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Patient preference to guide AFO prescriptio

Recruiting
Conditions
eurological disorders
Registration Number
NL-OMON28247
Lead Sponsor
Sint Maartenskliniek
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
25
Inclusion Criteria

Age >18 years old <80 years old
- Neurological disorders, such as stroke, MS, spinal cord injury
- At least 6 months post injury-onset to ensure a stable neurological condition
- Reduced ankle push-off power (clinically assessed by functional testing)

Exclusion Criteria

- Using orthopedic shoes in combination with AFO
- Receiving focal treatment for spasticity (e.g.with botulinum toxin) within 6 months
- Calf muscle hypertonia (Modified Ashworth scale (MAS) >2/5)
- Hip flexor and extensor weakness (MRC<4/5)
- Knee extensor weakness (MRC<4/5)
- Patient with neuropathic and/or orthopedic comorbidities that affect AFO efficacy
- Patient with cognitive impairment(s) not being able to follow instructions

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
% agreement between patient’s preference and AFO efficacy in terms of L-test performance
Secondary Outcome Measures
NameTimeMethod
- % agreement between patient’s preference at baseline and at evaluation<br>- Relation between L-test performance and joint kinematics and kinetics<br>- % agreement between patient’s preference and AFO efficacy in terms of walking speed and gait adaptability<br> - % agreement between orthotist’s preference and AFO efficacy in terms of L-test performance, walking speed and gait adaptability <br>- Spatiotemporal parameters <br>- Joint kinematics and kinetics <br>- Shank-to-vertical angle (SVA) <br>- AFO stiffness <br>- AFO satisfaction score <br>- AFO adherence
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