Prosthetics and Orthotics International最新文献

{"title":"Translation, cultural adaptation to Brazilian Portuguese, and validation of the Prosthetic Limb Users Survey of Mobility.","authors":"Milena Zavatini Secco, Larissa Lavoura Balbi, Beatriz Bregantin Pinheiro, Maira Stéfanie de Castro Pereira, Ana Regina Bavaresco Barros, Marisa de Cássia Registro Fonseca","doi":"10.1097/PXR.0000000000000414","DOIUrl":"10.1097/PXR.0000000000000414","url":null,"abstract":"<p><strong>Background: </strong>Several outcome measures can be performed to assess and quantify mobility after a lower limb amputation. The Prosthetic Limb Users Survey of Mobility (PLUS-M) is a self-report instrument developed to assess mobility in prosthesis users. It has already been translated into different languages but not into Brazilian Portuguese.</p><p><strong>Objectives: </strong>To perform the translation and cultural adaptation into Brazilian Portuguese of the PLUS-M and to assess its validity and reliability.</p><p><strong>Study design: </strong>Observational cross-sectional study.</p><p><strong>Methods: </strong>Translation and cultural adaptation were performed by following internationally recognized standards. To assess construct validity, the T-scores of PLUS-M/12-Item Short Form-Brazilian Portuguese (BR-12) item short form were correlated to the 2-Minute Walk Test and the scores from the Medical Outcomes Study 36-Short Form Health Survey domains by the Spearman correlation coefficient (ρ). A second administration of the PLUS-M/BR-12 was done by phone call to assess test-retest reliability.</p><p><strong>Results: </strong>Some cultural adaptations were made to improve understanding. The PLUS-M/BR-12 T-scores of 61 participants showed a strong correlation between the scores of the 2-Minute Walk Test (ρ = 0.69) and the Physical Function domain of the 36-Short Form Health Survey (ρ = 0.83), and an excellent test-retest reliability (intraclass correlation coefficient = 0.90 [IC 95% = 0.833-0.943]; F (49,49) = 19,037; P < 0.001).</p><p><strong>Conclusions: </strong>The PLUS-M/BR-12 demonstrated evidence of validity and reliability in assessing mobility in Brazilian adults with lower limb amputations who use a prosthetic device, and it is suitable for use in clinical care.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"133-138"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which factors may influence medium-term quality of life of patients with lower-limb loss? A systematic review of the literature.","authors":"Doriane Pelzer, Charlotte Beaudart, Aurore Thibaut, Stephen Bornheim, Jean-François Kaux","doi":"10.1097/PXR.0000000000000312","DOIUrl":"10.1097/PXR.0000000000000312","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to systematically review the literature to identify factors that may influence quality of life in people with lower-limb amputation (all etiologies). Our primary focus was on identifying factors that can be modified, enabling a more concentrated integration of these aspects into the care and treatment of amputated patients.</p><p><strong>Data source: </strong>Medline (via Ovid) and Scopus were searched in January 2023 for studies assessing quality of life for people with lower-limb loss. Studies were included if they reported on factors that could influence quality of life. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed.</p><p><strong>Study selection: </strong>Studies were identified and assessed independently by 2 reviewers.</p><p><strong>Data extraction: </strong>Data were extracted by 2 independent reviewers.</p><p><strong>Data synthesis: </strong>After removing duplicates, the search yielded 2616 studies, of which 24 met our inclusion criteria (cross-sectional n = 13; prospective n = 9; retrospective n = 2). The most commonly used quality-of-life instruments were the Short Form 36, followed by the World Health Organization Quality of Life-BREF and the EuroQoL 5 dimension. Younger age, traumatic etiology, unilateral or below-knee amputation, presence of comorbidities, and social integration were found to influence quality of life in people with lower-limb amputation, whereas sex and socioeconomic context do not seem to have a clear influence.</p><p><strong>Conclusions: </strong>This systematic review of the literature identified several factors that influence quality of life in patients with lower-limb amputation. However, the results are not always consistent across studies and there is still no consensus on some factors. Conclusive findings regarding sex and socioeconomic status remain elusive, primarily because of substantial disparities observed across the literature. Future prospective longitudinal studies with clear a priori inclusion of a wide range of potential factors are needed to clarify the impact of the identified factors. Factors such as age, type of amputation, comorbidities and social integration should be considered in the management of patients with amputation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"14-29"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are relevant predictors of physical activity in older adults with lower limb loss (LLL)? Results of a retrospective analysis.","authors":"Isabelle Rash, William C Miller, Gordon Tao, Michael W Payne","doi":"10.1097/PXR.0000000000000336","DOIUrl":"10.1097/PXR.0000000000000336","url":null,"abstract":"<p><strong>Background: </strong>People with lower limb loss (LLL) have reduced physical activity (PA). There is evidence of physical and psychosocial predictors of PA in older adults with limb loss. However, these 2 areas (physical/psychosocial) have not been evaluated in the same analysis.</p><p><strong>Objectives: </strong>To describe and identify predictors of PA in individuals with LLL.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Secondary analysis of data from a multisite Canadian randomized control trial involving community-dwelling prosthetic ambulators with unilateral transtibial or transfemoral amputation (N = 72). The dependent variable was the Physical Activity Scale for the Elderly. Potential predictors were four step square test, 2-minute walk test, Short Physical Performance Battery, Life Space Assessment, walking while talking test, and Activities-specific Balance Confidence scale.</p><p><strong>Results: </strong>Seventy-two community-dwelling lower limb prosthesis users were enrolled. The sample included 62 male participants (86%), and 58 participants (81%) had transtibial amputation. The average age of participants was 65 (8.9) years, and for 49 participants (70%), the amputation was over 24 months ago. The total mean Standard Deviation (SD) Physical Activity Scale for the Elderly score was 153.2 (88.3), with scores of 148.1 (11.4) and 184.5 (24.7) for male and female participants, respectively. Regression analysis identified Life Space Assessment (β = 1.15, p = 0.007) and Short Physical Performance Battery (β = 3.51, p = 0.043) as statistically significant predictors accounting for 25% of the variance in PA.</p><p><strong>Conclusions: </strong>Community mobility and physical performance are the most meaningful predictors of PA. Future research should examine additional factors (e.g., environment, motivation). Understanding the predictors for PA after LLL would improve clinical practice as clinicians would have increased knowledge to modify and improve training.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward subtalar joint axis-driven computer-aided design and computer-aided manufacturing foot orthoses: Reliability of a noninvasive clinical scanning protocol.","authors":"Clément Potier, Kurt Claeys, Kevin Deschamps","doi":"10.1097/PXR.0000000000000343","DOIUrl":"10.1097/PXR.0000000000000343","url":null,"abstract":"<p><strong>Background: </strong>The subtalar joint axis (STJA) occupies a key role in the dynamics of the lower limb kinetic chain, and its location has a wide interindividual variability. It has been suggested that considering the STJA location when designing foot orthoses may help to apply the required mechanical dose. However, the evidence is more anecdotal than empirical.</p><p><strong>Objective: </strong>This study aimed to evaluate the reliability of the STJA digitization, a procedure combining the clinical determination of the functional STJA location and its subsequent 3-dimensional (3D) scanning.</p><p><strong>Study design: </strong>Two examiners identified the posterior and anterior exit points of the functional STJA on the skin of 15 healthy participants using a clinical method in a repeated-measure design.</p><p><strong>Methods: </strong>A handheld 3D scanner was used to scan the feet and the skin markers. The 3D coordinates of the skin markers were subsequently quantified and (1) STJA digitization intratester within-session, (2) STJA digitization intratester between-session, and (3) STJA digitization intertester between-session reliabilities were evaluated.</p><p><strong>Results: </strong>When pooling all skin marker 3D coordinates, intraclass correlation coefficients (ICCs) for the STJA intratester within-session reliability ranged from 0.74 to 0.98. ICCs for the STJA digitization intratester between-session reliability ranged from 0.58 to 0.94. ICCs for the STJA digitization intertester reliability ranged from 0.56 to 0.81. Standard error of measurement for the mediolateral position of the talus marker (anterior exit point of the STJA) was substantially higher than that for the other coordinates.</p><p><strong>Conclusions: </strong>Overall, the STJA digitization demonstrated a good intratester between-session reliability and may be used in a computer-aided design and computer-aided manufacturing workflow to create foot orthoses. However, further efforts should be considered to improve the scanning process and intertester reliability.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"83-91"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Returning to work after dysvascular lower limb amputation-A novel multivariate approach to examine relative contributions of biopsychosocial predictors.","authors":"Szu-Ping Lee, Lung-Chang Chien, Hui-Ting Shih, Sabrina Ho, Sheila Clemens","doi":"10.1097/PXR.0000000000000322","DOIUrl":"10.1097/PXR.0000000000000322","url":null,"abstract":"<p><strong>Background: </strong>Returning to work is a key outcome of rehabilitation and social re-integration after lower limb amputation. It is important to understand what biopsychosocial factors contribute to returning to work after dysvascular amputation.</p><p><strong>Objective: </strong>Examining relative contributions of functional and contextual predictors of returning to work in participants with lower limb amputation due to diabetes and other dysvascular diseases.</p><p><strong>Study design: </strong>Cross-sectional.</p><p><strong>Methods: </strong>Return-to-work outcome, biopsychosocial characteristics including physical functioning, self-efficacy & perceived ability, and socioeconomical support data were collected from a purposive sample (n = 57) in a multi-state collaborative research network. Grouped Weighted Quantile Sum model analysis was conducted to evaluate relative contributions of biopsychosocial predictors.</p><p><strong>Results: </strong>Less than 30% of the participants returned to work after their amputation. Physical functioning (odds ratio = 10.19; 95% CI 2.46-72.74) was the most important predictor group. Working before amputation, prosthetic mobility, and access to rehabilitation care were also identified as key factors associated with returning to work.</p><p><strong>Conclusions: </strong>Fewer than 1 in 3 participants with dysvascular amputation returned to work, despite an average age of only 54 years at the time of amputation. Physical functioning was shown to be the most important predictor, while socioeconomic factors such as a lack of access to care also contribute to not returning to work after dysvascular amputation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"30-37"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a low-cost prosthetic knee on amputee gait over uneven and even terrains.","authors":"Jessica Aviles, Julia Castleberry, Michael L Madigan","doi":"10.1097/PXR.0000000000000400","DOIUrl":"10.1097/PXR.0000000000000400","url":null,"abstract":"<p><p>Limited data are available related to using a low-cost prosthetic knee while walking. To address this gap, this study compared the performance of a low-cost prosthetic knee with 2 more advanced prosthetic knees while walking on even and uneven terrains. Two adult subjects with above-knee amputations completed walking trials using a low-cost prosthetic knee (ReMotion knee) and their personal prosthetic knees (Ottobock 3R60 Pro mechanical knee and Ossur Rheo microprocessor knee) over even and uneven terrains. Several measures of gait performance were obtained including step size, stability, energy expenditure, as well as user perception of ReMotion workload and performance during gait. Effects of the ReMotion knee were different between the mechanical and microprocessor knee user. In addition, subjects perceived the positive aspects associated with the ReMotion knee to be its lightweight feature and their perceived increased in stability during walking while both subjects disliked the inability of the ReMotion knee to adjust to preferred walking speeds. This study provided an understanding of low-cost prosthetic technology among lower-limb amputees compared to prosthetic technology with more technologically advanced assistance. These findings may help guide future low-cost prosthetic knee design considerations for use on various terrains.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"47-50"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural adaptation and validation in Italian of the Seated Postural Control Measure for Adults 2.0.","authors":"Anna Berardi, Rachele Simeon, Maria Ricciardi, Marco Tofani, Barbara Lucia, Federica Aghilarre, Brigitte Gagnon, Silvia Giuliani, Giovanni Galeoto","doi":"10.1097/PXR.0000000000000367","DOIUrl":"10.1097/PXR.0000000000000367","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the cultural adaptation and validation in Italian of the Seated Postural Control Measure for Adults 2.0 (SPCMA 2.0).</p><p><strong>Methods: </strong>The original scale was translated and culturally adapted from French to Italian using the \"Translation and Cultural Adaptation of Patient Reported Outcomes Measures-Principles of Good Practice\" guidelines. Its internal consistency and test-retest reliability were examined. Its concurrent validity was evaluated using Pearson correlation coefficients with the Italian version of the Wheelchair use Confidence Scale and Wheelchair Skills Test 4.2.</p><p><strong>Results: </strong>Fifty-nine people were evaluated and re-evaluated after 48 h. Most of the items and subscale totals were stable in the 2 evaluations as they reported an intraclass correlation coefficient value of >0.77. The test-retest analysis of the dynamic evaluation was performed on the same patients 48 h apart. The analysis for construct validity showed statistically significant correlations with Wheelchair use Confidence Scale and Wheelchair Skills Test 4.2.</p><p><strong>Conclusions: </strong>Seated Postural Control Measure for Adults 2.0 is one of the few tools that allow researchers to perform a quantitative and standardized posture assessment in a cost-effective and time-saving way. Furthermore, it has been demonstrated that it is an easy-to-administer scale and requires readily available tools. The limitations of this study highlighted above and the need to use quantitative and qualitative tools in clinical practice imply the need to conduct future studies.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"139-145"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pain on activity and participation in individuals with unilateral lower-extremity amputation based on the International Classification of Functioning, Disability, and Health.","authors":"Sibel Yerli, Fatih Erbahçeci, Mintaze Kerem Günel","doi":"10.1097/PXR.0000000000000342","DOIUrl":"10.1097/PXR.0000000000000342","url":null,"abstract":"<p><strong>Background: </strong>Amputation is a major life-changing event and is regarded as one of the loading causes of permanent disability. However, amputation often causes changes in painful and nonpainful sensory experiences. Pain after amputation has been shown to increase functional limitations caused by limb loss and lower quality of life.</p><p><strong>Objective: </strong>This study aimed to examine the effect of pain on activity and participation in individuals with unilateral below-knee amputations according to the International Classification of Functioning, Disability, and Health.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>In the study, 64 individuals were divided into 2 groups: those who experienced pain and those who did not. Group 1 included 33 below-knee amputees who experienced pain (27 males, mean age 43.9 ± 12.6 years) and Group 2 included 31 below-knee amputees who did not experience pain (25 males, mean age 47.4 ± 12.1 years). The McGill Pain Questionnaire and visual analog scale were used to assess pain, the Prosthetic Limb Users Survey of Mobility was used to assess activity, and the Reintegration to Normal Living Index was used to assess participation.</p><p><strong>Results: </strong>Demographic characteristics of the 2 groups were statistically insignificant ( P > 0.05). The nonpainful group had significantly higher activity and participation scores than the painful group ( P < 0.001).</p><p><strong>Conclusions: </strong>It was found that phantom pain and stump pain in below-knee amputees limited activity and participation. It was also shown that phantom pain has a more negative effect on the activity level of individuals than stump pain.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"7-13"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing 3D printable density-graded lattice structures to minimize risk of tissue damage from compression-release stabilized sockets.","authors":"Jade Myers, Daniel Phillips, Denis Cormier","doi":"10.1097/PXR.0000000000000406","DOIUrl":"10.1097/PXR.0000000000000406","url":null,"abstract":"<p><strong>Background: </strong>Pressure, shear stress, and friction can contribute to soft tissue damage experienced by a residual limb. Current compression/release stabilized (CRS) socket designs may pose a risk to soft tissue from abrupt compression differences within the socket.Objectives:Density-graded lattice structures are investigated for their potential to mitigate risk of tissue damage by assessing their ability to produce more gradual transitions between high-compression and low-compression areas.Study Design:A full factorial experimental design was used to reveal the effects of changes among three variables: lattice geometry, density alteration, and displacement magnitude. A total of 144 experimental conditions were examined.</p><p><strong>Methods: </strong>Lattice samples representing areas of compression and release based on a novel cushioned transhumeral level CRS style socket design were 3D printed. Compression testing was performed on 2 types of lattice structures which incorporated 1 of 8 design elements to alter density and axial stiffness. The effect on stiffness of the sample as a function of lattice type and density alteration was recorded under 3 loading conditions.</p><p><strong>Results: </strong>The offset diamond lattice type with blend radius density alterations produced the only samples meeting criteria set for compression areas of the socket. No samples satisfied criteria for release areas. Transitional density lattices that gradually tapered between the best performing compression and release values were successfully produced.</p><p><strong>Conclusions: </strong>Transitional density lattices offer promise for mitigation of soft tissue damage through minimization of compression differentials throughout the socket. Wider implications for this research include use in sockets for other levels of amputation and in orthotics. Future work will focus on lattice optimization to improve release behavior within a modified CRS socket.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"76-82"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11797226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting adherence to ankle-foot orthoses in people with stroke: An application of the Theory of Planned Behavior.","authors":"Christine McMonagle, Susan Rasmussen, Robbie Rooney, Mark A Elliott","doi":"10.1097/PXR.0000000000000370","DOIUrl":"10.1097/PXR.0000000000000370","url":null,"abstract":"<p><strong>Background: </strong>Ankle-foot orthoses (AFOs) are often prescribed for people with stroke to address motor impairment. However, not all patients adhere to using their AFOs as prescribed. Predictors of AFO adherence are likely to constitute useful targets for interventions that aim to promote this behavior.</p><p><strong>Objective: </strong>To identify the predictors of AFO adherence in people with stroke using an established theoretical framework, namely the Theory of Planned Behavior (TPB; Ajzen, 1991).</p><p><strong>Study design: </strong>Prospective survey design.</p><p><strong>Method: </strong>N = 49 people who had been prescribed an AFO after a stroke completed a TPB questionnaire. One month later, they completed another questionnaire that measured adherence to AFOs as prescribed by an orthotic practitioner. Predictors of intention and AFO-adherence behavior were identified using regression analyses.</p><p><strong>Results: </strong>Adherence to AFOs was 63%. The TPB accounted for 61% of the variance in intentions and 43% of the variance in AFO-adherence behavior. Attitude and perceived behavioral control were predictors of intention, and intention was the sole predictor of behavior.</p><p><strong>Conclusion: </strong>The TPB is a useful model for explaining adherence to AFOs in people with stroke. Interventions could be designed to increase intentions to use an AFO as prescribed by promoting positive attitudes towards, and perceived behavioral control of AFO adherence.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"60-65"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11797225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}