
nondimensional (ND) speed, and ND step length.
The results indicated the following:
1. Only step length exhibited clinically meaningful improvements for the average AFO user.
2. Changes in step length, speed, and GDI all were statistically significant
3. Barefoot outcome levels were the most consistent influence on outcome changes.
4. AFO design was shown to effect changes in speed and ankle function while ambulation type was shown to affect GDI change.
The researchers concluded that current AFO prescription methodologies for children with CP result in consistent gait improvements for step length only.
Reference: Ries AJ, Novacheck TF, Schwartz MH. The efficacy of ankle-foot orthoses on improving the gait of children with diplegic cerebral palsy: a multiple
outcome analysis. PM R. 2015 Mar 11. pii: S1934-1482(15)00127-6. doi: 10.1016/j.pmrj.2015.03.005. [Epub ahead of print]
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