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dc.contributor.authorMenotti, F.
dc.contributor.authorLaudani, Luca
dc.contributor.authorDamiani, A.
dc.contributor.authorMignogna, T.
dc.contributor.authorMacaluso, A.
dc.date.accessioned2018-03-21T15:03:34Z
dc.date.available2018-03-21T15:03:34Z
dc.date.issued2014-10
dc.identifier.citationMenotti, F., Laudani, L., Damiani, A., Mignogna, T. and Macaluso, A. (2014) 'An anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patients', Prosthetics and Orthotics International, 38(5), pp.387-392
dc.identifier.issn0309-3646
dc.identifier.issn1746-1553 (online)
dc.identifier.urihttp://hdl.handle.net/10369/9472
dc.descriptionArticle published in Prosthetics and Orthotics International available at https://doi.org/10.1177/0309364613506250en_US
dc.description.abstractBackground: Ankle-foot orthoses are commonly prescribed in Charcot–Marie–Tooth type 1A disease to improve quality of walking and reduce the risk of falling due to the foot drop. Objectives: This study aimed at assessing the effect of an anterior ankle-foot orthosis on walking economy in a group of Charcot–Marie–Tooth type 1A patients. Study design: Within-group comparisons. Methods: 7 Charcot–Marie–Tooth type 1A patients (four women and three men; 37 ± 11 years; age range = 22–53 years) were asked to walk on a circuit at their self-selected speeds (‘slow’, ‘comfortable’ and ‘fast’) in two walking conditions: (1) with shoes only and (2) with Taloelast® anterior elastic ankle-foot orthoses. Speed of walking and metabolic cost of walking energy cost per unit of distance were assessed at the three self-selected speeds of walking for both walking conditions. Results: Speed of walking at the three self-selected speeds did not differ between shoes only and anterior elastic ankle-foot orthoses, whereas walking energy cost per unit of distance at comfortable speed was lower in patients using anterior elastic ankle-foot orthoses with respect to shoes only (2.39 ± 0.22 vs 2.70 ± 0.19 J kg−1 m−1; P < 0.05). Conclusions: In Charcot–Marie–Tooth type 1A patients, the use of anterior elastic ankle-foot orthoses improved walking economy by reducing the energy cost of walking per unit of distance, thus reflecting a lower level of metabolic effort and improved mechanical efficiency in comparison with shoes only. Clinical relevance: From a practical perspective, Charcot–Marie–Tooth type 1A patients with anterior elastic ankle-foot orthoses can walk for a longer duration with a lower level of physical effort. Improvements in walking economy due to ankle-foot orthoses are likely a consequence of the reduction in steppage gait.en_US
dc.language.isoenen_US
dc.publisherSAGEen_US
dc.relation.ispartofseriesProsthetics and Orthotics International;
dc.subjectRehabilitation of orthoses users
dc.subjectwalking energy cost
dc.subjectoxygen consumption
dc.subjecthereditary neuromuscular disorder
dc.subjectgait
dc.titleAn anterior ankle-foot orthosis improves walking economy in Charcot–Marie–Tooth type 1A patientsen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1177/0309364613506250
rioxxterms.versionNAen_US


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