PDF(Pubmed)
Abstract：
BACKGROUND: Balance impairment is a contributing factor to falls. Falls are a leading cause of injury and death in older adults. An ankle-foot orthosis (AFO) is a device that can be prescribed as an intervention to help individuals with compromised balance to ambulate safely.
OBJECTIVE: The purpose of this review was to investigate the role ankle-foot orthoses have in affecting balance in community-dwelling older adults.
METHODS: A scoping review was conducted searching MEDLINE, CINAHL, EMBASE, and REHABDATA databases to obtain the appropriate literature to meet the following criteria: 1) quantitative research design; 2) studies with participants over age 65; 3) studies with participants with drop-foot or sensory deficits in the lower extremity; 4) the treatment intervention was unilateral or bilateral AFOs; 5) the outcome measure was balance or stability. The retrieved articles were assessed based on the internal validity, external validity, objectivity, and reliability of the study design and the interpretation of results.
RESULTS: 11 articles were identified that met the inclusion criteria. Four major themes emerged in the analysis about the impact that ankle-foot orthoses have on balance in older adults: (1) AFOs improved lateral stability, (2) AFOs improved balance under static conditions, (3) AFOs provided a reduction in postural sway and (4) AFOs increased walking speed in community-dwelling older adults.
CONCLUSIONS: The evidence from the findings of the review indicate that ankle-foot orthoses have a generally positive affect on balance in older adults. Clinicians can consider the ankle-foot orthosis an effective intervention that can improve balance in some older adult patient populations.
OBJECTIVE: The purpose of this review was to investigate the role ankle-foot orthoses have in affecting balance in community-dwelling older adults.
METHODS: A scoping review was conducted searching MEDLINE, CINAHL, EMBASE, and REHABDATA databases to obtain the appropriate literature to meet the following criteria: 1) quantitative research design; 2) studies with participants over age 65; 3) studies with participants with drop-foot or sensory deficits in the lower extremity; 4) the treatment intervention was unilateral or bilateral AFOs; 5) the outcome measure was balance or stability. The retrieved articles were assessed based on the internal validity, external validity, objectivity, and reliability of the study design and the interpretation of results.
RESULTS: 11 articles were identified that met the inclusion criteria. Four major themes emerged in the analysis about the impact that ankle-foot orthoses have on balance in older adults: (1) AFOs improved lateral stability, (2) AFOs improved balance under static conditions, (3) AFOs provided a reduction in postural sway and (4) AFOs increased walking speed in community-dwelling older adults.
CONCLUSIONS: The evidence from the findings of the review indicate that ankle-foot orthoses have a generally positive affect on balance in older adults. Clinicians can consider the ankle-foot orthosis an effective intervention that can improve balance in some older adult patient populations.
摘要：
背景：余额受损是导致下降的一个因素。跌倒是老年人受伤和死亡的主要原因。踝足矫形器（AFO）是一种可以作为干预措施的设备，可以帮助平衡受损的个人安全地走动。
目的：本综述的目的是探讨踝足矫形器对社区居住老年人平衡的影响。
方法：搜索MEDLINE，CINAHL,EMBASE,和REHABDATA数据库,以获得满足以下标准的适当文献:1)定量研究设计;2)对65岁以上参与者的研究;3)对下肢足下垂或感觉缺陷参与者的研究;4)治疗干预为单侧或双侧AFO;5)结果测量为平衡或稳定性。检索到的文章是根据内部效度进行评估的，外部有效性，客观性,研究设计和结果解释的可靠性。
结果：确定了11篇符合纳入标准的文章。关于踝足矫形器对老年人平衡的影响的分析中出现了四个主要主题：（1）AFO改善了侧向稳定性，（2）在静态条件下，AFO改善了平衡，（3）AFO减少了姿势摇摆，（4）AFO增加了社区居住的老年人的步行速度。
结论：该综述结果的证据表明，踝足矫形器对老年人的平衡具有普遍的积极影响。临床医生可以认为踝足矫形器是一种有效的干预措施，可以改善一些老年患者人群的平衡。
目的：本综述的目的是探讨踝足矫形器对社区居住老年人平衡的影响。
方法：搜索MEDLINE，CINAHL,EMBASE,和REHABDATA数据库,以获得满足以下标准的适当文献:1)定量研究设计;2)对65岁以上参与者的研究;3)对下肢足下垂或感觉缺陷参与者的研究;4)治疗干预为单侧或双侧AFO;5)结果测量为平衡或稳定性。检索到的文章是根据内部效度进行评估的，外部有效性，客观性,研究设计和结果解释的可靠性。
结果：确定了11篇符合纳入标准的文章。关于踝足矫形器对老年人平衡的影响的分析中出现了四个主要主题：（1）AFO改善了侧向稳定性，（2）在静态条件下，AFO改善了平衡，（3）AFO减少了姿势摇摆，（4）AFO增加了社区居住的老年人的步行速度。
结论：该综述结果的证据表明，踝足矫形器对老年人的平衡具有普遍的积极影响。临床医生可以认为踝足矫形器是一种有效的干预措施，可以改善一些老年患者人群的平衡。
