Northwestern University Feinberg School of Medicine

Northwestern University Prosthetics-Orthotics Center

An Investigation of Foot Alignment and Support in Ankle Foot Orthoses (AFOs)

Principal Investigators: Steven Gard, PhD, and Dudley Childress, PhD

Stefania Fatone, PhD, Project Director

Co-Investigators: Andrew Hansen, PhD, and Rebecca Stine, MS, Northwestern University; Bryan Malas, CO, MHPE, Department of Orthotics, Children's Memorial Hospital

Funded by: Veterans Administration Office of Research and Development (R&D), Rehabilitation R&D Service, Merit Review Grant A26761

Status: Completed

Purpose

The purpose of this study was to investigate the effect on gait of AFO ankle alignment and foot-plate length in people with hemiplegia following stroke.

Results

This project has been completed. The results of this project are presented in each of the following publications:

Fatone S, Gard S and Malas B. (in press) Effect of Ankle Foot Orthosis Alignment and Foot-Plate Length on Knee Kinematics and Kinetics in People with Hemiplegia. Archives of Physical Medicine and Rehabilitation, 90(5):810-818.

Fatone S and Hansen A. (2007) Effect of an Ankle Foot Orthosis on Roll-over Shape in Adults with Hemiplegia. Journal of Rehabilitation Research & Development, 44(1):11-20.

Fatone S, Gard S and Malas B. (2007) Effect of AFO Alignment on Plantar Pressures During Walking in Adults With Hemiplegia. 12th World Congress of the International Society for Prosthetics and Orthotics, July 29 to August 30, Vancouver, BC, Canada.

Fatone S, Gard S and Malas B. (2007) Effect of Ankle Foot Orthosis (AFO) foot plate length on plantar pressures in adults with hemiplegia. Annual Meeting and Scientific Symposium of the American Academy of Orthotists and Prosthetists, March 21-24, San Francisco, California.

Related Publications

Fatone S. (2009) Functional Evaluation of Ankle Foot Orthoses in Adults with Post-Stroke Hemiplegia. Invited Speaker, ISPO Canada Symposium "Prosthetics and Orthotics Care for People with Diabetes," October 22-24, Toronto, Ontario, Canada.

Fatone S. (2008) Functional Evaluation of Ankle Foot Orthoses in Adults with Post-Stroke Hemiplegia. Invited Speaker, Current Clinical Concepts in Orthotic & Prosthetic Rehabilitation, sponsored by the VHA O&P Education Committee as an extension of the O&P Strategic Planning, VA Prosthetic and Clinical Logistics (Central Office), February 6-8, Long Beach, CA.

Fatone S and Hansen A. (2007) Effect of an Ankle Foot Orthosis on Roll-over Shape in Adults with Hemiplegia following Stroke. Invited Speaker, 16th Annual Visiting Professor Symposium, Motion Analysis Center, Children's Memorial Hospital, November 9, Chicago, IL.

Fatone S. (2007) Effect of Ankle Foot Orthosis Alignment and Foot-Plate Length on the Gait of Adults with Hemiplegia. Invited Speaker, American Academy of Orthotists and Prosthetists Midwest Chapter Fall Meeting, November 3, Hickory Hills, IL.

Fatone S. (2007) Functional Evaluation of Ankle Foot Orthoses in Adults with Post-Stroke Hemiplegia. Invited Speaker, Bio-Interest Group (BIG) seminar series, Department of Mechanical Science and Engineering, University of Illinois at Urbana-Champaign, October 15, Urbana-Champaign, IL.

Fatone S, Gard S and Malas B. (2007) Effect of AFO Alignment on Plantar Pressures During Walking in Adults With Hemiplegia. 12th World Congress of the International Society for Prosthetics and Orthotics, July 29 to August 30, Vancouver, BC, Canada.

Fatone S, Gard S and Malas B. (2007) Effect of Ankle Foot Orthosis (AFO) foot plate length on plantar pressures in adults with hemiplegia. Annual Meeting and Scientific Symposium of the American Academy of Orthotists and Prosthetists, March 21-24, San Francisco, California.

Fatone S and Hansen A. (2006) Effect of Ankle Foot Orthosis on Roll-over Shape in People with Hemiplegia. Annual Meeting and Scientific Symposium of the American Academy of Orthotists and Prosthetists, March 1-4, Chicago, Illinois. (Recipient, Howard R. Thranhardt Lecture Award).

Fatone, S, Hansen, AH, Gard, SA and Malas, BS. (2005) Effects on Gait of Ankle Alignment and Foot-Plate Length in Ankle Foot Orthoses (AFOs). American Academy of Orthotists and Prosthetists, Annual Meeting, March 16-19, Orlando, Florida.

Fatone S. (2005) AFO study draws to a close: An investigation of the effect on gait of ankle alignment and foot-plate length. Capabilities, 13(1):6-12. Northwestern University, Chicago, IL, USA.

Fatone S. (2004) Effects on Gait of Ankle Alignment and Foot-Plate Length in Ankle Foot Orthoses. Guest Speaker, American Prosthetics and Orthotics Inc. Fall Scientific Meeting, October 23, Des Moines, Iowa.

Fatone S, Hansen AH, Gard SA and Malas BS. (2004) The Effect of Ankle Foot Orthosis Alignment on the Knee During Gait in Post-Stroke Hemiplegia. International Society for Prosthetics and Orthotics, 11th World Congress, August 1-6, Wanchai, Hong Kong, China.

Fatone S, Hansen AH, Gard SA and Malas BS. (2004) An Investigation of Alignment and Support in Ankle Foot Orthoses (AFOs). Invited Speaker, American Academy of Orthotists and Prosthetists, Midwest Chapter Spring Meeting, June 3-5, Milwaukee, Wisconsin, USA.

Fatone S, Gard SA, Childress DS and Malas B. (2004) An Investigation of Foot Alignment and Support in Ankle Foot Orthoses (AFOs). Gait and Clinical Movement Analysis Society, 9th Annual Meeting, April 21-24, Lexington, Kentucky, USA.

Fatone S, Gard SA, Childress DS and Malas B. (2003) An Investigation of Foot Alignment and Support in Ankle Foot Orthoses (AFOs). Children's Memorial Hospital Visiting Professor Symposium, November 7, Chicago, Illinois, USA.

Fatone S, Gard SA, Childress DS and Malas B. (2003) An Investigation of Foot Alignment and Support in Ankle Foot Orthoses (AFOs). American Congress of Rehabilitation Medicine, October 23-26, Tucson, Arizona, USA. Archives of Physical Medicine and Rehabilitation, 84(10):A1-A12. and Neurorehabilitation and Neural Repair, 17(4).

Fatone S. (2003) Research Projects Place New Emphasis on Orthotics. Capabilities, 11(4):12-13. Northwestern University, Chicago, IL, USA.

Fatone S, Gard SA, Childress DS and Malas BS. (2002) An Investigation of Foot Alignment and Support in Ankle Foot Orthoses (AFOs). Third VA Rehabilitation Research and Development National Meeting, February 10-12, Arlington, Virginia, USA (poster).

Fatone S, Malas B and Gard S. (2001) NUPRL & RERP Launches New Orthotic Research. Capabilities, 10(4):1-3,9,11. Northwestern University, Chicago, IL, USA.