{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T19:13:36Z","timestamp":1780773216406,"version":"3.54.1"},"reference-count":77,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRM"],"abstract":"<jats:p>Objective: To compare the walking performances of hemiplegic subjects with chronic stroke under 3 conditions: with a new standard carbon fibre ankle foot orthosis (C-AFO), with a personal custom-made plastic AFO (P-AFO), and without any orthosis (No-AFO).\nDesign: Randomized, controlled crossover design.\nPatients: Fifteen chronic patients with stroke (3 women\u00a0 and 12 men, 59 [10] years, 13 [15] years since injury).\nMethods: Patients performed 3 randomized sessions (with C-AFO, P-AFO, no-AFO), consisting of a 6-min walk test (6MWT) with VO2 measurement and a clinical gait analysis. Energy cost (Cw), walking speed, spatio-temporal, kinetic, and kinematic variables were measured.\nResults: No significant differences were found between the C-AFO and P-AFO conditions. Distance and walking speed in the 6MWT increased by 12% and 10% (p\u2009&lt;\u20090.001) and stride width decreased by -8.7% and -13% (p\u2009&lt;\u20090.0001) with P-AFO and C-AFO compared with the No-AFO condition. Cw decreased by 15% (p\u2009&lt;\u20090.002), stride length increased by 10% (p\u2009&lt;\u20090.01), step length on affected leg increased by 8% (p\u2009&lt;\u20090.01), step length on contralateral leg by 13% (p\u2009&lt;\u20090.01), and swing time on the contralateral leg increased by 6% (p\u2009&lt;\u20090.01) with both AFO compared with the No-AFO condition.\nConclusion: The use of an off-the-shelf composite AFO (after a short habituation period) in patients with chronic stroke immediately improved energy cost and gait outcomes to the same extent as their usual custom-made AFO.<\/jats:p>","DOI":"10.2340\/jrm.v56.35213","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T07:46:48Z","timestamp":1724399208000},"page":"jrm35213","source":"Crossref","is-referenced-by-count":2,"title":["Effects of carbon versus plastic ankle foot orthoses on gait outcomes and energy cost in patients with chronic stroke"],"prefix":"10.2340","volume":"56","author":[{"given":"Diana","family":"Rimaud","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolphe","family":"Testa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume Y.","family":"Millet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Calmels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2024,8,23]]},"reference":[{"key":"72353","unstructured":"Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. 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