User Satisfaction with Conventional Lower-Limb Orthotic Devices: A Cross-Sectional Survey in Pakistan
Purpose: Persons with disabilities affecting lower-limb function use ankle-foot-orthoses (AFO) and knee-ankle-foot-orthoses (KAFO) on a regular basis. However, the effectiveness of these devices in daily use is seldom evaluated, especially in the developing world. This study aimed to evaluate user satisfaction with lower-limb orthotic devices while performing a broad spectrum of daily life activities in Pakistan, and to document the desired outcomes.
Method: A survey was conducted among orthotic device users in the out-patient departments of three hospitals in Lahore, Pakistan. The survey questionnaire was devised by adapting the Prosthetic Evaluation Questionnaire to suit orthotics evaluation. Fifty-four AFO and KAFO users participated in the study.
Results: Most users felt comfortable while walking on even surfaces with their orthoses. However, donning/doffing these, climbing stairs and performing certain routine activities were considered problematic for most people. Energy conservation was the most desired AFO feature, while the KAFO users wanted automatic knee-joint function.
Conclusion and Implications: Overall satisfaction with the existing lower-limb orthoses is adequate. Yet, significant improvements are needed in terms of energy efficiency and comfort while walking on different terrains. Further research is required in order to improve the functioning of the existing orthotic devices.
Keywords
Authors
How to Cite
Download Citation
License
Copyright © 2020 The Author(s)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License By-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access ).
Similar Articles
- Nizar Abdul Majeed Kutty, Nishad Abdul Latheef Majida, Effects of Multisensory Training on Balance and Gait in Persons with Type 2 Diabetes: A Randomised Controlled Trial , Disability, CBR & Inclusive Development: Vol. 24 No. 2 (2013): Summer
- Nizar Abdul Majeedkutty, Mohammed Abdulrazzaq Jabbar, Sura Sreenivasulu, Physical Therapy for Diabetic Peripheral Neuropathy: A Narrative Review , Disability, CBR & Inclusive Development: Vol. 30 No. 1 (2019): Spring 2019
- Teddy Bofosa, Paolo Bunga, Guy Bumoko, Augustin Buhendwa , Eric Kam, Betty Miangindula, Constant Nkiama, Physical Activity, Sedentary Behaviour and Physical Fitness among Male Adolescents with and without Intellectual Disability in Kinshasa, Democratic Republic of Congo , Disability, CBR & Inclusive Development: Vol. 37 No. 2 (2026): Summer Issue
- Jerome Dany Praveen Raj, Sebestina Anita Dsouza, Amith Sitaram, Shashikiran Umakanth, Effectiveness of Caregiver Education for Prevention of Shoulder Pain in Acute Stroke Survivors: A Randomised Controlled Trial , Disability, CBR & Inclusive Development: Vol. 32 No. 1 (2021): Spring
- Soraia Micaela Silva, Fredi Alexander Diaz-Quijano, Camila Ferreira da Cruz, Paula da Cruz Peniche, João Carlos Ferrari Corrêa, Christina Danielli Coelho de Morais Faria, Does Residing in Environments of Different Metropolises in a Developing Country exert an Impact on Disability after Stroke? , Disability, CBR & Inclusive Development: Vol. 32 No. 2 (2021): Summer
- Elumalai Pachiappan, Effects of Biofeedback and Task-Oriented Intervention on Balance Confidence and its Relationship with Social Participation among Stroke Survivors , Disability, CBR & Inclusive Development: Vol. 31 No. 2 (2020): Summer 2020
- Consuelo Gonzalez-Suarez, Karen Grimmer, Isaias Alipio, Elda Grace Anota-Canencia, Maria Luisa Santos-Carpio, Janine Margarita Dizon, Lauren Liao, Jan Tyrone Cabrera, Romil Martinez, Eulalia Beredo, Carolina Valdecanas, Vania Yu, Stroke Rehabilitation in the Philippines: An Audit Study , Disability, CBR & Inclusive Development: Vol. 26 No. 3 (2015): Autumn 2015
- Thankamani Rajesh, Effects of Motor Imagery on Upper Extremity Functional Task Performance and Quality of Life among Stroke Survivors , Disability, CBR & Inclusive Development: Vol. 26 No. 1 (2015): Spring 2015
- S. AL-Oraibi, V L Dawson, S Balloch, A P Moore, Rehabilitation Services for Persons Affected by Stroke in Jordan , Disability, CBR & Inclusive Development: Vol. 22 No. 1 (2011): Spring
- Muhammed Rashid, Jerin Mathew, Kavitha Raja, Stance Phase Kinematics in Ankle Joint during Ambulation on Uneven Surface: A Comparison between Stroke Survivors and Typical Adults , Disability, CBR & Inclusive Development: Vol. 31 No. 3 (2020): Autumn
You may also start an advanced similarity search for this article.