2018 Volume 7 Issue 4 Pages 185-190
The purpose of this study was to clarify the relationship between the days until the introduction of knee-ankle-foot orthoses and motor function on the affected side as well as the rate of change in the FIM score in patients with cerebrovascular disease. The subjects consisted of patients with cerebrovascular disease treated on an inpatient basis in a hospital for whom knee-ankle-foot orthoses were created. The investigation items were age, sex, disease name, days from the onset of the disease to the introduction of a kneeankle-foot orthosis, and the SIAS and FIM scores at the time of the introduction of the orthosis and at the end of rehabilitation. For statistical analysis, the relationship between the days from the disease onset to the introduction of a knee-ankle-foot orthosis and the rate of change in the SIAS (motor function on the affected side) score as well as the rate of change in the scores of the FIM subscales was evaluated using partial correlation analysis. As a result, the days until the introduction of a knee-ankle-foot orthosis was significantly correlated with trunk function in the SIAS, and sphincter function, transfer, and locomotion in the FIM. These results suggest that the introduction of knee-ankle-foot orthoses and rehabilitation early after the onset is useful for improving the trunk function, transfer,locomotory ability, and sphincter control.
