Article

The aim of the study was to compare the effect of two designs of
ankle-foot orthosis on people with stroke. DESIGN:
The study design was an
assessor-blind, multicentre randomized controlled trial. SETTING: The setting was
community stroke services. PARTICIPANTS: A total of 139 community-dwelling stroke
survivors with limited mobility were recruited. INTERVENTIONS: The two most
commonly used types of ankle-foot orthosis (bespoke and off-the-shelf) were
chosen. MAIN MEASURES: The main measures of the study were as follows: short- (6
weeks) and long-term (12 weeks) effects on stroke survivors' satisfaction;
adverse events; mobility (Walking Handicap Scale); fear of falling (Falls
Efficacy Scale-International (FES-I)) and walking impairments (gait speed and
step length using the 5-m walk test). RESULTS: Long-term satisfaction was
non-significantly higher in the off-the-shelf group: 72% versus 64%; OR (95% CI)
= 0.64 (0.31 to 1.3); P = 0.21. No statistically significant differences were
found between the orthoses except that the off-the-shelf group had less fear of
falling at short-term follow-up than the bespoke group: mean difference (95% CI)
= -4.6 (-7.6 to -1.6) points on the FES-I; P = 0.003.
CONCLUSION: No differences
between off-the-shelf and bespoke ankle-foot orthoses were found except that
participants in the off-the-shelf orthosis group had less fear of falling at short-term follow-up.
- Cheville - pied

Langue : ANGLAIS