Effect of Lower Extremity Ankle Foot Orthoses in Parkinson's Disease



Status:Terminated
Conditions:Parkinsons Disease
Therapuetic Areas:Neurology
Healthy:No
Age Range:50 - 75
Updated:4/21/2016
Start Date:December 2012
End Date:July 2013

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Investigation of Lower Extremity Orthoses on Gait in Persons With Parkinson's Disease: a Case Series.

The purpose of this study is to investigate the impact of a specifically designed ankle foot
orthosis (AFO, hinged, with Tamarack joint and adjustable check strap) on the spatial and
temporal gait parameters, electromyography (EMG) and walking endurance, in select
individuals living with Parkinson's disease.

This study will be 10 weeks long. Following fitting with unilateral or bilateral
custom-fabricated AFOs the subject will participate in 4 gait training sessions which will
be at weeks 1, 2, and 7. Each training session will be 45-60 minutes in duration. Various
outcome measures will be completed at the following times: time of consent (T1), treatment 1
at time of brace delivery (T2), week 5 (T3), and week 10 (T4). Subjects will be closely
monitored throughout the 10 week study and will be unenrolled by self-request or the
following medical reasons: 1. New diagnosis with direct consequences affecting gait
training, 2. Inability to tolerate the study AFO(s).

Inclusion Criteria:

- Confirmed diagnosis of Parkinson's Disease

- Between the ages of 50 and 75

- Ability to walk 150 feet independently over level surfaces with or without an
assistive device

- Stable medication usage for the duration of the study (10 weeks)

- Obvious gait dysfunction (Observational Gait Analysis)

- Score of greater than 22 on the Short Orientation-Memory-Concentration Test

Exclusion Criteria:

- Body mass index of greater than 35

- Dorsiflexion range of motion less than neutral (90 degrees)

- Any other uncontrolled health condition for which gait training is contraindicated
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