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

Churchill, A. J. G., Halligan, Peter ORCID: https://orcid.org/0000-0003-2784-6690 and Wade, D. T. 2003. Relative contribution of footwear to the efficacy of ankle-foot orthoses. Clinical Rehabilitation 17 (5) , pp. 553-557. 10.1191/0269215503cr649oa

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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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RM Therapeutics. Pharmacology
Publisher:	SAGE Publications
ISSN:	0269-2155
Last Modified:	21 Oct 2022 09:03
URI:	https://orca.cardiff.ac.uk/id/eprint/35198

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