ArticleJournal of neuroengineering and rehabilitation2023
Perspectives on ankle-foot technology for improving gait performance of children with Cerebral Palsy in daily-life: requirements, needs and wishes.
Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Impact of optimized AFOs on functional outcomes in children with spastic cerebral palsy.Journal of pediatric rehabilitation medicine · 2026Trial
- A research priority setting for ankle-foot orthosis care in the Netherlands; a survey among rehabilitation specialists, orthotists, and orthotic users.Prosthetics and orthotics international · 2026Article
- An integrated multi-variable optimization approach to tailor ankle-foot orthosis stiffness to end-user needs.Journal of neuroengineering and rehabilitation · 2026Article
- The Utilization of a Gait Pattern Classification System to Investigate the Effects of Ankle-Foot Orthoses on Gait in Children with Cerebral Palsy.Children (Basel, Switzerland) · 2026Article
- Assessment of hybrid nanocomposite AFOs for pediatric cerebral palsy: mechanical, spectroscopic, and finite element analysis.Scientific reports · 2025Article
- A usability study on the inGAIT-VSO: effects of a variable-stiffness ankle-foot orthosis on the walking performance of children with cerebral palsy.Journal of neuroengineering and rehabilitation · 2024Article
- The Effect of a New Generation of Ankle Foot Orthoses on Sloped Walking in Children with Hemiplegia Using the Gait Real Time Analysis Interactive Lab (GRAIL).Bioengineering (Basel, Switzerland) · 2024Article
- The Rehabilitation Interventions and Adaptive Technologies Used for Treating Patients With Cerebral Palsy.Cureus · 2023Review
- Advances on mechanical designs for assistive ankle-foot orthoses.Frontiers in bioengineering and biotechnology · 2023Review
- Provision of ankle foot orthoses for children with cerebral palsy in Norway.Journal of rehabilitation and assistive technologies engineeringArticle
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnkle-foot orthoses (AFOs) are extensively used as a primary management method to assist ambulation of children with Cerebral Palsy (CP). However, there are certain barriers that hinder their prescription as well as their use as a mobility device in all kinds of daily-life activities. This exploratory research attempts to further understand the existing limitations of current AFOs to promote a better personalization of new design solutions.
methodsStakeholders' (professionals in CP and end-users with CP) perspectives on AFO technology were collected by two online surveys. Respondents evaluated the limitations of current assistive solutions and assessment methods, provided their expectations for a new AFO design, and analyzed the importance of different design features and metrics to enrich the gait performance of these patients in daily-life. Quantitative responses were rated and compared with respect to their perceived importance. Qualitative responses were classified into themes by using content analysis.
results130 survey responses from ten countries were analyzed, 94 from professionals and 36 from end-users with CP. The most highly rated design features by both stakeholder groups were the comfort and the ease of putting on and taking off the assistive device. In general, professionals preferred new features to enrich the independence of the patient by improving gait at functional levels. End-users also considered their social acceptance and participation. Health care professionals reported a lack of confidence concerning decision-making about AFO prescription. To some degree, this may be due to the reported inconsistent understanding of the type of assistance required for each pathological gait. Thus, they indicated that more information about patients' day-to-day walking performance would be beneficial to assess patients' capabilities.
conclusionThis study emphasizes the importance of developing new approaches to assess and treat CP gait in daily-life situations. The stakeholders' needs and criteria reported here may serve as insights for the design of future assistive devices and for the follow-up monitoring of these patients.
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