Gait Analysis on use of Bilateral Carbon Fiber AFOs for an Adolescent With Amyoplasia Congenita

Bickley, Christina; Linton, Judi; Dawson, Janet; Barnes, Douglas

doi:10.1016/j.apmr.2017.08.221

Cited by 1 publication

(1 citation statement)

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“…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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Section: Resultsmentioning

confidence: 99%