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Effects of Ankle–Foot Orthoses on Functional Recovery after Stroke: A Propensity Score Analysis Based on Japan Rehabilitation Database

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  • Ryo Momosaki
  • Masahiro Abo
  • Shu Watanabe
  • Wataru Kakuda
  • Naoki Yamada
  • Shoji Kinoshita

Abstract

Objectives: The purpose of the present study was to investigate potential effects of ankle–foot orthoses (AFOs) on the functional recovery of post-acute stroke patients following rehabilitation. Subjects and Methods: This study is a retrospective cohort study. Participants were in-hospital stroke patients registered in the Japan Rehabilitation Database between 2005 and 2012. A total of 1862 patients were eligible after applying exclusion criteria. Propensity score analysis was applied to adjust for potential bias and to create two comparable groups. An additional subset analysis focused on Functional Independence Measure (FIM) scores on admission. Results: In this sample, 30.7% of 1863 eligible patients were prescribed AFOs. Propensity score matched analysis showed that patients with AFOs had significantly higher scores than those without them for discharge FIM (mean: 91.3 vs 85.8; p=0.02), FIM gain (mean: 28.9 vs 23.5; p

Suggested Citation

  • Ryo Momosaki & Masahiro Abo & Shu Watanabe & Wataru Kakuda & Naoki Yamada & Shoji Kinoshita, 2015. "Effects of Ankle–Foot Orthoses on Functional Recovery after Stroke: A Propensity Score Analysis Based on Japan Rehabilitation Database," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-10, April.
    • Handle: RePEc:plo:pone00:0122688
    DOI: 10.1371/journal.pone.0122688
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