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Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease

BACKGROUND: Peripheral artery disease (PAD) is a cardiovascular disease that affects walking ability. An ankle foot orthosis (AFO) may improve walking distances in those with PAD. Little research has explored if those with PAD wear a prescribed AFO and their perceptions of wearing the device. OBJECT...

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Autores principales: Dinkel, Danae, Hassan, Mahdi, Rech, John P., DeSpiegelaere, Holly, Johanning, Jason, Pipinos, Iraklis, Myers, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617808/
https://www.ncbi.nlm.nih.gov/pubmed/35488854
http://dx.doi.org/10.1002/pmrj.12829
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author Dinkel, Danae
Hassan, Mahdi
Rech, John P.
DeSpiegelaere, Holly
Johanning, Jason
Pipinos, Iraklis
Myers, Sara
author_facet Dinkel, Danae
Hassan, Mahdi
Rech, John P.
DeSpiegelaere, Holly
Johanning, Jason
Pipinos, Iraklis
Myers, Sara
author_sort Dinkel, Danae
collection PubMed
description BACKGROUND: Peripheral artery disease (PAD) is a cardiovascular disease that affects walking ability. An ankle foot orthosis (AFO) may improve walking distances in those with PAD. Little research has explored if those with PAD wear a prescribed AFO and their perceptions of wearing the device. OBJECTIVE: To assess wear time of an AFO and explore perceptions of wearing the device in patients with PAD. DESIGN: Convergent mixed methods. SETTING: The study was conducted through a tertiary care medical center, and the research participants used the device in the community. PARTICIPANTS: Thirty-six patients, all older adult males, were enrolled in this study. Fourteen patients completed the study and 11 supplied sufficient accelerometer data to include in the analysis. INTERVENTIONS: An AFO was worn for 3 months. An accelerometer was placed on the AFO for 7 days at the midpoint (1.5 months) and endpoint of the intervention (3 months) to assess wear time. Semi-structured interviews explored patients’ perceptions of wearing the AFO. MAIN OUTCOME MEASURE: The primary outcome measure was wear time measured objectively via accelerometer and subjectively via interview. RESULTS: Patients (n = 14) wore the AFO approximately 8 hours/day. Patients reported barriers such as challenges wearing the AFO during daily household activities (using stairs, being on uneven terrain), discomfort, clothing or footwear issues, and driving challenges. Positive effects of wearing the AFO were also reported, primarily the ability to walk further. CONCLUSIONS: An AFO may be an acceptable therapeutic intervention to improve perceived walking performance in older adult males with PAD. Addressing participants’ perceptions of the AFO and barriers to wear are essential to increasing the positive effect the device has on participants’ ambulatory activity.
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spelling pubmed-96178082023-04-22 Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease Dinkel, Danae Hassan, Mahdi Rech, John P. DeSpiegelaere, Holly Johanning, Jason Pipinos, Iraklis Myers, Sara PM R Article BACKGROUND: Peripheral artery disease (PAD) is a cardiovascular disease that affects walking ability. An ankle foot orthosis (AFO) may improve walking distances in those with PAD. Little research has explored if those with PAD wear a prescribed AFO and their perceptions of wearing the device. OBJECTIVE: To assess wear time of an AFO and explore perceptions of wearing the device in patients with PAD. DESIGN: Convergent mixed methods. SETTING: The study was conducted through a tertiary care medical center, and the research participants used the device in the community. PARTICIPANTS: Thirty-six patients, all older adult males, were enrolled in this study. Fourteen patients completed the study and 11 supplied sufficient accelerometer data to include in the analysis. INTERVENTIONS: An AFO was worn for 3 months. An accelerometer was placed on the AFO for 7 days at the midpoint (1.5 months) and endpoint of the intervention (3 months) to assess wear time. Semi-structured interviews explored patients’ perceptions of wearing the AFO. MAIN OUTCOME MEASURE: The primary outcome measure was wear time measured objectively via accelerometer and subjectively via interview. RESULTS: Patients (n = 14) wore the AFO approximately 8 hours/day. Patients reported barriers such as challenges wearing the AFO during daily household activities (using stairs, being on uneven terrain), discomfort, clothing or footwear issues, and driving challenges. Positive effects of wearing the AFO were also reported, primarily the ability to walk further. CONCLUSIONS: An AFO may be an acceptable therapeutic intervention to improve perceived walking performance in older adult males with PAD. Addressing participants’ perceptions of the AFO and barriers to wear are essential to increasing the positive effect the device has on participants’ ambulatory activity. 2023-04 2022-08-10 /pmc/articles/PMC9617808/ /pubmed/35488854 http://dx.doi.org/10.1002/pmrj.12829 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Dinkel, Danae
Hassan, Mahdi
Rech, John P.
DeSpiegelaere, Holly
Johanning, Jason
Pipinos, Iraklis
Myers, Sara
Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title_full Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title_fullStr Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title_full_unstemmed Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title_short Assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
title_sort assessing wear time and perceptions of wearing an ankle foot orthosis in patients with peripheral artery disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617808/
https://www.ncbi.nlm.nih.gov/pubmed/35488854
http://dx.doi.org/10.1002/pmrj.12829
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