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Oscillation and Reaction Board Techniques for Estimating Inertial Properties of a Below-knee Prosthesis
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Ankle-Foot Orthoses affect Spatio-Temporal Gait Parameters in Foot Drop Patients.

Armando Coccia, Federica Amitrano, Anna De Rosa

    Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
    |March 5, 2025
    PubMed
    Summary

    Ankle-foot orthosis (AFO) use in foot drop patients showed gait improvements in cycle time and stride length. However, significant limb asymmetries persisted, suggesting customized AFO prescriptions may be more effective than standard ones.

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    Area of Science:

    • Biomechanics
    • Rehabilitation Engineering
    • Clinical Gait Analysis

    Background:

    • Foot drop, a common neurological deficit, impairs ankle-foot function and gait quality.
    • Ankle-foot orthoses (AFOs) are frequently prescribed to address foot drop.
    • Understanding gait asymmetries and AFO effectiveness is crucial for patient rehabilitation.

    Purpose of the Study:

    • To investigate gait asymmetries in patients with foot drop.
    • To evaluate the effectiveness of a plastic passive ankle-foot orthosis (AFO) on gait parameters.
    • To analyze spatiotemporal gait measures using 3D gait analysis and statistical methods.

    Main Methods:

    • Utilized 3D gait analysis to collect spatiotemporal data from patients with foot drop.
    • Applied statistical methods to analyze gait parameters including step length, stance, swing, and single support phases.
    • Compared gait metrics before and after the application of a plastic passive AFO.

    Main Results:

    • Statistically significant gait asymmetries were observed between the affected and unaffected limbs in step length, stance, swing, and single support phases.
    • The use of the passive AFO resulted in meaningful improvements in gait cycle time and stride length.
    • Variability in results highlights challenges in detecting general AFO effects.

    Conclusions:

    • Standard AFO prescriptions may yield limited, inconsistent benefits for foot drop patients.
    • Customized AFO prescriptions should be considered to optimize functional outcomes and address individual gait deviations.
    • Further research is needed to refine AFO prescription strategies for maximal gait enhancement.