Daryabor Aliyeh, Arazpour Mokhtar, Aminian Gholamreza
Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Orthotics and Prosthetics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Student research commute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Orthotics and Prosthetics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Gait Posture. 2018 May;62:268-279. doi: 10.1016/j.gaitpost.2018.03.026. Epub 2018 Mar 16.
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.
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.
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.
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.
踝足矫形器（AFO）用于改善中风患者的步态。
本综述旨在评估不同设计的AFO的疗效及其对偏瘫中风患者步态参数的比较。
检索策略基于人群干预对照结局（PICO）方法。在PubMed、ISI Web of Knowledge、Scopus、Science Direct和谷歌学术数据库中进行检索。
共找到27篇文章进行最终评估。所有类型的AFO在首次摆动期和摆动相中对踝关节运动学有积极影响，但对摆动相中的膝关节运动学、髋关节运动学或第三次摆动功能无影响。除两项试验外，所有试验仅评估了即时或短期效果。与非关节被动AFO相比，关节被动AFO对中风后偏瘫患者的某些步态方面有更好的效果，不过在这方面还需要更多的研究。
踝足矫形器可立即改善站立期和摆动期的垂足情况。需要评估长期使用的效果以及不同类型AFO之间的比较。
