Early knee-ankle-foot orthosis wear shortens hospital stays and improves activities of daily living in patients with stroke.

IF 1.4 4区医学 Q4 ORTHOPEDICS

Prosthetics and Orthotics International Pub Date : 2025-08-13 DOI:10.1097/PXR.0000000000000480

Keisuke Sato, Seiji Tanaka, Masaki Koike, Takahiro Ogawa

{"title":"Early knee-ankle-foot orthosis wear shortens hospital stays and improves activities of daily living in patients with stroke.","authors":"Keisuke Sato, Seiji Tanaka, Masaki Koike, Takahiro Ogawa","doi":"10.1097/PXR.0000000000000480","DOIUrl":null,"url":null,"abstract":"Background: After a stroke, activities of daily living (ADL) are often limited. Therefore, recovery of ADL and shortening of length of stay (LOS) are major challenges for patients with stroke. Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.Objectives: Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.Study design: This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO.Methods: This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO. Patients were divided into 4 groups according to the quartiles (Q1-Q4) of days from stroke onset to KAFO wearing. The primary outcome was the FIM score at discharge.Results: The median number of days from stroke onset to KAFO administration was 43. Functional independence measure, FIM-motor, and FIM-cognitive scores decreased significantly with increasing number of days from onset to KAFO wearing. In the multiple regression analysis, the number of days from stroke onset to KAFO wearing was associated with the FIM motor score and LOS (P = 0.038 and P = 0.037, respectively).Conclusions: Early KAFO wearing had a positive impact on the LOS and ADL, irrespective of stroke severity.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Prosthetics and Orthotics International","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PXR.0000000000000480","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: After a stroke, activities of daily living (ADL) are often limited. Therefore, recovery of ADL and shortening of length of stay (LOS) are major challenges for patients with stroke. Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.

Objectives: Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.

Study design: This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO.

Methods: This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO. Patients were divided into 4 groups according to the quartiles (Q1-Q4) of days from stroke onset to KAFO wearing. The primary outcome was the FIM score at discharge.

Results: The median number of days from stroke onset to KAFO administration was 43. Functional independence measure, FIM-motor, and FIM-cognitive scores decreased significantly with increasing number of days from onset to KAFO wearing. In the multiple regression analysis, the number of days from stroke onset to KAFO wearing was associated with the FIM motor score and LOS (P = 0.038 and P = 0.037, respectively).

Conclusions: Early KAFO wearing had a positive impact on the LOS and ADL, irrespective of stroke severity.

查看原文本刊更多论文

早期佩戴膝踝足矫形器可缩短卒中患者住院时间，改善日常生活活动。

背景：中风后，日常生活活动（ADL）往往受到限制。因此，恢复ADL和缩短住院时间（LOS）是脑卒中患者面临的主要挑战。因此，本研究旨在研究从中风发作到佩戴膝-踝-足矫形器（KAFO）的天数与出院时ADL、LOS和功能独立性测量（FIM）运动分项之间的关系。目的：因此，本研究旨在研究从中风发作到佩戴膝-踝-足矫形器（KAFO）的天数与出院时ADL、LOS和功能独立性测量（FIM）运动分项之间的关系。研究设计：这项回顾性观察性研究包括107名卒中后参与者(男性59名，女性48名；中位年龄为71岁)。方法：本回顾性观察性研究纳入107例脑卒中后参与者(男性59例，女性48例；中位年龄为71岁)。根据卒中发生至佩戴KAFO的四分位数（Q1-Q4）分为4组。主要观察指标为出院时FIM评分。结果：从中风发作到使用KAFO的中位天数为43天。功能独立性测量、fim -运动和fim -认知评分随着从开始到佩戴KAFO的天数的增加而显著下降。在多元回归分析中，从中风发作到佩戴KAFO的天数与FIM运动评分和LOS相关（P分别= 0.038和P = 0.037）。结论：早期佩戴KAFO对LOS和ADL有积极影响，与卒中严重程度无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Prosthetics and Orthotics International 医学-康复医学

CiteScore

2.30

自引率

13.30%

发文量

208

审稿时长

6-12 weeks

期刊介绍： Prosthetics and Orthotics International is an international, multidisciplinary journal for all professionals who have an interest in the medical, clinical, rehabilitation, technical, educational and research aspects of prosthetics, orthotics and rehabilitation engineering, as well as their related topics.