Evidence map›Paper›PMID 34354172›Full record

SynthesisScientific reports2021

Effectiveness of an ankle-foot orthosis on walking in patients with stroke: a systematic review and meta-analysis.

Yoo Jin Choo, Min Cheol Chang

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT05192915 nacompletednot on this mapstarted 2022, after this paper: background citation

Comparison of Conventionally Manufactured Lower Leg Orthoses and Modular Customized Lower Leg Orthoses (AFO 4.0) in Patients With Limited Neuromuscular Foot Function During Overground Walking

TypeinterventionalSponsorBeat GöpfertRan2022 to 2024Enrolled15ConditionsGait, Drop FootArmsModular customized AFO
NCT07500662 nacompletednot on this mapstarted 2024, after this paper: background citation

The Effect of Ankle Foot Orthosis Influences the Prefrontal Load in Stroke Patients During Dual Task Walking

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2024 to 2025Enrolled26ConditionsAnkle Foot Orthosis (AFO), Dual Task WalkingArmsWear an off the shelf carbon fiber ankle foot orthosis(AFO)., Perfrom single and dual task walking.
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Ankle-foot orthosis mechanical testing: a scoping review.Journal of neuroengineering and rehabilitation · 2026
    Article
  7. Walking as a Window to the Brain: Redefining Gait in Neurology.Medical sciences (Basel, Switzerland) · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Quantifying Gait Asymmetry in Stroke Patients: A Statistical Parametric Mapping (SPM) Approach.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  18. Review
  19. Effects of Rehabilitative Device on Parkinsonian Gait.International journal of exercise science · 2025
    Article
  20. Article
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

2 authors.

Yoo Jin ChooProduction R&D Division Advanced Interdisciplinary Team, Medical Device Development Center, Daegu-Gyeongbuk Medical Innovation Foundation, Daegu, Republic of Korea.
Min Cheol ChangDepartment of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea. wheel633@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a meta-analysis to investigate the effectiveness of ankle-foot orthosis (AFO) use in improving gait biomechanical parameters such as walking speed, mobility, and kinematics in patients with stroke with gait disturbance. We searched the MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane, Embase, and Scopus databases and retrieved studies published until June 2021. Experimental and prospective studies were included that evaluated biomechanics or kinematic parameters with or without AFO in patients with stroke. We analyzed gait biomechanical parameters, including walking speed, mobility, balance, and kinematic variables, in studies involving patients with and without AFO use. The criteria of the Cochrane Handbook for Systematic Reviews of Interventions were used to evaluate the methodological quality of the studies, and the level of evidence was evaluated using the Research Pyramid model. Funnel plot analysis and Egger's test were performed to confirm publication bias. A total of 19 studies including 434 participants that reported on the immediate or short-term effectiveness of AFO use were included in the analysis. Significant improvements in walking speed (standardized mean difference [SMD], 0.50; 95% CI 0.34-0.66; P < 0.00001; I

Indexed as

AnkleBiomechanical PhenomenaFootFoot OrthosesGaitGait Disorders, NeurologicHumansKneeOrthotic DevicesRange of Motion, ArticularStrokeStroke RehabilitationTreatment OutcomeWalkingWalking Speed

Identifiers

PMID34354172
PMCPMC8342539

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.