{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:01:58Z","timestamp":1786989718116,"version":"build-2736575974"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"am","delay-in-days":274,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UM1TR004403"],"award-info":[{"award-number":["UM1TR004403"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"US Department of Defense","doi-asserted-by":"publisher","award":["W81XWH-18\\u20131\\u20130658"],"award-info":[{"award-number":["W81XWH-18\\u20131\\u20130658"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gait &amp; Posture"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.gaitpost.2025.05.009","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T12:03:13Z","timestamp":1748260993000},"page":"182-189","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Effects of carbon fiber custom dynamic orthosis stiffness on lower limb motion and loading during gait: A pilot study"],"prefix":"10.1016","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4282-5038","authenticated-orcid":false,"given":"Kirsten M.","family":"Anderson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesley J.","family":"Gari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara M.","family":"Magdziarz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly S.","family":"Pacha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald D.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason M.","family":"Wilken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.gaitpost.2025.05.009_bib1","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0000000000000799","article-title":"Outcomes after severe distal tibia, ankle, and\/or foot trauma: comparison of limb salvage versus transtibial amputation (OUTLET)","volume":"31","author":"Bosse","year":"2017","journal-title":"J. Orthop. Trauma"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.2106\/JBJS.K.00734","article-title":"The military extremity trauma amputation\/limb salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma","volume":"95","author":"Doukas","year":"2013","journal-title":"J. Bone Jt. Surg. Am."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib3","doi-asserted-by":"crossref","first-page":"S205","DOI":"10.5435\/00124635-200600001-00044","article-title":"Factors influencing outcome following limb-threatening lower limb trauma: lessons learned from the lower extremity assessment project (LEAP)","volume":"14","author":"MacKenzie","year":"2006","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib4","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.apmr.2021.07.805","article-title":"Effect of severe distal tibia, ankle, and mid- to hindfoot trauma on meeting physical activity guidelines 18 months after injury","volume":"103","author":"McLaughlin","year":"2022","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib5","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1093\/gerona\/glv067","article-title":"Associations of region-specific foot pain and foot biomechanics: the framingham foot study","volume":"70","author":"Riskowski","year":"2015","journal-title":"J. Gerontol.: Ser. A"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinbiomech.2021.105281","article-title":"Impact of a dynamic ankle orthosis on acute pain and function in patients with mechanical foot and ankle pain","volume":"83","author":"Chung","year":"2021","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib7","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.pain.2006.04.020","article-title":"Prevalence of chronic pain seven years following limb threatening lower extremity trauma","volume":"124","author":"Castillo","year":"2006","journal-title":"Pain"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib8","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1002\/jor.23462","article-title":"Post-traumatic osteoarthritis of the ankle: a distinct clinical entity requiring new research approaches","volume":"35","author":"Delco","year":"2017","journal-title":"J. Orthop. Res"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.5435\/00124635-200803000-00006","article-title":"Shoe modification and the use of orthoses in the treatment of foot and ankle pathology","volume":"16","author":"Janisse","year":"2008","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib10","first-page":"46","article-title":"Clinical applications of the veterans administration prosthetics center patellartendon-bearing brace","volume":"15","author":"Kay","year":"1971","journal-title":"Artif. Limbs"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib11","first-page":"81","article-title":"A below-knee weight bearing brace","volume":"12","author":"Mcllmurray","year":"1958","journal-title":"Orthop. Prosth Appl. J."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib12","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1177\/107110079701801210","article-title":"The mechanism of plantar unloading in total contact casts: implications for design and clinical use","volume":"18","author":"Shaw","year":"1997","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib13","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1177\/107110070202300408","article-title":"Patellar tendon-bearing, patten-bottom caliper suspension orthosis in active charcot arthropathy: crutch-free ambulation with no weight bearing in the foot","volume":"23","author":"Trepman","year":"2002","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib14","doi-asserted-by":"crossref","DOI":"10.1177\/24730114231157734","article-title":"Passive dynamic ankle foot orthoses use in civilian patients with arthritic conditions of the foot and ankle","volume":"8","author":"Feng","year":"2023","journal-title":"Foot Ankle Orthop."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib15","unstructured":"Grunst M.M., Wiederien R.C. and Wilken J.M. Carbon fiber ankle-foot orthoses in impaired populations: A systematic review. Prosthetics and Orthotics International 9900."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib16","doi-asserted-by":"crossref","DOI":"10.1093\/ptj\/pzab028","article-title":"Custom dynamic orthoses and physical therapist intervention for bilateral midfoot amputation: a case report","volume":"101","author":"Anderson","year":"2021","journal-title":"Phys. Ther."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib17","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/j.clinbiomech.2014.07.005","article-title":"The influence of ankle-foot orthosis stiffness on walking performance in individuals with lower-limb impairments","volume":"29","author":"Harper","year":"2014","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib18","doi-asserted-by":"crossref","first-page":"3026","DOI":"10.1007\/s11999-014-3661-3","article-title":"How does ankle-foot orthosis stiffness affect gait in patients with lower limb salvage?","volume":"472","author":"Russell Esposito","year":"2014","journal-title":"Clin. Orthop. Relat. Res."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib19","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/0309364617728116","article-title":"Effects of altering heel wedge properties on gait with the intrepid dynamic exoskeletal orthosis","volume":"42","author":"Ikeda","year":"2018","journal-title":"Prosthet. Orthot. Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib20","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1177\/0309364620971407","article-title":"The effect of custom carbon ankle-foot orthosis alignment on roll-over shape and center of pressure velocity","volume":"45","author":"Russell Esposito","year":"2021","journal-title":"Prosthet. Orthot. Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib21","doi-asserted-by":"crossref","DOI":"10.1097\/JPO.0000000000000281","article-title":"Plantar pressure changes with use of an intrepid dynamic exoskeletal orthosis","volume":"32","author":"Stewart","year":"2020","journal-title":"JPO J. Prosthet. Orthot."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib22","doi-asserted-by":"crossref","first-page":"20240604","DOI":"10.1016\/j.clinbiomech.2024.106284","article-title":"The effect of carbon fiber custom dynamic orthosis use and design on center of pressure progression and perceived smoothness in individuals with lower limb trauma","volume":"117","author":"Sharma","year":"2024","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib23","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.gaitpost.2024.12.024","article-title":"The effect of carbon fiber custom dynamic orthosis type on kinematics and kinetics of lower extremity joints in individuals with lower limb traumatic injuries","volume":"117","author":"Sharma","year":"2025","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib24","first-page":"S120","article-title":"Return to running and sports participation after limb salvage","volume":"71","author":"Owens","year":"2011","journal-title":"J. Trauma"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib25","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.gaitpost.2017.02.016","article-title":"Gait biomechanics following lower extremity trauma: amputation vs. reconstruction","volume":"54","author":"Russell Esposito","year":"2017","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.gaitpost.2024.04.032","article-title":"Foot offloading associated with carbon fiber orthosis use: a pilot study","author":"Anderson","year":"2024","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib27","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.gaitpost.2019.01.020","article-title":"The impact of ankle-foot orthosis stiffness on gait: a systematic literature review","volume":"69","author":"Totah","year":"2019","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib28","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.gaitpost.2016.07.075","article-title":"Reliability of 3D gait data across multiple laboratories","volume":"49","author":"Kaufman","year":"2016","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib29","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.gaitpost.2011.09.105","article-title":"Reliability and minimal detectible change values for gait kinematics and kinetics in healthy adults","volume":"35","author":"Wilken","year":"2012","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib30","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.gaitpost.2004.01.011","article-title":"Froude and the contribution of naval architecture to our understanding of bipedal locomotion","volume":"21","author":"Vaughan","year":"2005","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib31","doi-asserted-by":"crossref","first-page":"20190111","DOI":"10.3390\/s19020265","article-title":"The reliability and validity of the loadsol(\u00ae) under various walking and running conditions","volume":"19","author":"Renner","year":"2019","journal-title":"Sensors"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib32","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1080\/02640414.2018.1545515","article-title":"Validation of a wireless shoe insole for ground reaction force measurement","volume":"37","author":"Burns","year":"2019","journal-title":"J. Sports Sci."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib33","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1080\/17461391.2018.1477993","article-title":"Accuracy and precision of loadsol\u00ae insole force-sensors for the quantification of ground reaction force-based biomechanical running parameters","volume":"18","author":"Seiberl","year":"2018","journal-title":"Eur. J. Sport Sci."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib34","series-title":"Statistical Power Analysis for the Behavioral Sciences","author":"J C","year":"1988"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib35","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1177\/1071100716660821","article-title":"Effect of custom orthosis and rehabilitation program on outcomes following ankle and subtalar fusions","volume":"37","author":"Sheean","year":"2016","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib36","doi-asserted-by":"crossref","first-page":"69","DOI":"10.7205\/MILMED-D-16-00280","article-title":"Outcomes associated with the intrepid dynamic exoskeletal orthosis (IDEO): a systematic review of the literature","volume":"181","author":"Highsmith","year":"2016","journal-title":"Mil. Med."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib37","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0000000000000795","article-title":"Patient response to an integrated orthotic and rehabilitation initiative for traumatic injuries: the PRIORITI-MTF study","volume":"31","author":"Hsu","year":"2017","journal-title":"J. Orthop. Trauma"},{"key":"10.1016\/j.gaitpost.2025.05.009_bib38","doi-asserted-by":"crossref","DOI":"10.1097\/PXR.0000000000000252","article-title":"Short-term effect of a carbon fiber custom dynamic orthosis and integrated rehabilitation on self-reported physical function, pain, speed, and agility in civilians","volume":"47","author":"Williamson","year":"2023","journal-title":"Prosthet. Orthot. Int."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib39","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1186\/s12984-019-0600-2","article-title":"Modifying ankle foot orthosis stiffness in patients with calf muscle weakness: gait responses on group and individual level","volume":"16","author":"Waterval","year":"2019","journal-title":"J. Neuroeng. Rehabil."},{"key":"10.1016\/j.gaitpost.2025.05.009_bib40","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.clinbiomech.2011.05.007","article-title":"The effect of ankle foot orthosis stiffness on the energy cost of walking: a simulation study","volume":"26","author":"Bregman","year":"2011","journal-title":"Clin. Biomech."}],"container-title":["Gait &amp; Posture"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636225002218?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636225002218?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T20:39:58Z","timestamp":1778791198000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0966636225002218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":40,"alternative-id":["S0966636225002218"],"URL":"https:\/\/doi.org\/10.1016\/j.gaitpost.2025.05.009","relation":{},"ISSN":["0966-6362"],"issn-type":[{"value":"0966-6362","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of carbon fiber custom dynamic orthosis stiffness on lower limb motion and loading during gait: A pilot study","name":"articletitle","label":"Article Title"},{"value":"Gait & Posture","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gaitpost.2025.05.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}