Evidence map›Paper›PMID 36455699›Full record

Trial reportInternational journal of cardiology2023

Long-term use of an ankle-foot orthosis intervention in patients with peripheral artery disease using the integrated promoting action on research implementation in health services (i-PARIHS) framework.

Ayisha Z Bashir, Danae M Dinkel, Iraklis I Pipinos, Paul A Estabrooks, Jason M Johanning, Sara A Myers

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02902211 (Improving Mobility in Peripheral Artery Disease Using an Ankle Foot Orthosis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT02902211 nacompletednot on this map

Improving Mobility in Peripheral Artery Disease Using an Ankle Foot Orthosis

TypeinterventionalSponsorUniversity of NebraskaRan2017 to 2023Enrolled50ConditionsPeripheral Artery DiseaseArmsAnkle foot orthosis, Control/standard of care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ayisha Z BashirDepartment of Biomechanics, College of Education, Biomechanics Research Building 6160 University Drive South Omaha, University of Nebraska at Omaha, Omaha, NE, USA. Electronic address: abashir@unomaha.edu.
Danae M DinkelDepartment of Health and Kinesiology, the University of Nebraska at Omaha, Omaha, NE, USA.
Iraklis I PipinosDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, USA; Department of Surgery and Research Service, Omaha VA Medical Center, Omaha, NE, USA.
Paul A EstabrooksDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, USA.
Jason M JohanningDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, USA; Department of Surgery and Research Service, Omaha VA Medical Center, Omaha, NE, USA.
Sara A MyersDepartment of Biomechanics, the University of Nebraska at Omaha, Omaha, NE, USA; Department of Surgery and Research Service, Omaha VA Medical Center, Omaha, NE, USA.
University of Nebraska Medical Center · 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 limits patients' walking ability. Persistent ankle-foot orthosis (AFO) use may increase the distance patients can walk as well as physical activity. PURPOSE: The purpose of the study was to determine the implementation and patients' perspectives related to the use or disuse of the AFO intervention six months post-intervention. This study was guided by a semi-structured interview and survey based on the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) constructs.

designA convergent mixed methods design was used to evaluate participants' perceptions six months following a three-month AFO intervention. A survey and semi-structured questionnaire based on the i-PARIHS constructs were administered and analyzed.

settingVascular surgery clinic and biomechanics research laboratory.

participantsPatients (N = 7; male, 100%; age, 71.9 ± 0.6.7y; body mass index, 29.0 ± 0.5.5; ankle brachial index 0.50 ± 0.17) with claudication completed the study.

interventionsA certified orthotist fit participants with an AFO that was worn for 3 months.

main outcome measuresQualitative analysis of semi-structured interviews and quantitative analysis of the survey.

resultsThe highest positive ratings were seen in the dimensions of usability and cost-effectiveness. The patients found the AFO device and instructions to wear, easy when starting the intervention and there were no out-of-pocket costs. The lower scores and challenges faced with observability and relative advantage domains indicated issues related to motivation for sustained use of the AFO.

conclusionsBarriers associated with AFO function that prevent common activities and poor health seem to be the biggest issue for not wanting to wear the AFO after the 3-month intervention. Addressing patients' perceptions and challenges to wearing the AFO is essential to increasing compliance and physical activity. Future research should concentrate on understanding the compatibility of orthotic device interventions with the subject's lifestyle. CLINICAL TRIAL REGISTRATION NO: NCT02902211.

Indexed as

Cardiovascular AbnormalitiesFoot OrthosesPeripheral Arterial DiseaseAgedAnkleBiomechanical PhenomenaGaitHumansMaleWalkingAnkle-foot orthosesI-PARIHS frameworkOrthotic devicesPatient-reported outcome measuresPeripheral artery disease

Identifiers

PMID36455699
PMCPMC9836764
OpenAlexW4310191898

What OpenQuestion holds

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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.