Effects of ankle–foot orthosis-related conditions on muscle activity, spasticity, and psychosocial outcomes after stroke: a systematic review and meta-analysis

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Ankle-foot orthosis (AFO)-related conditions may reduce lower-limb electromyographic muscle activity and spasticity after stroke, though their effects on psychosocial outcomes remain unclear. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Hyunsik Yoon

doi:10.1080/10749357.2026.2725690

September 7, 2026Topics in Stroke Rehabilitation

Effects of ankle–foot orthosis-related conditions on muscle activity, spasticity, and psychosocial outcomes after stroke: a systematic review and meta-analysis

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Key Points

To evaluate the effects of ankle–foot orthosis conditions on electromyographic muscle activity, spasticity, and psychosocial outcomes in adults recovering from stroke.
Systematic search of PubMed, MEDLINE, Embase, CINAHL, Web of Science, and CENTRAL for stroke studies investigating ankle–foot orthoses.
Extracted outcomes for electromyographic muscle activity, spasticity, and psychosocial measures, pooling standardized mean differences with random-effects models.
Ankle–foot orthosis use was associated with decreased lower-limb electromyographic muscle activity and lower spasticity after stroke.
The effects of ankle–foot orthoses on psychosocial outcomes remained uncertain due to limited available evidence.

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Implication

Systematic review and meta-analysis demonstrates reduced muscle activity and spasticity with ankle-foot orthoses in stroke survivors, highlighting the need for individualized prescriptions.

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Hyunsik Yoon (2026) studied this question.

synapsesocial.com/papers/6a9fd7b758e84d0ff5b46aad https://doi.org/10.1080/10749357.2026.2725690

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Effects of ankle–foot orthosis-related conditions on muscle activity, spasticity, and psychosocial outcomes after stroke: a systematic review and meta-analysis

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Effects of ankle–foot orthosis-related conditions on muscle activity, spasticity, and psychosocial outcomes after stroke: a systematic review and meta-analysis

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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