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- Title
Clinical Implication of Limb Length Discrepancy in Stroke: A Case Study.
- Authors
Mandal, Amit Kumar
- Abstract
The purpose of the study was to describe the clinical experience in treating a case of stroke patient with shortening of lower limb on uninvolved side. A single case, prospective, multiple baseline design was used. A 45 years old left hemiplegic male subject, a wheel chair user, having 1.5 inches true lower limb shortening on uninvolved side due to malunited fracture shaft of femur was the focus of this study. His functional status was within normal limits before the episode of CVA on 26 Feb. 2008. To improve the balance, mobility and symmetry; posturometric and stabilimetric exercises were administered in addition to conventional therapy. A firm foam block of 1.5 inches thickness was used to compensate lower limb shortening during balance training. A high ankle shoe with 1.5 inches sole raise was given to compensate shortening after 2 weeks of therapy. Force-plate biofeedback system (Correkta), Berg balance scale, POMA and FIM were used as outcome measure on a day before therapy, at 4th week (post therapy-I), 10th week (post therapy-II) and follow up after 10 months. Outcome measurement revealed the substantial improvement at the end of 10 weeks post therapy. The subject was able to walk short distance without support but had less acceptance to use the orthosis.
- Subjects
INDIA; PHYSIOLOGICAL control systems; BIOPHYSICS; POSTURAL balance; EXERCISE therapy; HEMIPLEGIA; LEG length inequality; LONGITUDINAL method; NEUROPSYCHOLOGICAL tests; OCCUPATIONAL therapy; SCIENTIFIC apparatus &; instruments; FUNCTIONAL assessment; STROKE rehabilitation; DESCRIPTIVE statistics; FOOT orthoses; MIDDLE age
- Publication
Indian Journal of Occupational Therapy (Indian Journal of Occupational Therapy), 2015, Vol 47, Issue 1, p22
- ISSN
0445-7706
- Publication type
Article