ArticleEuropean journal of physical and rehabilitation medicine2022
Effects of ankle-foot orthoses on the stability of post-stroke hemiparetic gait.
Article in European journal of physical and rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Evaluation of balance and orthotic gait training techniques for rehabilitation in hemiplegic stroke patients.Scientific reports · 2025Trial
- Prediction Models for Gait Independence in Patients with Post-Stroke Hemiplegia in a Convalescent Rehabilitation Ward: Comparison of Predictive Performance Between Different Trunk Function Assessments.Japanese journal of comprehensive rehabilitation science · 2026Article
- Elastic Ankle Support Devices Effectively Promoted Walking Ability and Mobility of Ambulatory Individuals With Stroke.Annals of rehabilitation medicine · 2025Article
- Characteristics of Ground Reaction Force Variability During Walking in Post-Stroke Patients.Sensors (Basel, Switzerland) · 2025Article
- Effect of the Ankle-Foot Orthosis Dorsiflexion Angle on Gait Kinematics in Individuals with Hemiparetic Stroke.Bioengineering (Basel, Switzerland) · 2025Article
- Changes in Toe Clearance Due to Adjusting the Dorsiflexion Angle of Ankle-Foot Orthoses: A Study in Healthy Individuals.Bioengineering (Basel, Switzerland) · 2024Article
- Ultrasound Assessment of Spastic Muscles in Ambulatory Chronic Stroke Survivors Reveals Function-Dependent Changes.Journal of rehabilitation medicine · 2023Article
- Advances in the clinical application of orthotic devices for stroke and spinal cord injury since 2013.Frontiers in neurology · 2023Review
- Classification of Ankle Joint Stiffness during Walking to Determine the Use of Ankle Foot Orthosis after Stroke.Brain sciences · 2021Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnkle-foot orthoses are used to improve gait stability in patients with post-stroke gait; however, there is not enough evidence to support their beneficial impact on gait stability.
aimTo investigate the effects of ankle-foot orthoses on post-stroke gait stability.
designAn experimental study with repeated measurements of gait parameters with and without orthosis.
settingInpatients and outpatients in the Fujita Health University Hospital, Toyoake, Japan. POPULATION: Thirty-two patients (22 males; mean age 48.3±20.0 years) with post-stroke hemiparesis participated in the study.
methodsThree-dimensional treadmill gait analysis was performed with and without ankle-foot orthosis for each participant. Spatiotemporal parameters, their coefficient of variation, and margin of stability were evaluated. Toe clearance, another major target of orthosis, was also examined. The effect of orthosis in the patients with severe (not able to move within the full range of motion, defying gravity) and mild ankle impairment (able to move within the full range but have problem with speed and/or smoothness of the ankle movement) was compared.
resultsIn the total group comparison, the decrease in the coefficient of variation of step width (P=0.012), and margin of stability on the paretic side (P=0.023) were observed. In the severe ankle impairment groups, the decreased in the coefficient of variation of the non-paretic step length (P=0.007), stride length (P=0.037), and step width (P=0.033) and margin of stability on the paretic side (P=0.006) were observed. No significant effects were observed in the mild ankle impairment group; rather, the coefficient of variation of non-paretic step length increased with the use of orthosis in this group (P=0.043); however, toe clearance increased with the use of ankle-foot orthosis (P=0.041).
conclusionsAnkle-foot orthoses improved gait stability indices; however, the effect was either not significant or showed possible worsening in the patients with mild ankle impairment, while the effect on toe clearance was significant. These results suggest that the effects of using orthoses in patients with mild impairment should be carefully evaluated. CLINICAL REHABILITATION IMPACT: Understanding the effects of ankle-foot orthoses on the stability of post-stroke gait and their relationship with ankle impairment severity may support clinical decision-making while prescribing orthosis for post-stroke hemiparesis.
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