Use of stance control knee-ankle-foot orthoses: a review of the literature

Karyn Ross, Pamela McGeachan

Research output: Contribution to conferenceAbstract

Abstract

The use of stance control orthotic knee joints are becoming increasingly popular as unlike locked knee-ankle-foot orthoses, these joints allow the limb to swing freely in swing phase while providing stance phase stability, thus aiming to promote a more physiological and energy efficient gait.
It is of paramount importance that all aspects of this technology is monitored and evaluated as the demand for evidence based practice and cost effective rehabilitation increases.
A robust and thorough literature review was conducted to retrieve all articles which evaluated the use of stance control orthotic knee joints. All relevant databases were searched, including The Knowledge Network, ProQuest, Web of Knowledge, RECAL Legacy, PubMed and Engineering Village. Papers were selected for review if they addressed the use and effectiveness of commercially available stance control orthotic knee joints and included participant(s) trialling the SCKAFO. A total of 11 publications were reviewed and the following questions were developed and answered according to the best available evidence:
1. The effect SCKAFO (stance control knee-ankle-foot orthoses) systems have on kinetic and kinematic gait parameters
2. The effect SCKAFO systems have on the temporal and spatial parameters of gait
3. The effect SCKAFO systems have on the cardiopulmonary and metabolic cost of walking.
4. The effect SCKAFO systems have on muscle power/generation
5. Patient’s perceptions/ compliance of SCKAFO systems
Although current research is limited and lacks in methodological quality the evidence available does, on a whole, indicate a positive benefit in the use of SCKAFOs. This is with respect to increased knee flexion during swing phase resulting in sufficient ground clearance, decreased compensatory movements to facilitate swing phase clearance and improved temporal and spatial gait parameters. With the right methodological approach, the benefits of using a SCKAFO system can be evidenced and the research more effectively converted into clinical practice.
LanguageEnglish
Pages267-267
Number of pages1
Publication statusPublished - 2013
EventISPO 2013 World Congress - HICC, Hyderabad, India
Duration: 4 Feb 20137 Feb 2013
http://www.ispo2013.org/

Conference

ConferenceISPO 2013 World Congress
Abbreviated titleISPO2013
CountryIndia
CityHyderabad
Period4/02/137/02/13
OtherInclusion, Participation & Empowerment
Internet address

Fingerprint

Foot Orthoses
Ankle
Knee
Knee Joint
Gait
Foot Joints
Costs and Cost Analysis
Evidence-Based Practice
Research
Biomechanical Phenomena
PubMed
Compliance
Publications
Rehabilitation
Extremities
Databases
Technology

Keywords

  • stance control
  • knee
  • ankle
  • foot
  • orthoses
  • literature review

Cite this

Ross, K., & McGeachan, P. (2013). Use of stance control knee-ankle-foot orthoses: a review of the literature. 267-267. Abstract from ISPO 2013 World Congress, Hyderabad, India.
Ross, Karyn ; McGeachan, Pamela. / Use of stance control knee-ankle-foot orthoses : a review of the literature. Abstract from ISPO 2013 World Congress, Hyderabad, India.1 p.
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Ross, K & McGeachan, P 2013, 'Use of stance control knee-ankle-foot orthoses: a review of the literature' ISPO 2013 World Congress, Hyderabad, India, 4/02/13 - 7/02/13, pp. 267-267.

Use of stance control knee-ankle-foot orthoses : a review of the literature. / Ross, Karyn; McGeachan, Pamela.

2013. 267-267 Abstract from ISPO 2013 World Congress, Hyderabad, India.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - Use of stance control knee-ankle-foot orthoses

T2 - a review of the literature

AU - Ross, Karyn

AU - McGeachan, Pamela

PY - 2013

Y1 - 2013

N2 - The use of stance control orthotic knee joints are becoming increasingly popular as unlike locked knee-ankle-foot orthoses, these joints allow the limb to swing freely in swing phase while providing stance phase stability, thus aiming to promote a more physiological and energy efficient gait. It is of paramount importance that all aspects of this technology is monitored and evaluated as the demand for evidence based practice and cost effective rehabilitation increases. A robust and thorough literature review was conducted to retrieve all articles which evaluated the use of stance control orthotic knee joints. All relevant databases were searched, including The Knowledge Network, ProQuest, Web of Knowledge, RECAL Legacy, PubMed and Engineering Village. Papers were selected for review if they addressed the use and effectiveness of commercially available stance control orthotic knee joints and included participant(s) trialling the SCKAFO. A total of 11 publications were reviewed and the following questions were developed and answered according to the best available evidence: 1. The effect SCKAFO (stance control knee-ankle-foot orthoses) systems have on kinetic and kinematic gait parameters 2. The effect SCKAFO systems have on the temporal and spatial parameters of gait 3. The effect SCKAFO systems have on the cardiopulmonary and metabolic cost of walking. 4. The effect SCKAFO systems have on muscle power/generation 5. Patient’s perceptions/ compliance of SCKAFO systems Although current research is limited and lacks in methodological quality the evidence available does, on a whole, indicate a positive benefit in the use of SCKAFOs. This is with respect to increased knee flexion during swing phase resulting in sufficient ground clearance, decreased compensatory movements to facilitate swing phase clearance and improved temporal and spatial gait parameters. With the right methodological approach, the benefits of using a SCKAFO system can be evidenced and the research more effectively converted into clinical practice.

AB - The use of stance control orthotic knee joints are becoming increasingly popular as unlike locked knee-ankle-foot orthoses, these joints allow the limb to swing freely in swing phase while providing stance phase stability, thus aiming to promote a more physiological and energy efficient gait. It is of paramount importance that all aspects of this technology is monitored and evaluated as the demand for evidence based practice and cost effective rehabilitation increases. A robust and thorough literature review was conducted to retrieve all articles which evaluated the use of stance control orthotic knee joints. All relevant databases were searched, including The Knowledge Network, ProQuest, Web of Knowledge, RECAL Legacy, PubMed and Engineering Village. Papers were selected for review if they addressed the use and effectiveness of commercially available stance control orthotic knee joints and included participant(s) trialling the SCKAFO. A total of 11 publications were reviewed and the following questions were developed and answered according to the best available evidence: 1. The effect SCKAFO (stance control knee-ankle-foot orthoses) systems have on kinetic and kinematic gait parameters 2. The effect SCKAFO systems have on the temporal and spatial parameters of gait 3. The effect SCKAFO systems have on the cardiopulmonary and metabolic cost of walking. 4. The effect SCKAFO systems have on muscle power/generation 5. Patient’s perceptions/ compliance of SCKAFO systems Although current research is limited and lacks in methodological quality the evidence available does, on a whole, indicate a positive benefit in the use of SCKAFOs. This is with respect to increased knee flexion during swing phase resulting in sufficient ground clearance, decreased compensatory movements to facilitate swing phase clearance and improved temporal and spatial gait parameters. With the right methodological approach, the benefits of using a SCKAFO system can be evidenced and the research more effectively converted into clinical practice.

KW - stance control

KW - knee

KW - ankle

KW - foot

KW - orthoses

KW - literature review

UR - http://www.ispo2013.org/

M3 - Abstract

SP - 267

EP - 267

ER -

Ross K, McGeachan P. Use of stance control knee-ankle-foot orthoses: a review of the literature. 2013. Abstract from ISPO 2013 World Congress, Hyderabad, India.