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Ortho Congress 2019 Journal of Orthopedic Surgery and Rehabilitation | ISSN: 2630-4473 | Volume 3
Page 32
April 15-16, 2019 | Milan, Italy
ORTHOPEDICS, RHEUMATOLOGY
AND OSTEOPOROSIS
2nd Annual Conference on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
HOW DOES A PERSONALIZED
REHABILITATIVE MODEL INFLUENCE
THE FUNCTIONAL RESPONSE OF
DIFFERENT ANKLE FOOT ORTHOSES IN
A COHORT OF PATIENTS AFFECTED BY
NEUROLOGICAL GAIT PATTERN?
Five patients affected by different neurological gait pattern and vol-
unteered to participate to this study were recruited. The compara-
tive spatio-temporal and functional effect on gait pattern of 3 types of
AFOs was investigated under 4 study conditions: without AFO or Free-
Walk (FW); wearing a Codivilla spring; wearing a carbon unjointed AFO
(“Toe-Off”); wearing an innovative carbon-kevlar dynamic joint DAFO
(DAFONS=Dynamic Ankle Foot Orthoses with Neuroswing). In line with
our rehabilitative model, patients underwent to a weekly treatment ses-
sion, 80 minutes duration per session, for 4 weeks. Evaluation was made
before (time T3= time of recruitment) and after our individualized reha-
bilitative treatment course (time T4=1 month from T3) by using: G-Walk
sensor (by BTS) spatio-temporal measures in different gait performances;
clinical/functional outcome measures (Modified Ashworth Scale or MAS
for the affected upper and lower limb; Medical Research Council or MRC;
orthostatic stability evaluation by using the Berg Balance Scale or BBS). A
statistical insignificant change of MRC and MAS scales at time T4, with a
significance trend outcome observed at the same time by using the Wil-
coxon Signed Rank Test; a statistical significant difference between test
duration (sec) by using Toe-Off vs DAFONS and by using Codivilla spring
Maurizio Falso, J ortho Rehab Surg. 2019, Volume 3
DOI: 10.4066/2630-4473-C1-001
Maurizio Falso received his Degree of Medicine
in 1999 and his specialization in Physical Medi-
cine and Rehabilitation from the University of
Medicine of Verona, Italy in 2004 followed by a
post-specialization research on the manage-
ment of spasticity and movement disorders at
the Department of Neurological Sciences and
Vision of the University of Verona, Italy by using
botulinum toxin and baclofen pumps and ana-
lyzing motor patterns with video-surface EMG.
He is a Professor at the Physiotherapist School
of the Medicine University of Brescia, Italy and a
past-member of the Italian Consensus Table on
the use of xeomin in adult spasticity. In his career
he also promoted the use of innovative dynamic
carbon-kevlar custom made AFO (DAFONS), in-
novative postural devices in patients affected by
neurological complex postural needs, the device
treatment of idiopathic scoliosis by using an in-
novative dynamic spine brace called“BRIXIA”and
the device treatment of gait disorders by using
an innovative dynamic carbon kevlar foot insole
called “PRODYNAMIC”.
Maurizio Falso
Fondazione Madonna del Corlo, Italy
BIOGRAPHY