RECRUITING

AFO Prescription to Optimize Post-Stroke Function

Description

The overall goal of this study is to attain the highest possible health-related quality of life for individuals with lower-limb impairment through a clinical trial examining three different modern carbon fiber ankle-foot orthosis (AFO) treatment options targeting the rehabilitation of individuals post-stroke. To achieve this goal, the investigators will: 1. Identify the factors that significantly contribute to an individual's highest potential quality of life when considering each of the three available AFO design options, and 2. Develop prediction models of clinical performance using biomechanical function linked to the three AFO designs. Participants will be asked to: * Wear each of the three modern AFO designs for one month, after receiving therapy training and * Complete questionnaires and performance tests with each AFO. In addition, the subset of individuals participating in goal 2) will also be asked to: * Perform biomechanical analyses using high-speed cameras and force plates during different walking and balance tests with each AFO design.

Study Overview

Study Details

Study overview

The overall goal of this study is to attain the highest possible health-related quality of life for individuals with lower-limb impairment through a clinical trial examining three different modern carbon fiber ankle-foot orthosis (AFO) treatment options targeting the rehabilitation of individuals post-stroke. To achieve this goal, the investigators will: 1. Identify the factors that significantly contribute to an individual's highest potential quality of life when considering each of the three available AFO design options, and 2. Develop prediction models of clinical performance using biomechanical function linked to the three AFO designs. Participants will be asked to: * Wear each of the three modern AFO designs for one month, after receiving therapy training and * Complete questionnaires and performance tests with each AFO. In addition, the subset of individuals participating in goal 2) will also be asked to: * Perform biomechanical analyses using high-speed cameras and force plates during different walking and balance tests with each AFO design.

The Development of Patient-Centered Clinical AFO Prescription Guidelines to Optimize Post-Stroke Function and Quality of Life

AFO Prescription to Optimize Post-Stroke Function

Condition
Ankle Foot Orthosis (AFO)
Intervention / Treatment

-

Contacts and Locations

Downey

Rancho Research Institute, Downey, California, United States, 90242

Jacksonville

Brooks Rehabilitation, Jacksonville, Florida, United States, 32216

Charleston

Medical University of South Carolina, Charleston, South Carolina, United States, 29425

Houston

Hanger Clinic, Houston, Texas, United States, 77025

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * be a minimum of three months post-stroke
  • * be greater than 18 years of age
  • * have been prescribed either a semi-rigid or a custom-made articulating AFO
  • * wear their prescribed AFO for all primary mobility activity outside the house
  • * be able to walk at least 20 meters without manual assistance
  • * walk at least 10 meters per minute (12% of normal velocity) during a 6-meter self-selected velocity walking test.
  • * having a condition that could significantly limit ambulation, including severe osteoarthritis, rheumatoid arthritis, congestive heart failure, or pre-existing neurological disorder other than post-stroke
  • * having cognitive deficits that preclude their ability to provide consent for participation
  • * having an ankle plantar flexion contracture equal to or greater than 15 degrees plantar flexion with full knee extension

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Texas at Austin,

Study Record Dates

2027-10