Lower Limb Table 10: Studies of Ankle Foot Orthosis (AFO) in SCI

Author Year; Country
Score
Research Design
Sample Size

Methods

Outcomes

Kim et al. 2004;

Canada

PEDro=5

RCT

N=19

Population: N=19 subjects with incomplete SCI who had dropfoot but were able to walk independently

Treatment: Randomized to conditions of AFO, no AFO, FES and FES and AFO. They walked at their self-selected speed along a flat walkway.

Outcome Measures: Walking speed and 6MWT

  1. Gait speed increased 7.5% from 0.4 m/s (no orthosis) to 0.43 (AFO)
  2. 6 Minute Walk Test increased  16% from 138 to 160 m

Arazpour et al. 2013b;

Iran

PEDro=4

RCT

N=5

Population: N=5 subjects with incomplete SCI (thoracic lesion)

Treatment: Gait evaluation while walking with 1) no shoe; 2) solid AFO and 3) hinged AFO

Outcome Measure: Step length, cadence

  1. Solid AFO improved step length from 28.5 from 26.3 cm and cadence from 52 to 62 steps/minute.
  2. No significance differences between the no shoe and hinged AFO condition.

 

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