG tesl experienced a significant decrease using RAFO compared with utilizing shoe only [P<0.05]
Discussion: RAFO led to a significant improvement in functional mobility in hemiplegic patients posl stroke. This may be due to the positive effect of rocker modification on improving push off and transferring weight during the Glance phase of gait
RESUMEN
Objectives: Ankle Foot Orthoses [AFOs] are widely utilized to improve walking ability in hemiplegic patients. The present study aimed to evaluate the effect of Rocker bar Ankle Foot Orthosis [RAFO] on functional mobility in post-stroke hemiplegic patients.
Methods: Fifteen hemiplegic patients [men and women] who were at least 6-months post-stroke and able to walk without assistive device for at least 10 meters voluntarily participated in this study. The patients were examined with and without RAFO. Their functional mobility was evaluated through 10-meter walk test and Timed Up and Go [TUG] test. Also, paired t-test was used to analyze obtained data.
Results: When patients used RAFO, their gait speed significantly increased [p<0.05]. Also, the time of performing TUG test experienced a significant decrease using RAFO compared with utilizing shoe only [p<0.05].
Discussion: RAFO led to a significant improvement in functional mobility in hemiplegic patient's secondary to stroke. It seems that, it has been due to the positive effect of rocker modification on improving push off and transferring weight during stance phase of gait.
RESUMEN
Objectives: Microtia is the most commonly seen congenital ear defect, and involves an auricular deformity either unilaterally or bilaterally. The aim of this study was to fabricate silicone prostheses for a child with bilateral microtia using an innovative technique.
Methods: This method involved the construction of bilateral ear prostheses using clips, which were located within the layers of the silicone superstructure.
Results: Surgical reconstruction was not indicated due to the patient's age; so prosthetic reconstruction was advised in this case.
Discussion: Two prosthetic ears were manufactured, with one being attached using an adhesive method and the other by a self suspension method. The child and his parents were very satisfied by the cosmetic and aesthetic appearance of the prostheses fitted. This technique has been proven to be suitable for pediatric patients with microtia
RESUMEN
Falling is a common problem among the elderly. Falling indoors and outdoors is highly prevalent among the Iranian elderly. Therefore, identification of the contributing factors at home and their modification can reduce falls and subsequent injuries in the elderly. The goal of this study was to identify the elderly at risk of fall, using the 'Home Falls and Accident Screening Tool' [HOME FAST], and to determine the reliability of this tool. Sixty old people were selected from five geographical regions of Tehran through the Local Town Councils. Participants were aged 60 to 65 years, and HOME FAST was used to assess inter rater and test-retest reliability. Test-retest reliability in the study showed that agreement between the items of the Persian version of HOME FAST was over 0.8, which is a very good reliability. The agreement between the domains was 0.65-1.00, indicative of moderate to high reliability. Moreover, the Inter rater reliability of the items was over 0.8, which is also very good. The correlation of each item between the domains was 0.01-1.00, which shows poor to high reliability. This study showed that the reliability of the Persian version of HOME FAST is high. This tool can therefore be used as an appropriate screening tool by professionals to take necessary preventive measures for the Iranian elderly population