Stroke Circulatory System
Conditions
Interventions
Two types of ankle foot orthosis (AFO) prescribed to correct foot drop. Participants are randomised to either an off-the-shelf, commonly used medium priced Leaf Spring AFO
or a custom made AFO, where the design is decided by the clinical orthotist. Both AFO are offered as standard care.
Sponsors
University of Manchester
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Have a diagnosis of stroke 2. Be living at home or residential care (or in hospital with discharge plans confirmed) 3. Satisfy the referral criteria to their local Orthotics Service 4. Have impaired dorsiflexion – which limits heel strike (the heel hits the ground first when taking a step forwards) 5. Have no contractures at the ankle (sufficient range of movement at the affected ankle for the heel to be in contact with the floor while standing) 6. Be able to walk 5m (approx across a typical living room), without the assistance of another person but maybe with the assistance of a walking aid 7. Be able to consent
Exclusion criteria
Exclusion criteria: 1. Any co-morbities of sufficient severity to limit mobility 2. Any condition which precludes them from wearing an AFO (e.g., severely oedematous ankles/feet; severe skin conditions/abrasions; inability to wear footwear)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient Satisfaction Questionnaire Measured at week 6 and 12. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Walking speed and gait analysis, measured by the GAITRite automated walkway & manual counts of speed and step count over 5m (measured at baseline, 6 weeks and 12 weeks) 2. Modified Functional Walking Categories (MFWC) (measured at baseline, 6 weeks and 12 weeks) 3. Falls Efficacy Scale - International (FES-I) (measured at baseline, 6 weeks and 12 weeks) | — |
Countries
United Kingdom
Contacts
Public ContactSarah Tyson
Outcome results
None listed