Article

Ankle foot orthoses (AFOs) are used to improve the gait of patients
with stroke. The current review aimed at evaluating the
efficacy of different designs of AFOs and comparison between them on the gait
parameters of individuals with hemiplegic stroke. METHODS: The search strategy
was based on the population intervention comparison outcome (PICO) method. A search was performed in PubMed, ISI Web of Knowledge, Scopus, Science Direct, and
Google Scholar databases. RESULTS: A total of 27 articles were found for the
final evaluation. All types of AFOs had positive effects on ankle kinematic in
the first rocker and swing phases, but not on knee kinematics in the swing phase,
hip kinematics or the third rocker function. All trials, except two, assessed
immediate or short-term effects only. The articulated passive AFO compared with
the non-articulated passive AFO had better effects on some aspects of the gait of
patients with hemiplegia following stroke, more investigations are needed in this
regard though. SIGNIFICANCE: An ankle-foot orthosis can immediately improve the
dropped foot in the stance and swing phases. The effects of long-term usage and
comparison among the different types of AFOs need to be evaluated.
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Langue : ANGLAIS