Three Months of Wearing an Ankle Foot Orthosis Improves the Spatiotemporal Gait Characteristics in Patients With Peripheral Artery Disease.

Abstract

Patients with peripheral artery disease (PAD) often experience leg muscle damage, leading to noticeable walking difficulties. Using ankle foot orthosis (AFO) may enhance gait by supporting weak muscles. This study examined whether wearing AFOs improved the spatiotemporal gait characteristics of patients with PAD to be closer to those of healthy individuals, both from its first use and after a 3-month intervention. Spatiotemporal parameters were calculated from the kinematics of 26 patients with PAD captured in a biomechanics lab. Subjects walked with and without AFOs before and following a 3-month AFO intervention on a crossover basis. The immediate intervention group wore AFOs for 3 months (intervention) before switching to their control shoes (control), while the delayed intervention group followed the reverse sequence. Means and standard deviations (variability) for step width, length, time, and velocity were compared using separate linear repeated measures models. The models included group (immediate vs delayed intervention), time (before vs after intervention or baseline vs 3 mo), and condition (non-AFO vs AFO) as factors of comparison, in addition to interactions, if significant. A 3-month AFO intervention enhanced the temporal gait parameters and reduced gait variability. The mean and variability of temporal gait parameters were sensitive enough to determine whether patients walked more like healthy individuals after a 3-month AFO intervention. This may decrease fall risk and promote more efficient walking patterns in patients with PAD. The long-term benefits and adherence to AFOs and other assistive devices need further study.