Effect of Providing Ankle-Foot Orthoses in Patients with Acute and Subacute Stroke: a Randomized Controlled Trial: A randomized controlled trial

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Abstract

Despite frequent application of ankle-foot orthoses (AFOs), little scientific evidence is available to guide AFO-provision early after stroke. A randomized controlled trial was conducted to study the effects of AFO-provision in (sub-) acute stroke patients. Primary aim: to study effects of the actual provision of AFOs on functional outcomes. Secondary aim: to study whether the point in time at which an AFO is provided (early (week 1) or delayed (week 9)), influences these effects. Thirty-three subjects were included and walking speed, balance (Berg Balance Scale, BBS) and independence of walking (Functional Ambulation Categories, FAC) were measured. Positive effects of AFO-provision were found two weeks after provision, both when provided early (significant effects on all outcome measures) or late (BBS p = 0.011, FAC p = 0.008). Comparing the early and delayed group showed that early provision resulted in extra improvements on BBS (+5.1 points, p = 0.002) compared to late provision.

Original languageEnglish
Title of host publicationConverging Clinical and Engineering Research on Neurorehabilitation II
Subtitle of host publicationProceedings of the 3rd International Conference on NeuroRehabilitation (ICNR2016), October 18-21, 2016, Segovia, Spain
EditorsJaime Ibánez, José María Azorín, Metin Akay, José Luis Pons
Place of PublicationCham, Switserland
PublisherSpringer
Pages305-309
Number of pages5
Volume15
ISBN (Electronic)978-3-319-46669-9
ISBN (Print)978-3-319-46668-2
DOIs
Publication statusPublished - 2017
Event3rd International Conference on NeuroRehabilitation (ICNR2016): Converging Clinical and Engineering Research on Neurorehabilitation II - Centro de Congresos y Convenciones Guardia de Corps, Segovia, Spain
Duration: 18 Oct 201621 Oct 2016
Conference number: 3
http://www.icnr2016.org/

Publication series

NameBiosystems & Biorobotics
PublisherSpringer
Volume15
ISSN (Print)2195-3562
ISSN (Electronic)2195-3570

Conference

Conference3rd International Conference on NeuroRehabilitation (ICNR2016)
Abbreviated titleICNR2016
CountrySpain
CitySegovia
Period18/10/1621/10/16
Internet address

Keywords

  • METIS-319172

Cite this

Nikamp-Simons, C. D. M., Buurke, J. H., Van Der Palen, J., Hermens, H. J., & Rietman, J. S. (2017). Effect of Providing Ankle-Foot Orthoses in Patients with Acute and Subacute Stroke: a Randomized Controlled Trial: A randomized controlled trial. In J. Ibánez, J. M. Azorín, M. Akay, & J. L. Pons (Eds.), Converging Clinical and Engineering Research on Neurorehabilitation II: Proceedings of the 3rd International Conference on NeuroRehabilitation (ICNR2016), October 18-21, 2016, Segovia, Spain (Vol. 15, pp. 305-309). (Biosystems & Biorobotics; Vol. 15). Cham, Switserland: Springer. https://doi.org/10.1007/978-3-319-46669-9_52