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The Effect of Ankle Foot Orthosis Use on the Running Speed in Post Stroke Patients: A Meta Analysis Fatati, Muhibbah; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol 5, No 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.623 KB)

Background: Stroke is a disease that occurs because blood flow to certain locations in the brain is disrupted. One of the main problems that occur in stroke sufferers is the disruption in the ability to walk, which will cause a decrease in the walking speed of post-stroke patients. One of the treatments used to increase the walking speed of post-stroke patients is to provide an ankle foot orthosis. The purpose of this study was to estimate the magnitude of the effect of using ankle foot orthosis on increasing walking speed of post-stroke patients by conducting a meta-analysis in the same articles.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, Google Scholar, using the search keywords "ankle foot orthosis" OR "AFO" AND "Stroke" OR "patient stroke" AND "walking speed" OR “Velocity” AND “randomized control trial”. The inclusion criteria used were full paper articles with a randomized controlled trial (RCT), the intervention given was the use of an ankle foot orthosis with a comparison without using an ankle foot orthosis. The research subjects were post-stroke patients of all ages. The study outcome was walking speed, and the article is one in a worldwide study whose research reports an effect size (with mean and standard deviations). Meta-analyzes were performed using RevMan 5 with fixed effect models.Results: Meta-analysis of 6 randomized controlled trial articles from the Netherlands, Turkey, India, United Kingdom, Paris, and Canada concluded that the use of 0.09 ankle foot orthosis was higher in increasing the walking speed of post-stroke patients than not using ankle foot orthosis (ES= 0.09; 95% CI= 0.16 to 0.35; p= 0.470). Heterogeneity I2= 19%.Conclusion: The use of ankle foot orthosis has an effect on increasing walking speed in post-stroke patients, but it is not statistically significant.Keywords: stroke, ankle foot orthosis, walking speedCorrespondence: Muhibbah Fatati. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: muhibbahfatati@gmail.com. Mobile: 089633466598.Journal of Epidemiology and Public Health (2020), 05(03): 320-328https://doi.org/10.26911/jepublichealth.2020.05.03.06.

The Effect of Long-Term Use of Custom Insole on Agility in Adult Flat Foot Case Setyawan, Dwi; Fatati, Muhibbah
Gaster Vol 22 No 2 (2024): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v22i2.1380

Background: Adult Flat foot is a condition in which the foot does not have the normal arch of the foot and occurs in adulthood. Someone who experiences flat feet will tend to decrease the quality of walking, including activities that require agility or agility. One of the treatments that can be given for flat foot cases is the provision of a custom insole in the form of medial arch support. Medial arch supports are designed to control the alignment and function of the foot and lower limbs and are used to limit movements such as overpronation. Objective: To decide the long-term impact of utilizing custom insoles on nimbleness in grown-up flat-foot cases. Method: The inquiry about the plan could be a quasi-experimental sort of investigation with a one-group pre and post-test. The research subjects were 18 students who experienced flat feet. Each investigated subject was given a custom insole mediation for six months and observed every two months. Information examination in this consideration utilised the Combined Tests T-test and the Wilcoxon test. Results: Statistically, there was a significant effect on the use of custom insole on agility as measured by the EST method (t = -3.05, p-value = 0.002), measured by the T-Test method (t = 5.91, p-value = 0.000), and measured by the IAT (z = -2.21, p-value = 0.016). Conclusions: The use of a custom insole affects increasing agility in flat foot conditions, so it is recommended to use a medial arch support in flat foot conditions.

Impact of Custom Foot Orthosis on Dynamic Balance in Sports Enthusiasts with Flat Feet Bahrunnajah, Anastya Yuridha; Fatati, Muhibbah; Anggriani, Atika Febri
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 2 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i2.1850

Background: Custom foot orthoses (CFOs) have been extensively studied for their effectiveness in redistributing plantar pressure, aligning foot structure, and enhancing stability in individuals with flatfoot (Desmyttere et al., 2019; Xu et al., 2020). Flatfoot, characterized by reduced or absent arches, often leads to overpronation and compromised musculoskeletal alignment, impacting dynamic balance and elevating injury risk during physical activity (Hawke et al., 2015). This study examines the impact of CFOs on dynamic balance specifically in sports-active individuals with flatfoot, where optimal balance is critical due to rapid directional changes and stability demands. By providing customized support, CFOs may serve as a practical intervention to improve stability and support safe sports participation. Methods: This quantitative, experimental study used a one-group pre-test and post-test design with purposive sampling. Twelve subjects participated, and dynamic balance was measured using the Modified Bass Dynamic Balance Test. Results: Statistical analysis with a paired-sample t-test yielded a p-value of 0.002, indicating a significant positive effect of CFOs on dynamic balance (p < 0.005). Conclusion: The findings indicate a positive effect of CFOs on dynamic balance in flatfoot individuals engaged in sports. It is recommended that individuals with flatfoot, particularly those involved in sports, consider CFOs to improve balance and reduce injury risk. Regular assessments by healthcare professionals may further optimize orthotic benefits for enhanced performance and stability.

The Effect of Ankle Foot Orthosis Use on the Running Speed in Post Stroke Patients: A Meta Analysis Fatati, Muhibbah; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Stroke is a disease that occurs because blood flow to certain locations in the brain is disrupted. One of the main problems that occur in stroke sufferers is the disruption in the ability to walk, which will cause a decrease in the walking speed of post-stroke patients. One of the treatments used to increase the walking speed of post-stroke patients is to provide an ankle foot orthosis. The purpose of this study was to estimate the magnitude of the effect of using ankle foot orthosis on increasing walking speed of post-stroke patients by conducting a meta-analysis in the same articles.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, Google Scholar, using the search keywords "ankle foot orthosis" OR "AFO" AND "Stroke" OR "patient stroke" AND "walking speed" OR

Quality of Life Among Diabetic Patients Using Transtibial Prostheses: A Descriptive Study Setyawan, Dwi; Fatati, Muhibbah
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1915

Background Diabetes mellitus (DM) is a chronic condition that increases the risk of foot infections, which may lead to gangrene and, in severe cases, lower limb amputation. Transtibial amputation is among the most common procedures, accounting for approximately 85–90% of all limb amputations. The use of a prosthesis is expected to enhance the quality of life (QoL) of post-amputation patients, yet outcomes may vary based on individual factors and causes of amputation. Objective This study aimed to assess the quality of life in patients with transtibial prostheses following amputation due to diabetes mellitus. Methods This descriptive study used observation sheets to evaluate prosthesis usage and the Prosthesis Evaluation Questionnaire (PEQ) to assess quality of life. Participants were transtibial prosthesis users with a history of amputation due to diabetes mellitus. Results Statistical analysis showed a p-value of 0.606 (p > 0.05), indicating no significant difference in quality of life between diabetic amputees and those amputated due to trauma. However, prosthesis use generally contributed to improved mobility and daily functioning. Conclusion While the cause of amputation (diabetes vs. trauma) did not significantly affect overall quality of life, the use of transtibial prostheses supports functional recovery in post-amputation patients. Further research is needed to explore other factors influencing quality of life outcomes in this population.

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