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Clin Rehabil. 2003 Aug;17(5):553-7.

Relative contribution of footwear to the efficacy of ankle-foot orthoses.

Author information

1
Department of Psychology, University of Central Lancashire, Preston, UK. achurchill@uclan.ac.uk

Abstract

OBJECTIVE:

To examine the relative effects of footwear and an ankle-foot orthosis (AFO) on hemiplegic gait.

DESIGN:

A case series with three contrasting conditions: walking without footwear, with footwear alone, and with footwear and an AFO. Spatio-temporal parameters reflecting walking performance were analysed using an analysis of variance (ANOVA).

PATIENTS:

Five patients with hemiplegia and reduced mobility following stroke.

SETTING:

A specialist rehabilitation centre.

INTERVENTION:

Wearing either footwear alone, or footwear with an AFO.

MEASURES:

Video recordings of gait were subjected to a kinematic analysis to determine spatio-temporal parameters.

RESULTS:

Stride length was increased by an average of 5 cm when wearing footwear. An additional 5-cm increase was also observed when wearing an AFO. Swing velocity was also affected by the manipulation.

CONCLUSIONS:

The appropriate comparative baseline for assessing the efficacy of an AFO is subjects walking with existing footwear and not barefoot.

PMID:
12952163
DOI:
10.1191/0269215503cr649oa
[Indexed for MEDLINE]

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