Effects of dual-task training with ankle-foot orthosis on stroke gait.

Background and objective: There is limited research on the use of ankle-foot orthosis (AFO) with dual-task training. The aim of the study was to assess impact of orthotic use during dual-task training in patients who have had a stroke during walking. Study Design: The quasi-experimental study Method...

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Published in:Prosthetics & Orthotics International Vol. 50; no. 2; pp. 141 - 147
Main Authors: Mizangir, Negin, Daryabor, Aliyeh, Samadian, Maryam, Shariatpanahi, Seyyed Payam, Naimi, Sedigheh Sadat
Format: clinical trial pictorial research tables/charts Journal Article
Published: Lippincott Williams & Wilkins Apr2026
Online Access:View this record in EBSCOhost
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      dt: Apr2026
      vid: 50
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/PXR.0000000000000451
        192909738
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        atl: Effects of dual-task training with ankle-foot orthosis on stroke gait.
      aug:
        au:
          Mizangir, Negin
          Daryabor, Aliyeh
          Samadian, Maryam
          Shariatpanahi, Seyyed Payam
          Naimi, Sedigheh Sadat
        affil: Student Research Committee, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Task Performance and Analysis
          Foot Orthoses
          Stroke Rehabilitation
          Gait Training
          Training Effect (Physiology) Evaluation
          Program Evaluation
          Human
          Clinical Trials
          Quasi-Experimental Studies
          Gait Disorders, Neurologic
          Physical Therapists
          Walking
          Motion Capture
          Plantarflexion
          Knee Joint Physiology
          Hip Joint Physiology
          Descriptive Statistics
          Adult
          Middle Age
          Aged
          Body Mass Index
          Data Analysis Software
          Paired T-Tests
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Background and objective: There is limited research on the use of ankle-foot orthosis (AFO) with dual-task training. The aim of the study was to assess impact of orthotic use during dual-task training in patients who have had a stroke during walking. Study Design: The quasi-experimental study Methods: Eleven hemiplegic people after stroke, aged 35–65 years, underwent gait training with dual task for 10 daily sessions over 4 weeks, guided by a physiotherapist while wearing an AFO. Gait was measured under 2 conditions—only dual-task walking and dual-task walking with the AFO—at baseline and after 4 weeks of training using a motion capture system. The gait parameters were compared before and after intervention in each condition and between 2 walking conditions after intervention using paired t test. Results: After 4-week intervention, there was no significant difference in any gait parameters between 2 walking conditions. In dual-task walking alone, several gait parameters were significantly increased compared to baseline, including peak ankle plantarflexion angle, peak knee flexion angle in loading response, peak knee extension moment in response loading, and peak hip flexion moment in preswing. In dual-task walking with AFO, peak knee flexion angle and peak knee and hip extension moments in loading response phase were significantly increased after intervention compared to baseline. Conclusions: Although the dual-task training has had a positive effect on some aspects of gait kinetics and kinematics in patients who have had a stroke, the AFO had no additional effect on dual-task walking.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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