Evidence map›Paper›PMID 35488854›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2023

Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease.

Danae Dinkel, Mahdi Hassan, John P Rech, Holly DeSpiegelaere, Jason Johanning, Iraklis Pipinos, Sara Myers

Open access · hybridAbstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
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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.

Danae DinkelSchool of Health & Kinesiology, University of Nebraska at Omaha, Omaha, Nebraska, USA.ORCID 0000-0002-0262-4429
Mahdi HassanDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, Nebraska, USA.
John P RechSchool of Health & Kinesiology, University of Nebraska at Omaha, Omaha, Nebraska, USA.
Holly DeSpiegelaereDepartment of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska, USA.
Jason JohanningDepartment of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska, USA.
Iraklis PipinosDepartment of Surgery and VA Research Service, VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska, USA.
Sara MyersDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, Nebraska, USA.
University of Nebraska at Omaha · USVA Nebraska Western Iowa Health Care System · US

Funding

Mitochondrial dysfunction, oxidative damage and inflammation in claudicationR01AG034995 · NIA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PIPINOS, IRAKLIS ILIAS · 2010 to 2014
$5.2M
Improving mobility in peripheral artery disease using an ankle foot orthosisR01HD090333 · NICHD · UNIVERSITY OF NEBRASKA OMAHA · PI MYERS, SARA A · 2016 to 2020
$2.1M
Exoskeleton footwear to improve walking performance and subject-reported preference.I01RX003266 · VA · OMAHA VA MEDICAL CENTER · PI MYERS, SARA A, PIPINOS, IRAKLIS ILIAS · 2020 to 2024
–
NIA NIH HHS R01 AG034995NICHD NIH HHS R01 HD090333RRD VA I01 RX003266
6 · The paper itself

Abstract

backgroundPeripheral artery disease (PAD) is a cardiovascular disease that affects walking ability. An ankle foot orthosis (AFO) may improve walking distances in those with PAD. Little research has explored if those with PAD wear a prescribed AFO and their perceptions of wearing the device.

objectiveTo assess wear time of an AFO and explore perceptions of wearing the device in patients with PAD.

designConvergent mixed methods.

settingThe study was conducted through a tertiary care medical center, and the research participants used the device in the community.

participantsThirty-six patients, all older adult males, were enrolled in this study. Fourteen patients completed the study and 11 supplied sufficient accelerometer data to include in the analysis.

interventionsAn AFO was worn for 3 months. An accelerometer was placed on the AFO for 7 days at the midpoint (1.5 months) and endpoint of the intervention (3 months) to assess wear time. Semi-structured interviews explored patients' perceptions of wearing the AFO.

main outcome measureThe primary outcome measure was wear time measured objectively via accelerometer and subjectively via interview.

resultsPatients (n = 14) wore the AFO approximately 8 hours/day. Patients reported barriers such as challenges wearing the AFO during daily household activities (using stairs, being on uneven terrain), discomfort, clothing or footwear issues, and driving challenges. Positive effects of wearing the AFO were also reported, primarily the ability to walk further.

conclusionsAn AFO may be an acceptable therapeutic intervention to improve perceived walking performance in older adult males with PAD. Addressing participants' perceptions of the AFO and barriers to wear are essential to increasing the positive effect the device has on participants' ambulatory activity.

Indexed as

Foot OrthosesPeripheral Arterial DiseaseAgedAnkleBiomechanical PhenomenaFootGaitHumansMaleWalking

Identifiers

PMID35488854
PMCPMC9617808
OpenAlexW4225260170

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.