A comparison of two types of ankle supports in men with haemophilia and unilateral ankle pain from arthropathy

Oleson, David; Fox, Lisa; Nguyen, Thuan; Sochacki, Paul; McCarthy, Molly; Adams, Elizabeth; Recht, Michael

doi:10.1111/hae.13184

Cited by 5 publications

(24 citation statements)

References 6 publications

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“…In some cases of pes cavus, a metatarsal bar together with heel cushioning was used . On some occasions, the subject's degree of hindfoot deformity and/or ankle instability made it necessary to resort to some other kind of orthosis (UCLB‐University of California Berkeley Laboratory, PTB‐Patellar Tendon Bearing, Aircast) or to custom orthopaedic footwear …”

Section: Resultsmentioning

confidence: 99%

“…Kavlak et al compared custom orthoses to orthopaedic footwear and found significant evidence that custom orthoses relieve pain and reduce disability during the performance of activities of daily living (ADL). In the context of haemophilia, studies also suggest that insoles and orthopaedic shoes may also exert a beneficial effect on PWH ankle joints …”

Section: Discussionmentioning

confidence: 99%

“…Patients with hindfoot malalignment were treated with an orthosis in order to promote a more appropriate plantar pressure distribution in the foot and ankle during standing activities, ensuring proper muscular function and preventing the progression of the disease. Custom orthoses were used, specifically prescribed by the same physician on the basis of the general recommendations for each foot and ankle morphology; they were manufactured by an experienced orthotic technician. Use of prefabricated orthoses was avoided …”

Section: Methodsmentioning

confidence: 99%

“…Tendon Bearing, Aircast) or to custom orthopaedic footwear. 3,25 Three patients with haemophilic arthropathy and hindfoot malalignment decided not to proceed with the treatment. The same thing happened with two patients without haemophilic arthropathy but with a congenital valgus deformity.…”

Section: Sis (Uclb-university Of California Berkeley Laboratory Ptb-mentioning

confidence: 99%

“…Custom orthoses were used, specifically prescribed by the same physician on the basis of the general recommendations for each foot and ankle morphology 3,6,25,26 ; they were manufactured by an experienced orthotic technician. Use of prefabricated orthoses was avoided.…”

Section: Materials S and Me Thodsmentioning

confidence: 99%

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Hindfoot malalignment in adults with haemophilic ankle arthropathy: The importance of early detection and orthotic treatment

et al. 2019

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Introduction Haemophilic arthropathy (osteoarthritis secondary to haemophilia) of the ankle may result in painful hindfoot malalignment. Purpose To analyse hindfoot alignment in subjects with haemophilic arthropathy of the ankle and evaluate the response (improvement of pain, function and alignment) to the orthotic treatment prescribed in patients with malalignment. Methods The study included 163 patients with haemophilia, all of them over 16 years of age. Hindfoot alignment and footprint were analysed in patients with and without haemophilic arthropathy of the ankle (as determined by the Pettersson score). Response to the use of an orthosis was evaluated at 6 months by means of the AOFAS Ankle‐Hindfoot Scale. Results Fifty‐six (59.5%) patients with haemophilic arthropathy presented with concomitant hindfoot malalignment. The most common abnormality was a valgus alignment combined with a neutral footprint. In 14 cases, valgus was associated with a pes planus or a pes cavus. Only 5 patients without haemophilic arthropathy (7.2%) presented with some form of malalignment. The differences between the groups were statistically significant. The probability of having malalignment increased with the degree of arthropathy. Patients with haemophilic arthropathy and malalignment were treated with an orthosis, with insoles as the most commonly used alternative (86%). Such treatment significantly improved patients’ pain and function‐related scores on the AOFAS Ankle‐Hindfoot Scale. Conclusion Given the high rates of valgus malalignment in subjects with haemophilic arthropathy of the ankle, and the good response rates obtained following individualised orthotic treatment, it seems reasonable to routinely evaluate hindfoot alignment in this group of patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Sis (Uclb-university Of California Berkeley Laboratory Ptb-mentioning

confidence: 99%

Section: Materials S and Me Thodsmentioning

confidence: 99%

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Hindfoot malalignment in adults with haemophilic ankle arthropathy: The importance of early detection and orthotic treatment

et al. 2019

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Improving assessment and management of pain in hemophilia: an Italian Delphi consensus statement

et al. 2022

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Carbon fiber ankle-foot orthoses in impaired populations: A systematic review

Grunst

Wiederien²,

Wilken³

2023

Prosthetics &Amp; Orthotics International

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Background: Carbon fiber is increasingly being used in ankle-foot orthoses (AFOs). Orthotic devices and carbon fiber-containing devices have been shown to reduce pain and improve function in multiple patient populations. Although the number of publications and interest in carbon fiber AFOs is growing, a systematic evaluation of their effects is lacking. Objectives: To characterize the effects of carbon fiber AFOs in impaired individuals. Study design: Qualitative systematic review. Methods: Systematic searches in PubMed, Embase, CINAHL, and Cochrane Library were completed in July 2020. The results were deduplicated, screened, and assessed for quality by independent reviewers. Articles were excluded if they had nonhuman subjects, only healthy subjects, or included active control systems, motors, or other power sources. Results: Seventy-eight articles were included in the qualitative synthesis. Most articles were of low to moderate methodological quality. Five commonly used devices were identified: the Intrepid Dynamic Exoskeletal Orthosis, ToeOff, WalkOn, Neuro Swing, and Chignon. The devices have unique designs and are associated with specific populations. The Intrepid Dynamic Exoskeletal Orthosis was used in individuals with lower-limb trauma, the Neuro Swing and ToeOff in individuals with neurological disorders, the Chignon in individuals with hemiplegia and stroke, and the WalkOn in people with hemiplegia and cerebral palsy. Each device produced favorable outcomes in their respective populations of interest, such as increased walking speed, reduced pain, or improved balance. Conclusions: The mechanical characteristics and designs of carbon fiber AFOs improve outcomes in the populations in which they are most studied. Future literature should diligently report patient population, device used, and fitting procedures.

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A comparison of two types of ankle supports in men with haemophilia and unilateral ankle pain from arthropathy

Abstract: This study suggests that pain relief from both types of braces is identical but use of a CF-AFO does not alter gait patterns.

Cited by 5 publications

References 6 publications

Hindfoot malalignment in adults with haemophilic ankle arthropathy: The importance of early detection and orthotic treatment

Hindfoot malalignment in adults with haemophilic ankle arthropathy: The importance of early detection and orthotic treatment

Improving assessment and management of pain in hemophilia: an Italian Delphi consensus statement

Carbon fiber ankle-foot orthoses in impaired populations: A systematic review

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