%0 Journal Article
%T Bespoke versus off
%A Andy Vail
%A Kate Woodward-Nutt
%A Nessa Thomas
%A Pippa J Tyrrell
%A Sarah F Tyson
%A Sarah Plant
%J Clinical Rehabilitation
%@ 1477-0873
%D 2018
%R 10.1177/0269215517728764
%X The aim of the study was to compare the effect of two designs of ankle-foot orthosis on people with stroke. The study design was an assessor-blind, multicentre randomized controlled trial. The setting was community stroke services. A total of 139 community-dwelling stroke survivors with limited mobility were recruited. The two most commonly used types of ankle-foot orthosis (bespoke and off-the-shelf) were chosen. The main measures of the study were as follows: short- (6£¿weeks) and long-term (12£¿weeks) effects on stroke survivors¡¯ satisfaction; adverse events; mobility (Walking Handicap Scale); fear of falling (Falls Efficacy Scale¨CInternational (FES-I)) and walking impairments (gait speed and step length using the 5-m walk test). Long-term satisfaction was non-significantly higher in the off-the-shelf group: 72% versus 64%; OR (95% CI)£¿=£¿0.64 (0.31 to 1.3); P£¿=£¿0.21. No statistically significant differences were found between the orthoses except that the off-the-shelf group had less fear of falling at short-term follow-up than the bespoke group: mean difference (95% CI)£¿=£¿£¿4.6 (£¿7.6 to £¿1.6) points on the FES-I; P£¿=£¿0.003. No differences between off-the-shelf and bespoke ankle-foot orthoses were found except that participants in the off-the-shelf orthosis group had less fear of falling at short-term follow-up
%K Ankle-foot orthosis
%K AFO
%K orthosis
%K stroke
%K gait
%K mobility
%K randomized controlled trial
%U https://journals.sagepub.com/doi/full/10.1177/0269215517728764