Utility and effectiveness of ankle-foot orthoses in individuals with hemiparesis: a literature review on cerebral palsy and stroke

Background
Ankle-foot-orthoses (AFOs) are used on the lower limb in people with hemiplegia. They prevent deterioration and improve walking ability by limiting abnormal and unneeded movements.

Aim
The purpose of this study was to present the possibilities and attempt to evaluate the effectiveness of the use of AFO orthoses in patients with hemiparesis based on examples of cerebral palsy and stroke. In addition, to present the competence and authority of the master's and physiotherapy specialist to order orthopedic supplies for the lower limb.

Material and methods
The available literature was analyzed based on English-language databases PubMed, Scopus, ScienceDirect, Medline and others, using the Google Scholar search engine. There were 21 articles analyzed out of 70 retrieved by the above method. Publications no older than 14 years were used as search criteria using the following keywords: AFO, stroke, cerebral palsy, orthosis, orthopedic supplies, hemiparesis, medical device ordering.

Results
Contemporary studies indicate that properly selected and used AFO orthoses improve gait parameters and foot alignment. The use of different types of AFOs can affect outcomes. Custom-made AFOs can be ordered by a physiotherapy specialist, serial ones by master of physiotherapy. Conclusions: the use of AFO orthoses can effectively support the rehabilitation process in people with hemiparesis.