Design differences, indications and selections reason of shoehorn ankle foot orthosis in recovery rehabilitation wards in Japan : A questionnaire survey

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  • わが国の回復期リハビリテーション病棟におけるシューホーンAFOのデザインの相違，適応，選定理由について
  • —アンケート調査より—

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Abstract

<p>Shoehorn ankle foot orthosis (AFO) is one of the AFOs frequently used after stroke events. Because of the high prescription rate, there is a possibility that designs may vary among hospitals. Differences in design would impact the functionality. We considered that it is meaningful to know the design and functionality as well as the trend of the views on indications and the reasons of selection of shoehorn AFO, and therefore conducted a nationwide survey. We targeted hospitals in Japan possessing recovery rehabilitation wards that have greater opportunities in prescribing the initial orthosis after the occurrence of stroke. A questionnaire was sent to 341 facilities, 110 of which responded. Statistical calculations and analyses were conducted on the data collected, with the following results. Other than typical shoehorn AFO, short type shoehorn AFO and articulated plastic AFO are also being used. In addition, 32 facilities reported that they were not using shoehorn AFO at the time of survey. Concerning design and functionality, many variations were found. Regarding the rationale of prescription and the reasons for selection, many cited that they selected the optimal shoehorn AFOs for the patients by considering various factors including the disease pathology, selection of indication, timing of prescription, and initial dorsiflexion angle.</p>

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