Can a new ergonomical ankle–foot orthosis (AFO) device improve patients’ daily life? A preliminary study

Taı̈ar, Redha; Adel, C.; Belassian, G.; Lamare, Damien; Dumont, Jean; Chene, A; Teyssedre, Herve; Schneider, Alexandre; Abdi, Ellie; Boyer, Françoise

doi:10.1080/1463922x.2019.1616332

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…In addition, some studies validated the effectiveness of ankle–foot orthoses (AFOs) for improving the stability of the knee and ankle during gait 7–9. Hence, many independent ambulant hemiplegic patients use AFOs 8–12…”

Section: Introductionmentioning

confidence: 99%

<p>Kinematic on Ankle and Knee Joint of Post-Stroke Elderly Patients by Wearing Newly Elastic Band-Type Ankle–Foot Orthosis in Gait</p>

Kim¹,

Won²

2019

CIA

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PurposeThe post-stroke elderly was increased caused by increasing stroke and advanced medical. However, ankle–foot orthoses (AFOs) can be uncomfortable for hemiplegic patients; therefore, the usability is not good. In this study, we analyzed ankle and knee joint angles in post-stroke elderly patients to assess the functional effectiveness (specifically prevention of back knee and drop-foot) of a new elastic band-type AFO (New Product: NP) during gait.Patients and methodsNine elderly post-stroke patients (eight males, one female; 55.7±8.4 years; 165.8±9.2 cm; 68.8±11.5 kg; five with right hemiplegia, four with left hemiplegia; onset period: 6.6 years) were selected for participation in this study. We captured gait motion using 12 cameras (MX-T20, Vicon, Inc., Oxford, UK) under three different conditions [wearing nothing (WI), using existing ordinary AFOs made from hard plastic material (EP), and using NP]. The angle variation and maximum–minimum angle of the lower body joints were analyzed during dorsi-plantar flexion of the ankle joint and flexion–extension of knee joint. A one-way ANOVA test for multiple comparisons was performed, followed by a Tukey’s b test to identify statistical significance, which was set at 0.005.ResultsRegarding the ankle joint, the maximum plantar flexion (drop-foot) value decreased with the NP, and the maximum dorsiflexion value increased. Regarding the knee joint, the maximum extension (back knee) value decreased, and the maximum flexion value increased (p < 0.005).ConclusionUsing analysis of the kinematics of the ankles and knees during walking, this research confirmed the effectiveness of the NP, an elastic band-type AFO, for use in ordinary post-stroke elderly patients.

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Section: Introductionmentioning

confidence: 99%

<p>Kinematic on Ankle and Knee Joint of Post-Stroke Elderly Patients by Wearing Newly Elastic Band-Type Ankle–Foot Orthosis in Gait</p>

Kim¹,

Won²

2019

CIA

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“…Common comparator conditions included shoes-only, thermoplastic AFOs, or barefoot. Most articles demonstrate increased walking speed with the orthoses, 69-73,75-78,81,86,90,93 2 found no change, 67,92 and 1 had decreased walking speed. 80 Walking energy cost was decreased 69,71,86,92 and stride length was increased.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 28 articles 66-93 did not include the brand name of the carbon fiber AFO used, did not include a picture of the device, were the only included publication using a highly specific device, or were vague in their description of the AFO. Most of these articles (14/28) were of moderate methodological quality, followed by low (9/28) and high (5/28).…”

Section: Resultsmentioning

confidence: 99%

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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Effect of a wellness room with a physiotherapist in an intimate fashion company on ergonomics: stress level, quality of life and musculoskeletal symptoms

Santos

Catelani²,

Mayworm

et al. 2020

Theoretical Issues in Ergonomics Science

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Can a new ergonomical ankle–foot orthosis (AFO) device improve patients’ daily life? A preliminary study

Cited by 3 publications

References 19 publications

<p>Kinematic on Ankle and Knee Joint of Post-Stroke Elderly Patients by Wearing Newly Elastic Band-Type Ankle–Foot Orthosis in Gait</p>

<p>Kinematic on Ankle and Knee Joint of Post-Stroke Elderly Patients by Wearing Newly Elastic Band-Type Ankle–Foot Orthosis in Gait</p>

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

Effect of a wellness room with a physiotherapist in an intimate fashion company on ergonomics: stress level, quality of life and musculoskeletal symptoms

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