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Onogi K, Kondo I, Saitoh E, Kato M, Oyobe T. Comparison of the effects of sliding-type and hingetype joints of knee-ankle-foot orthoses on temporal gait parameters in patients with paraplegia. Jpn J Compr Rehabil Sci 2010; 1: 1-6. Objective: To determine the effi cacy of sliding-type medial hip joint (Primewalk system) and a hinge-type medial hip joint (Walkabout system) of knee-anklefoot orthoses in improving the temporal gait parameters in patients with paraplegia. Methods: The subjects were 7 consecutively recruited patients with paraplegia (6 men and 1 woman; age, 20-45 years). All subjects had got used to the Walkabout system and were trained using the Primewalk system for at least 1 month before the measurements of the temporal gait parameters. The average gait velocity, cadence, and stride length were measured. The pelvic rotation angle was additionally measured in 1 patient. Results: The average gait velocity was higher, cadence was faster, and stride was longer with the Primewalk system than with the Walkabout system. The value for the step length divided by the pelvic rotation angle was larger with the Primewalk system than with the Walkabout system. Conclusion: The Primewalk system improved the gait effi ciency by the sliding mechanism that set the virtual axis of the orthoses hip joint higher than that of the

Comparison of the effects of sliding-type and hinge-type joints of knee-ankle-foot orthoses on temporal gait parameters in patients with paraplegia