Original Research Article
Year: 2022 | Month: February | Volume: 12 | Issue: 2 | Pages: 188-193
DOI: https://doi.org/10.52403/ijhsr.20220226
Effect of AFO (Hinged) with Quadripod on Physiological Cost Index and Balance in Hemiparetic Patients
Garima Upadhyay1, Smita Nayak2, Tapas Priyaranjan Behera3
1MPO Scholar, Department of Prosthetics & Orthotics, Pt. Deendayal Upadhyay National Institute for the Persons with Physical Disabilities (Divyangjan), 4, Vishnu Digambar Marg, New Delhi -110 002, India
2MPO Demonstrator (P&O), Department of Prosthetics & Orthotics, Pt. Deendayal Upadhyaya National Institute for the Persons with Physical Disabilities (Divyangjan), 4, Vishnu Digambar Marg, New Delhi-110002, India
3(P&O, Workshop Manager), Department of Prosthetics & Orthotics, Pt. Deendayal Upadhyay National Institute for the Persons with Physical Disabilities (Divyangjan),4, Vishnu Digambar Marg New Delhi-110002, India
Corresponding Author: Garima Upadhyay
ABSTRACT
Objectives – To determine the effect of AFO with quadripod on physiological cost index and balance on hemiparesis patients.
Study Design: - Prospective randomized parallel group design, Pre-post experimental study design.
Setting- Pt. Deendayal Upadhyaya National Institute for the Persons with Physical Disabilities, (PDUNIPPD), 4 Vishnu Digambar Marg , New Delhi-04
Participants- The subjects (60) who fulfilled the inclusion criteria were participated in the study and the informed consent were taken from subjects. 60 subjects (27 male and 33 female) were evaluated for the study.
Interventions- Hinged AFO with Quadripod
Main Outcome Measures -The outcome measures were Physiological cost index and balance (TUG test).
Result- A paired t-test was used to compared the difference between the Post test data of TUG test and PCI to identify changes on balance and physiological cost index while using quadripod and AFO with quadripod. There were significant difference shown on energy expenditure measured by PCI (t-value= 10.383, p=0.000)and balance measured by TUG test for both the interventions shows significant difference (t-value= 23.618, p=0.000).
Conclusions- A Quadripod and AFO Together improve walking balance and reduce physiological cost index post stroke in hemiparesis subjects, but only the immediate effects had been examined. The effects and acceptability of long-term usage need to be evaluated.
Key words: Hemiparesis, physiological cost index, Quadripod, TUG test, AFO, Balance.