Efecto de la ortesis de tobillo pie en el control postural tras el accidente cerebrovascular: revisión sistemática

Padilla, M. Guerra; Molina‐Rueda, Francisco; Diego, I.M. Alguacil

doi:10.1016/j.nrl.2011.10.003

Cited by 16 publications

(2 citation statements)

References 58 publications

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“…While these variables alone do not represent improved gait stability, the analysis of such aspects allows a better practical understanding of the effects of physical therapy and improvements in the motor skills of stroke survivors. [26] In the majority of studies, the use of a rigid or articulated AFO offered important benefits with regard to gait velocity of stroke patients, regardless of the material with which the device was made.…”

Section: Discussionmentioning

confidence: 99%

Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

Sankaranarayan

Gupta

Khanna

et al. 2016

Journal of Neurosciences in Rural Practice

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Objective:To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke.Setting:Neurological Rehabilitation Department of a university research tertiary hospital.Patients and Methods:AFO and activity based rehabilitation.Main Outcome Measures:Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM®).Results:Twenty-six patients (21 male) with stroke (mean duration 196.7 days, range 45–360 days) and mean age of 41.6 years (range 18–65 years, standard deviation [SD] 12.5) were included. Fourteen had right hemiplegia. The mean length of stay in the unit was 26.5 days (range 18–45 days, SD 5.5). All patients had equinus deformity with spastic foot drop and were provided with AFO. Walking endurance with 6MWT was 90 m on admission (without AFO). At discharge, it improved to 174 m with AFO and 121 m without AFOs (P < 0.001-with and without AFO at discharge). Walking speed improved from 0.4 m/s (admission) to 0.51 m/s with AFO, P = 0.004 and 0.45 m/s without AFO, P = 0.015) at discharge. Nine patients (34.6%) had clinically important difference-minimal clinically important difference (>0.16 m/s speed gain; >50 m endurance gain) at discharge. The mean FIM® score on admission was 84.3 ± 18.6. At discharge FIM® improved to 101.9 ± 13.7 (P < 0.001).Conclusions:Use of AFOs improve gait parameters significantly in only one-third stroke patients in the study when combined with activity-based inpatient-rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

Sankaranarayan

Gupta

Khanna

et al. 2016

Journal of Neurosciences in Rural Practice

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“…An AFO can be employed to improve toe clearance throughout the swing phase and to regulate plantarflexion during the initial stance. [ 38–41 ] In the case of severe spasticity, a spring assist for joint motion is not recommended as the spring movement may worsen spasticity. [ 42 ] Tyson et al [ 43 ] evaluated the effects of custom‐made and prefabricated AFOs on stroke patients and discovered no substantial differences between off‐the‐shelf and custom‐made AFOs in terms of functional mobility, gait speed, step length, and longer term falls efficacy.…”

Section: Introductionmentioning

confidence: 99%

Materials and Manufacturing for Ankle–Foot Orthoses: A Review

Nouri

Wang

et al. 2023

Adv Eng Mater

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Ankle‐foot orthoses (AFOs) assist patients with gait impairment by correcting ankle and foot deformities, restoring mobility, reducing pain, and providing protection and immobilization. AFOs can beneficially manage various types of gait pathologies, including foot drop, crouch gait, equinus gait, and stiff knee gait. AFOs are produced in prefabricated or custom‐made forms in various designs. The selection criteria for the fabrication of an AFO are the duration of usage, the amount of applied force, the degree of axial loading, the patient’s skin condition, and the cost. The accessibility of diverse materials in the past century has greatly advanced orthoses. The ideal orthotic materials must be light, stiff, and strong, and are made of plastics, metals, polymer‐based composites, leather, or a hybrid of different materials. Deeper understanding of the materials employed in the fabrication of AFOs will lead to more advanced and efficient orthoses, which can improve patients’ ability to ambulate in the real world. The present review provides insight into the various materials utilized for the fabrication of AFOs and describes the benefits and challenges associated with these materials. An attempt has also been made to highlight typical gait pathologies and design concepts in response to these.This article is protected by copyright. All rights reserved.

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The quality of systematic reviews/meta‐analyses assessing the effects of ankle–foot orthosis on clinical outcomes in stroke patients: A methodological systematic review

Shahabi

Mojgani

Lankarani

et al. 2023

Health Science Reports

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Background and Aims Given the importance of systematic reviews (SRs) for practitioners, researchers, and policymakers, it is essential to assess them to ensure robust methodology and reliable results before applying them. The purpose of this methodological study was to assess the methodological and reporting quality of recently published SRs and/or meta‐analyses (MAs) evaluating the effects of ankle–foot orthoses (AFOs) on clinical outcomes in stroke survivors. Methods PubMed, Scopus, Web of Science, Embase, ProQuest, CENTRAL, REHABDATA, and PEDro were searched. The research team applied A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR‐2) tool and Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) checklist for evaluating the reporting and methodological quality, respectively, and the ROBIS tool was used to evaluate the risk of bias (RoB) in the included reviews. The quality of the evidence was also judged using the (Grades of Recommendation, Assessment, Development and Evaluation) GRADE method. Results In final, 14 SRs/MAs met inclusion criteria. Evaluation of methodological quality using the AMSTAR‐2 tool demonstrated that the overall quality of included reviews was mostly “critically low” or “low,” except for two studies that were “high.” In addition, the findings showed that the mean score of the reporting quality of the included reviews based on the PRISMA criteria was 24.9, down from 42. In accordance with the overall evaluation applying the ROBIS tool, 14.3% of the review studies were evaluated as high RoB, 64.3% were evaluated as unclear RoB, and 21.4% were evaluated as low RoB. Regarding the level of evidence quality, the GRADE results indicated that the evidence quality of the included reviews was unsatisfactory. Conclusion This study showed that although the reporting quality of recently published SR/MAs evaluating the clinical effects of AFOs in stroke survivors was moderate, the methodological quality of almost all reviews was suboptimal. Therefore, reviewers must consider a number of criteria in designing, conducting, and reporting their studies to move toward transparent and conclusive results.

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Efecto de la ortesis de tobillo pie en el control postural tras el accidente cerebrovascular: revisión sistemática

Abstract: Because of the limitations of this systematic review, due to the clinical diversity of the studies and the methodological limitations, 0these results should be considered with caution.

Cited by 16 publications

References 58 publications

Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

Materials and Manufacturing for Ankle–Foot Orthoses: A Review

The quality of systematic reviews/meta‐analyses assessing the effects of ankle–foot orthosis on clinical outcomes in stroke patients: A methodological systematic review

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