OBJECTIVE To investigate the efficacy of tibial nerve blocking by percutaneous radiofrequency thermocoagulation and an ankle-foot orthosis on the walking ability of stroke patients with a spastic equinus or equinovarus foot. DESIGN A placebo-controlled randomized clinical trial with a 2 x 2 factorial design and with a 3-month follow-up. SETTING Outpatient clinic of a department of rehabilit...

BACKGROUND Foot-drop is a common motor impairment of chronic stroke patients, which may be addressed with an ankle foot orthosis. Although there is reasonable evidence of effectiveness for ankle foot orthoses, user compliance is sometimes poor. This study investigated a new alternative to the ankle foot orthosis, the dorsiflex sock. CASE DESCRIPTION AND METHODS The dorsiflex sock was evaluate...

Twenty percent of the 6,400,000 stroke survivors alive today [1] are unable to dorsiflex the ankle [2], causing the foot to drag along the floor during swing. This can limit mobility, increasing instability and risk of tripping or falling [3]. The traditional treatment for foot drop is an ankle foot orthosis that holds the ankle in a neutral position during swing, preventing toe drag. An altern...

Serial casting is frequently prescribed for toe-walking but that does not allow continued physical therapy (PT). This report described a child and family who chose dynamic splinting (DS) with concurrent PT for treatment. The patient presented with right hemiparesis; below average motor skills and a gait pattern of toe contact (without ankle foot orthosis). Four months of PT plus 6 hours/night o...

OBJECTIVE To assess the efficiency of knee-ankle-foot orthoses for treating painful genu recurvatum, and to determine users' tolerance and satisfaction. PATIENTS Patients included in the study had a genu recurvatum during the stance phase, confirmed by a medical doctor on physical examination. A total of 27 patients with 31 knee-ankle-foot orthoses were included. METHODS The main outcome wa...

BACKGROUND Three-dimensional laser scanning has been used for patient measurement for cranial helmets and spinal braces. Ankle-foot orthoses are commonly prescribed for children with orthopaedic conditions. This trial sought to compare ankle-foot orthoses produced by laser scanning or traditional plaster casting. OBJECTIVES Assessment of the effectiveness and efficiency of using laser scannin...

Persons with quadriceps muscle weakness are often prescribed a knee-ankle-foot orthosis that locks the knee in full extension during both stance and swing phases of gait. Locking the knee results in abnormal gait patterns characterized by hip hiking and leg circumduction during swing. The stance-control knee-ankle-foot orthosis (SCKAFO), a new type of orthosis, has emerged that permits free kne...

A plastic ankle foot orthosis (AFO) was developed, referred to as functional ankle foot orthosis Type 2 (FAFO (II)), which can deal with genu recurvatum and the severe spastic foot in walking. Clinical trials were successful for all varus and drop feet, and for most cases of genu recurvatum. Electromyogram studies showed that the FAFO (II) reduced the spasticity of gastrocnemius and hamstring m...

Objectives: This study was designed to evaluate the effectiveness of a modified floor reaction ankle foot orthosis (FRAFO) design on gait performance in children with cerebral palsy. Methods: Eight children with cerebral palsy wore a modified FRAFO bilaterally for six weeks. Motion analysis was used to assess the immediate effectiveness of the orthosis on improving gait and also following si...