[Purpose] The aim of the present study was to analyze the effect of an ankle-foot
orthosis on gait variables (velocity and cadence) of stroke patients. To do this, a
systematic review was conducted of four databases. [Subjects and Methods] The papers
identified were evaluated based on the following inclusion criteria: 1) design:
controlled, clinical trial; 2) population: stroke patients; 3) intervention: analysis of
spatiotemporal variables of gait with an ankle-foot orthosis; 4) control group with
different intervention or no intervention; and 5) outcome: improvement in gait velocity or
cadence. [Results] Thirteen controlled trials addressing the effect of an ankle-foot
orthosis on gait variables of stroke patients were found. They exhibited methodological
quality of 3 or more points on the PEDro scale. [Conclusion] While the findings suggest
the benefits of an AFO regarding gait velocity, the impact of this type of orthosis on
cadence remains inconclusive. Thus, there is a need for further well-designed randomized,
controlled, clinical trials to establish better scientific evidence for the effects of AFO
usage on gait variables of stroke patients.
[Purpose] The aim of the present study was to perform a systematic review of the
literature on the effect of different insoles on postural balance. [Subjects and Methods]
A systematic review was conducted of four databases. The papers retrieved were evaluated
based on the following inclusion criteria: 1) design: controlled clinical trial; 2)
intervention: insole; 3) outcome: change in static postural balance; and 4) year of
publication: 2005 to 2012. [Results] Twelve controlled trials were found comparing the
effects of different insoles on postural balance. The papers had methodological quality
scores of 3 or 4 on the PEDro scale. [Conclusion] Insoles have benefits that favor better
postural balance and control.
There is evidence supporting the use of an articulated ankle-foot orthosis by children with CP, because of the improved function this type of orthosis provides. However, other studies point out the advantages of a rigid orthosis for children with greater impairment related to spasticity and contractures.
[Purpose] Improved gait efficiency is one of the goals of therapy for children with
cerebral palsy (CP). Postural insoles can allow more efficient gait by improving
biomechanical alignment. The aim of the present study was to assess the effect of postural
insoles on gait performance of children with CP classified as levels I or II of the Gross
Motor Function Classification System (GMFCS). [Subjects and Methods] the study was a
randomized controlled double-blind clinical trial. After meeting the legal aspects and the
eligibility criteria, 10 children between four and 12 years old were randomly divided into
a two groups: a control group (n=5), and an experimental group (n=5). Children in the
control group used a placebo insoles, and children in the experimental group used postural
insoles. Evaluation consisted of three-dimensional gait analysis under three conditions:
barefoot, shoes without insoles and shoes with postural insoles or shoes with placebo
insoles. [Results] Regarding the immediate effects of insole use, significant improvements
in gait velocity and cadence were observed in the experimental group in comparison to the
control group. [Conclusion] The use of postural insoles led to improvements in gait
velocity and cadence of the children with cerebral palsy classified as levels I or II of
the GMFCS.
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