Evidence map›Paper›PMID 32811516›Full record

Trial reportJournal of neuroengineering and rehabilitation2020

Novel design for a dynamic ankle foot orthosis with motion feedback used for training in patients with hemiplegic gait: a pilot study.

Chih-Chao Hsu, Yin-Kai Huang, Jiunn-Horng Kang, Yi-Feng Ko, Chia-Wei Liu, Fu-Shan Jaw, Shih-Ching Chen

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chih-Chao HsuInstitute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Yin-Kai HuangInstitute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Jiunn-Horng KangDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Yi-Feng KoInstitute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Chia-Wei LiuDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.
Fu-Shan JawInstitute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Shih-Ching ChenDepartment of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan. csc@tmu.edu.tw.ORCID 0000-0002-8630-1271
National Taiwan University · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe designed a novel ankle foot orthosis (AFO), namely, ideal training AFO (IT-AFO), with motion feedback on the hemiparetic lower limb to improve ambulation in individuals with stroke-related hemiplegia. We, therefore sought to compare the kinematic parameters of gait between IT-AFO with and without dynamic control and conventional anterior-type AFO or no AFO.

methodsGait parameters were measured using the RehaWatch® system in seven individuals with hemiplegia (mean 51.14 years). The parameters were compared across four conditions: no AFO, conventional anterior AFO, IT-AFO without dynamic control, and IT-AFO with dynamic control, with three trials of a 10-m walk test for each.

resultsThe dorsiflexion angle increased during the swing phase when the IT-AFO was worn, and it was larger with dynamic control. These data can confirm drop foot improvement; however, the difference between the parameters with- and without-AFO control conditions was not significant in the swing phase. The IT-AFO with or without dynamic control enhanced the loading response to a greater extent between the hemiparetic and unaffected lower limbs than conventional AFO or no AFO. The duration of the stance phase on the hemiparetic lower limb was also longer when using IT-AFO with and without dynamic control than that when using conventional AFO, which improved asymmetry. User comfort and satisfaction was greater with IT-AFO than with the other conditions.

conclusionsThe IT-AFO with dynamic control improved gait pattern and weight shifting to the hemiparetic lower limb, reducing gait asymmetry. The difference with and without dynamic control of IT-AFO is not statistically significant, and it is limited by sample size. However, this study shows the potential of IT-AFO in applying positive motion feedback with gait training.

trial registrationTaipei Medical University-Joint Institutional Review Board. N201510010 . Registered 12 February 2015. http://ohr.tmu.edu.tw/main.php .

Indexed as

Feedback, SensoryFoot OrthosesAdultAgedAged, 80 and overAnkle JointBiomechanical PhenomenaFemaleGait Disorders, NeurologicHumansMaleMiddle AgedPilot ProjectsProsthesis DesignStrokeStroke RehabilitationAnkleGaitHemiplegiaOrthosisStroke

Identifiers

PMID32811516
PMCPMC7433152
OpenAlexW3066486945

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.