{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:10:30Z","timestamp":1789672230592,"version":"4.0.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>During gait, the hip flexors generate 40% of the total power. Nevertheless, no device has been tested extensively for clinical purposes to cope with weakness in the hip flexors in patients with stroke.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this study was to assess the efficacy and safety of a newly developed hip flexion assist orthosis in adult patients with hemiparesis after stroke.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>The study used a prospective, randomized, before-after trial design. The inclusion criteria were hemiparesis resulting from stroke (onset \u22658 weeks); ability to walk, even if with assistance; and hip flexion weakness (Medical Research Council Scale score \u22644).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The main outcome measures were the 10-Meter Walk Test and the Six-Minute Walk Test. Patients also were evaluated with the Trunk Control Test, the Functional Ambulation Categories, the Motricity Index, and hip flexor strength on the Medical Research Council Scale. Sixty-two survivors of stroke were tested in random order with and without the orthosis. Any adverse event associated with its use was recorded.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Both the Six-Minute Walk Test and the 10-Meter Walk Test scores improved with the use of the orthosis. A significant negative correlation was found for improvement between scores on the 2 main outcome measures with the orthosis and the Functional Ambulation Categories scores. The improvement in Six-Minute Walk Test scores with the orthosis was related inversely to hip flexor strength.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The data showed that the use of a hip flexion assist orthosis can improve gait in patients with poststroke hemiparesis, particularly those with more severe walking impairment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.2522\/ptj.20110112","type":"journal-article","created":{"date-parts":[[2012,1,13]],"date-time":"2012-01-13T06:03:48Z","timestamp":1326434628000},"page":"734-739","source":"Crossref","is-referenced-by-count":16,"title":["Efficacy of a Hip Flexion Assist Orthosis in Adults With Hemiparesis After Stroke"],"prefix":"10.1093","volume":"92","author":[{"given":"Stefano","family":"Carda","sequence":"first","affiliation":[{"name":"S. Carda, MD, PhD, Department of Neurorehabilitation and Neuropsychology, Centre Hospitalier Universitaire Vaudois (CHUV), Av Pierre-Decker 5, CH-1011 Lausanne, Switzerland, and Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0, Novara, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Invernizzi","sequence":"additional","affiliation":[{"name":"M. Invernizzi, MD, Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0, and Department of Clinical and Experimental Medicine, University of Eastern Piedmont, A. Avogadro, Novara, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Cognolato","sequence":"additional","affiliation":[{"name":"G. Cognolato, PT, Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenio","family":"Piccoli","sequence":"additional","affiliation":[{"name":"E. Piccoli, PT, Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Baricich","sequence":"additional","affiliation":[{"name":"A. Baricich, MD, Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Cisari","sequence":"additional","affiliation":[{"name":"C. Cisari, MD, Department of Physical Medicine and Rehabilitation, Azienda Universitaria Ospedaliera, Maggiore della Carit\u00e0, and Department of Clinical and Experimental Medicine, University of Eastern Piedmont, A. Avogadro."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"2019123009193564000_B1","volume-title":"Post Stroke Rehabilitation: Clinical Practice Guideline, Number 16","author":"Gresham","year":"1995"},{"key":"2019123009193564000_B2","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1161\/01.STR.30.5.930","article-title":"Treatment and rehabilitation on a stroke unit improves 5-year survival: a community-based study","volume":"30","author":"Jorgensen","year":"1999","journal-title":"Stroke"},{"key":"2019123009193564000_B3","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1016\/S0003-9993(03)00030-3","article-title":"Analysis of impairments influencing gait velocity and asymmetry of hemiplegic patients after mild to moderate stroke","volume":"84","author":"Hsu","year":"2003","journal-title":"Arch Phys Med Rehabil"},{"key":"2019123009193564000_B4","volume-title":"Human Walking","author":"Rose","year":"2005","edition":"3rd ed"},{"key":"2019123009193564000_B5","doi-asserted-by":"crossref","first-page":"3314","DOI":"10.1016\/j.jbiomech.2007.05.006","article-title":"Muscular coordination of knee motion during the terminal-swing phase of normal gait","volume":"40","author":"Arnold","year":"2007","journal-title":"J Biomech"},{"key":"2019123009193564000_B6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1093\/ptj\/64.1.35","article-title":"Clinical gait assessment in the neurologically impaired. 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