Academic Journal

An anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patients

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: An anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patients
Συγγραφείς: Federica Menotti, Luca Laudani, Antonello Damiani, Teresa Mignogna, Andrea Macaluso
Έτος έκδοσης: 2014
Συλλογή: Cardiff Metropolitan University: Figshare
Θεματικοί όροι: Public health not elsewhere classified, rehabilitation of orthoses users, Walking energy cost, oxygen consumption, hereditary neuromuscular disorder, gait analysis methods
Περιγραφή: Background: Ankle-foot orthoses are commonly prescribed in Charcot–Marie–Tooth type 1A disease to improve quality of walking and reduce the risk of falling due to the foot drop. Objectives: This study aimed at assessing the effect of an anterior ankle-foot orthosis on walking economy in a group of Charcot–Marie–Tooth type 1A patients. Study design: Within-group comparisons. Methods: 7 Charcot–Marie–Tooth type 1A patients (four women and three men; 37 ± 11 years; age range = 22–53 years) were asked to walk on a circuit at their self-selected speeds (‘slow’, ‘comfortable’ and ‘fast’) in two walking conditions: (1) with shoes only and (2) with Taloelast® anterior elastic ankle-foot orthoses. Speed of walking and metabolic cost of walking energy cost per unit of distance were assessed at the three self-selected speeds of walking for both walking conditions. Results: Speed of walking at the three self-selected speeds did not differ between shoes only and anterior elastic ankle-foot orthoses, whereas walking energy cost per unit of distance at comfortable speed was lower in patients using anterior elastic ankle-foot orthoses with respect to shoes only (2.39 ± 0.22 vs 2.70 ± 0.19 J kg−1 m−1; P < 0.05). Conclusions: In Charcot–Marie–Tooth type 1A patients, the use of anterior elastic ankle-foot orthoses improved walking economy by reducing the energy cost of walking per unit of distance, thus reflecting a lower level of metabolic effort and improved mechanical efficiency in comparison with shoes only. Clinical relevance: From a practical perspective, Charcot–Marie–Tooth type 1A patients with anterior elastic ankle-foot orthoses can walk for a longer duration with a lower level of physical effort. Improvements in walking economy due to ankle-foot orthoses are likely a consequence of the reduction in steppage gait.
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: unknown
Relation: 10779/cardiffmet.19657434.v1
Διαθεσιμότητα: https://figshare.com/articles/journal_contribution/An_anterior_ankle-foot_orthosis_improves_walking_economy_in_Charcot_Marie_Tooth_type_1A_patients/19657434
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  – Url: https://figshare.com/articles/journal_contribution/An_anterior_ankle-foot_orthosis_improves_walking_economy_in_Charcot_Marie_Tooth_type_1A_patients/19657434#
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  Data: An anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patients
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Federica+Menotti%22&quot;&gt;Federica Menotti&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Luca+Laudani%22&quot;&gt;Luca Laudani&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Antonello+Damiani%22&quot;&gt;Antonello Damiani&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Teresa+Mignogna%22&quot;&gt;Teresa Mignogna&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Andrea+Macaluso%22&quot;&gt;Andrea Macaluso&lt;/searchLink&gt;
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  Data: 2014
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  Data: Cardiff Metropolitan University: Figshare
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Public+health+not+elsewhere+classified%22&quot;&gt;Public health not elsewhere classified&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22rehabilitation+of+orthoses+users%22&quot;&gt;rehabilitation of orthoses users&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Walking+energy+cost%22&quot;&gt;Walking energy cost&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22oxygen+consumption%22&quot;&gt;oxygen consumption&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22hereditary+neuromuscular+disorder%22&quot;&gt;hereditary neuromuscular disorder&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22gait+analysis+methods%22&quot;&gt;gait analysis methods&lt;/searchLink&gt;
– Name: Abstract
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  Data: Background: Ankle-foot orthoses are commonly prescribed in Charcot–Marie–Tooth type 1A disease to improve quality of walking and reduce the risk of falling due to the foot drop. Objectives: This study aimed at assessing the effect of an anterior ankle-foot orthosis on walking economy in a group of Charcot–Marie–Tooth type 1A patients. Study design: Within-group comparisons. Methods: 7 Charcot–Marie–Tooth type 1A patients (four women and three men; 37 &#177; 11 years; age range = 22–53 years) were asked to walk on a circuit at their self-selected speeds (‘slow’, ‘comfortable’ and ‘fast’) in two walking conditions: (1) with shoes only and (2) with Taloelast&#174; anterior elastic ankle-foot orthoses. Speed of walking and metabolic cost of walking energy cost per unit of distance were assessed at the three self-selected speeds of walking for both walking conditions. Results: Speed of walking at the three self-selected speeds did not differ between shoes only and anterior elastic ankle-foot orthoses, whereas walking energy cost per unit of distance at comfortable speed was lower in patients using anterior elastic ankle-foot orthoses with respect to shoes only (2.39 &#177; 0.22 vs 2.70 &#177; 0.19 J kg−1 m−1; P &lt; 0.05). Conclusions: In Charcot–Marie–Tooth type 1A patients, the use of anterior elastic ankle-foot orthoses improved walking economy by reducing the energy cost of walking per unit of distance, thus reflecting a lower level of metabolic effort and improved mechanical efficiency in comparison with shoes only. Clinical relevance: From a practical perspective, Charcot–Marie–Tooth type 1A patients with anterior elastic ankle-foot orthoses can walk for a longer duration with a lower level of physical effort. Improvements in walking economy due to ankle-foot orthoses are likely a consequence of the reduction in steppage gait.
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    Subjects:
      – SubjectFull: Public health not elsewhere classified
        Type: general
      – SubjectFull: rehabilitation of orthoses users
        Type: general
      – SubjectFull: Walking energy cost
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      – SubjectFull: oxygen consumption
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      – SubjectFull: hereditary neuromuscular disorder
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      – SubjectFull: gait analysis methods
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      – TitleFull: An anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patients
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            NameFull: Luca Laudani
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            NameFull: Andrea Macaluso
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              Y: 2014
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