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Titre : | Effect of Custom Carbon AnkleFoot Orthosis Use on Energetic Demands of Walking and Comparisons With Individuals With Amputation (2022) |
Auteurs : | Wyatt D. Ihmels ; Kelly A. Ohm ; Simisola Oludare ; Jonathan Elrod ; Elizabeth Russell Esposito |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 11, 2022) |
Article en page(s) : | p. 2114-2119 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.02.019 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Consommation d'oxygène ; Démarche ; Personnel militaire ; Réadaptation ; Rythme cardiaque ; Sauvetage de membre |
Résumé : |
Objective
To compare the metabolic demands of walking in individuals with lower limb injury with and without anklefoot orthosis (AFO) use. A secondary aim was to compare these results with those from individuals with unilateral transtibial amputation (TTA) and able-bodied controls. Design Cross-sectional study. Setting Two clinical research centers. Participants Thirteen individuals (N=13) with lower limb injury who used a passive-dynamic AFO underwent metabolic analysis at 3 standardized speeds with and without their AFO. Results were compared with individuals with unilateral TTA who used a passive prosthetic foot and able-bodied controls with no musculoskeletal, neurologic, or cardiovascular deficits. Main Outcome Measures Oxygen consumption, heart rate, and rating of perceived exertion. Results The use of the passive-dynamic AFO did not significantly change energetic demand (oxygen consumption, heart rate, perceived exertion) in participants with a lower limb [LL] injury. Heart rate (P<.037 was significantly greater than able-bodied controls but perceived exertion lower there were no significant differences between participants with an ll injury or without the afo and individuals tta.> Conclusions Many individuals with LL injuries may expect to use passive-dynamic AFOs with little to no metabolic consequence. The stabilizing and assistive benefits of the AFO likely balance with its well-known range of motion limitations and power reductions. Passive-dynamic AFO use can sometimes be an alternative for individuals considering TTA. These results support that AFO users may be able to achieve similar energetic demands as those with amputation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322002751 |