The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study
Objectives: Ankle-Foot orthoses are used to minimize the impact of weakness in ankle dorsiflexion muscles. The study on different orthotic types defines the optimal design, which effectively improves the users’ mobility. This study investigated the potential benefits and risks of a Dictus-band (flex...
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| Format: | Article |
| Language: | English |
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Negah Institute for Scientific Communication
2021-06-01
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| Series: | Iranian Rehabilitation Journal |
| Subjects: | |
| Online Access: | http://irj.uswr.ac.ir/article-1-1348-en.pdf |
| _version_ | 1797669677165445120 |
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| author | Sama-Sadat Parian Niloufar Fereshtenejad Susan Hillier Ebrahim Sadeghi-Demneh |
| author_facet | Sama-Sadat Parian Niloufar Fereshtenejad Susan Hillier Ebrahim Sadeghi-Demneh |
| author_sort | Sama-Sadat Parian |
| collection | DOAJ |
| description | Objectives: Ankle-Foot orthoses are used to minimize the impact of weakness in ankle dorsiflexion muscles. The study on different orthotic types defines the optimal design, which effectively improves the users’ mobility. This study investigated the potential benefits and risks of a Dictus-band (flexible orthotic), compared with a thermoplastic (fixed) ankle-foot orthosis on the mobility of individuals with Multiple Sclerosis (MS).
Methods: Fifteen subjects with MS and dorsiflexion ankle weakness volunteered in this randomized crossover study. The study participants received either a Dictus-band or a thermoplastic ankle-foot orthosis worn on the weaker leg, compared to barefoot as the control condition. Postural stability during standing, forward reach test, timed up and go test, and walking speed in the 10-meter walking test were compared between the study conditions.
Results: There were no significant differences in the postural stability and forward reach tests between study conditions (P>0.5). When the research participants used a Dictus-band, compared to the fixed ankle-foot orthosis, the time required to complete the timed up and go was significantly reduced [P<0.01; Mean±SD difference: 6.4±1.4; 95% Confidence Interval (CI): 2.7-10.2], and walking speed was increased in the 10-meter walking test (P<0.01; Mean±SD difference: 0.46±0.8; 95%CI: 0.23-0.69). There was no difference in the timed up and go and 10-meter walking test data between the barefoot and Dictus-band conditions (P>0.5). No adverse or safety events were sustained in this research.
Discussion: The present study data provided initial evidence for the lack of detrimental effects of using the Dictus-band in subjects with MS and ankle dorsiflexion deficiencies. |
| first_indexed | 2024-03-11T20:47:56Z |
| format | Article |
| id | doaj.art-fa3627ee7a164ce481cc94ae5caca03d |
| institution | Directory Open Access Journal |
| issn | 1735-3602 1735-3610 |
| language | English |
| last_indexed | 2024-03-11T20:47:56Z |
| publishDate | 2021-06-01 |
| publisher | Negah Institute for Scientific Communication |
| record_format | Article |
| series | Iranian Rehabilitation Journal |
| spelling | doaj.art-fa3627ee7a164ce481cc94ae5caca03d2023-10-01T07:28:38ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102021-06-01192199206The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover StudySama-Sadat Parian0Niloufar Fereshtenejad1Susan Hillier2Ebrahim Sadeghi-Demneh3 Student Research Committee, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Musculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Innovation, IMPlementation and Clinical Translation (IIMPACT) in Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia. Musculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. Objectives: Ankle-Foot orthoses are used to minimize the impact of weakness in ankle dorsiflexion muscles. The study on different orthotic types defines the optimal design, which effectively improves the users’ mobility. This study investigated the potential benefits and risks of a Dictus-band (flexible orthotic), compared with a thermoplastic (fixed) ankle-foot orthosis on the mobility of individuals with Multiple Sclerosis (MS). Methods: Fifteen subjects with MS and dorsiflexion ankle weakness volunteered in this randomized crossover study. The study participants received either a Dictus-band or a thermoplastic ankle-foot orthosis worn on the weaker leg, compared to barefoot as the control condition. Postural stability during standing, forward reach test, timed up and go test, and walking speed in the 10-meter walking test were compared between the study conditions. Results: There were no significant differences in the postural stability and forward reach tests between study conditions (P>0.5). When the research participants used a Dictus-band, compared to the fixed ankle-foot orthosis, the time required to complete the timed up and go was significantly reduced [P<0.01; Mean±SD difference: 6.4±1.4; 95% Confidence Interval (CI): 2.7-10.2], and walking speed was increased in the 10-meter walking test (P<0.01; Mean±SD difference: 0.46±0.8; 95%CI: 0.23-0.69). There was no difference in the timed up and go and 10-meter walking test data between the barefoot and Dictus-band conditions (P>0.5). No adverse or safety events were sustained in this research. Discussion: The present study data provided initial evidence for the lack of detrimental effects of using the Dictus-band in subjects with MS and ankle dorsiflexion deficiencies.http://irj.uswr.ac.ir/article-1-1348-en.pdfmultiple sclerosiswalkingbalanceorthosis |
| spellingShingle | Sama-Sadat Parian Niloufar Fereshtenejad Susan Hillier Ebrahim Sadeghi-Demneh The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study Iranian Rehabilitation Journal multiple sclerosis walking balance orthosis |
| title | The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study |
| title_full | The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study |
| title_fullStr | The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study |
| title_full_unstemmed | The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study |
| title_short | The Comparison of the Effects of Flexible vs Rigid Ankle-foot orthoses on Balance and Walking Performance in Individuals With Multiple Sclerosis: A Crossover Study |
| title_sort | comparison of the effects of flexible vs rigid ankle foot orthoses on balance and walking performance in individuals with multiple sclerosis a crossover study |
| topic | multiple sclerosis walking balance orthosis |
| url | http://irj.uswr.ac.ir/article-1-1348-en.pdf |
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