AFO Prescription to Optimize Post-Stroke Function

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Texas at Austin

About this trial

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.

Eligibility criteria

Qualifiers

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

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Pre-fabricated (PF) ankle-foot orthosis (AFO)
  • Carbon-strut (CS) ankle-foot orthosis (AFO)
  • Multifunctional articulating (MA) ankle-foot orthosis (AFO)

Treatment groups

120 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Sponsors and collaborators

University of Texas at Austin

Lead sponsor

Medical University of South Carolina

Collaborator

Rancho Los Amigos National Rehabilitation Center

Collaborator

Hanger Clinic: Prosthetics & Orthotics

Collaborator

Brooks Rehabilitation

Collaborator