{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:41:58Z","timestamp":1788183718334,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2011,7,12]],"date-time":"2011-07-12T00:00:00Z","timestamp":1310428800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:p>Objective: To compare the effect of the Chignon ankle-foot orthosis on gait versus a standard ankle-foot orthosis.<\/jats:p>\n                  <jats:p>Method: A multicentre randomized study was conducted in seven rehabilitation centres. Hemiplegic patients were recruited after unilateral stroke lasting less than six months. Exclusion criteria were: impossibility to stand for 10 seconds; ankle passive dorsiflexion &lt;5 degrees with knee flexed to 90 degrees; triceps spasticity \u22653\/4 on the Ashworth modified scale; diseases that might impair active participation in the study. Thirteen patients were randomized to the Chignon group and 15 to the control group. Included patients were given a standard ankle-foot orthosis or Chignon ankle-foot orthosis. The Chignon ankle-foot orthosis is an articulated double-stopped custom-made orthosis with elements to assist dorsiflexion and plantar flexion. Gait speed improvement (ten-metre test), kinematic assessment, and functional scales were assessed.<\/jats:p>\n                  <jats:p>Results: Gain ratio of walking speed with the orthosis increased significantly more in the Chignon group than in the control group at day 0 (27.2\u2009\u2009\u00b1\u2009\u200936% versus \u22120.8\u2009\u2009\u00b1\u2009\u200917%; P\u2009=\u20090.006), day 30 (39.9\u2009\u2009\u00b1\u2009\u200919% versus 7.5\u2009\u2009\u00b1\u2009\u200917%; P\u2009=\u20090.0004) and day 90 (44.6\u2009\u2009\u00b1\u2009\u200927% versus 17.1\u2009\u2009\u00b1\u2009\u20090.3%; P\u2009=\u20090.04). There was also a significant improvement in kinematic parameters and spasticity in the Chignon group.<\/jats:p>\n                  <jats:p>Conclusion: Early compensation of distal motor deficiency by the Chignon ankle-foot orthosis improves the immediate gait of hemiplegics more than the standard ankle-foot orthosis and seems to modify motor recovery processes in the legs after stroke.<\/jats:p>","DOI":"10.1177\/0269215511410730","type":"journal-article","created":{"date-parts":[[2011,7,12]],"date-time":"2011-07-12T21:33:44Z","timestamp":1310506424000},"page":"989-998","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Effect of early compensation of distal motor deficiency by the Chignon ankle-foot orthosis on gait in hemiplegic patients: a randomized pilot study"],"prefix":"10.1177","volume":"25","author":[{"given":"Mathieu-Panchoa","family":"de S\u00e8ze","sequence":"first","affiliation":[{"name":"Universit\u00e9 Victor Segalen Bordeaux 2, Handicap et Syst\u00e8me Nerveux, Bordeaux, France"},{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, P\u00f4le Neurosciences Cliniques, CHU Bordeaux Pellegrin, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9ment","family":"Bonhomme","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Victor Segalen Bordeaux 2, Handicap et Syst\u00e8me Nerveux, Bordeaux, France"},{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, P\u00f4le Neurosciences Cliniques, CHU Bordeaux Pellegrin, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Christophe","family":"Daviet","sequence":"additional","affiliation":[{"name":"CHU de Limoges, Service de M\u00e9decine Physique et de R\u00e9adaptation, P\u00f4le des M\u00e9decines Aigu\u00ebs Sp\u00e9cialis\u00e9es, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Burguete","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Victor Segalen Bordeaux 2, Handicap et Syst\u00e8me Nerveux, Bordeaux, France"},{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, P\u00f4le Neurosciences Cliniques, CHU Bordeaux Pellegrin, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugues","family":"Machat","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Victor Segalen Bordeaux 2, Handicap et Syst\u00e8me Nerveux, Bordeaux, France"},{"name":"Service de M\u00e9decine Physique et de R\u00e9adaptation, P\u00f4le Neurosciences Cliniques, CHU Bordeaux Pellegrin, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Rousseaux","sequence":"additional","affiliation":[{"name":"Service de Reeducation et Convalescence Neurologiques, H\u00f4pital Swynghedauw, CHRU de 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