Gait training using lower limb orthoses in subacute stroke patients: Current evidence and future perspectives

Abstract

In exercise therapy with the goal to restore gait function of stroke patients, gait training using knee ankle foot orthosis and ankle foot orthosis has been conducted, based on scientific evidence on task-specific training, However, despite the accumulating evidence on exercise therapy using lower limb orthoses, there are few reports on the effects of wearing orthosis and time of initiation on the improvement of physical function. In the clinical setting, these orthoses are often used without clear objectives. In recent years, with the increasing opportunities of combined use with new technologies such as robotics and non-invasive central nervous system stimulation, exercise therapy using lower limb orthoses is anticipated to exhibit therapeutic effects from the neuroscience point of view. In the future, there is a need for more objective evaluation and use based on clear treatment strategies.