• Muhammad Kamran Khan CHAL Foundation Islamabad
  • Bibi Uzma CHAL Foundation Islamabad, Pakistan
  • Wisal Shah CHAL Foundation Islamabad, Pakistan



Ankle foot Orthosis, Peronial Nerve Injury, Drop foot


Background: Injection-molded polypropylene splint in Swedish AFO provides static dorsiflexion assistance and lateral stability for the entire foot-ankle area. It prevents foot drop while walking. Purpose: Comparing the effect of leaf spring and Swedish AFO in patient with drop foot deformity (Peroneal nerve injury). Objectives: To determine better controlling of planter flexion during Initial contact and Mid Swing of the Gait. Methodology: Four (4) participants with Drop Foot (Peroneal nerve injury) were selected through simple random sampling and they were allowed to walk at their self-selected speed with Swedish AFO and with PLS AFO in order to compare their controlling of Planter Flexion at Initial Contact and at Mid Swing under experimental design. The study is conducted at Pakistan Institute of Prosthetic and Orthotic Sciences Peshawar. Paired sample “t” test is used to compare the result. Results: By observing both the AFO’s i.e. Swedish AFO and Posterior Leaf Spring AFO at Initial Contact Phase of the Gait the deviation’s results for Swedish AFO’s are 3.82, 4.40, 11.22 and 9.18 degrees and deviations results for Posterior Leaf Spring AFO’s are 2.32, 3.34, 8.71 and 8.53 degrees. Statistical results implied that the impact of Leaf Spring AFO is bigger than Leaf spring AFO. Conclusion: Posterior leaf Spring AFO is more effective design for Persons with Drop foot (Peroneal nerve injury) as compare to Swedish AFO.


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Berenpas, F., Schiemanck, S., Beelen, A., Nollet, F., Weerdesteyn, V., & Geurts, A. (2018). Kinematic and kinetic benefits of implantable peroneal nerve stimulation in people with post-stroke drop foot using an ankle-foot orthosis. Restorative neurology and neuroscience, 36(4), 547-558.

Bregman, D. J., De Groot, V., Van Diggele, P., Meulman, H., Houdijk, H., & Harlaar, J. (2010). Polypropylene ankle foot orthoses to overcome drop-foot gait in central neurological patients: a mechanical and functional evaluation. Prosthetics and orthotics international, 34(3), 293-304.

Buckon, C. E., Thomas, S. S., Jakobson-Huston, S., Moor, M., Sussman, M., & Aiona, M. (2004). Comparison of three ankle–foot orthosis configurations for children with spastic diplegia. Developmental Medicine and Child Neurology, 46(9), 590-598.

Cakar, E., Durmus, O., Tekin, L., Dincer, U., & Kiralp, M. Z. (2010). The ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients. Eur J Phys Rehabil Med, 46(3), 363-368.

de Bruijn, I. L., Geertzen, J. H., & Dijkstra, P. U. (2007). Functional outcome after peroneal nerve injury. International Journal of Rehabilitation Research, 30(4), 333-337.

Farley, J. (2009). Controlling drop foot: Beyond standard AFOs. Lower Extremity Review.

Geboers, J. F., Drost, M. R., Spaans, F., Kuipers, H., & Seelen, H. A. (2002). Immediate and long-term effects of ankle-foot orthosis on muscle activity during walking: a randomized study of patients with unilateral foot drop. Archives of physical medicine and rehabilitation, 83(2), 240-245.

Go, T., Agarie, Y., Suda, H., Maeda, Y., Katsuhira, J., & Ehara, Y. (2022). Effect of trim line on stiffness in dorsi-and plantarflexion of posterior leaf spring ankle-foot orthoses. Journal of Physical Therapy Science, 34(4), 284-289.

Kerr, E., Moyes, K., Arnold, G., & Drew, T. (2011). Permanent deformation of posterior leaf-spring ankle-foot orthoses: a comparison of different materials. JPO: Journal of Prosthetics and Orthotics, 23(3), 144-148.

Maheen, F. (2012). Effectiveness of ankle foot orthoses for improving walking speed among spastic diplegic cerebral palsy children attended at CRP (Doctoral dissertation, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.).

Patzkowski, J. C., Blanck, R. V., Owens, J. G., Wilken, J. M., Kirk, K. L., Wenke, J. C., ... & Skeletal Trauma Research Consortium. (2012). Comparative effect of orthosis design on functional performance. JBJS, 94(6), 507-515.

Prothe, C., Baldwin, J., & Espinoza, E. (2019). CEJ Ankle Support Report.

Saeedi, H., & Pourhoseingholi, E. (2020). Comparison the effect of kinetic parameters of innovative storing-restoring hybrid passive (comfort gait) ankle-foot orthosis (AFO) with posterior leaf spring AFO in drop-foot patients: A prospective cohort study. Current Orthopaedic Practice, 31(5), 437-441.

Schiemanck, S., Berenpas, F., van Swigchem, R., van den Munckhof, P., de Vries, J., Beelen, A., ... & Geurts, A. C. (2015). Effects of implantable peroneal nerve stimulation on gait quality, energy expenditure, participation and user satisfaction in patients with post-stroke drop foot using an ankle-foot orthosis. Restorative neurology and neuroscience, 33(6), 795-807.

Sheffler, L. R., Hennessey, M. T., Naples, G. G., & Chae, J. (2006). Peroneal nerve stimulation versus an ankle foot orthosis for correction of footdrop in stroke: impact on functional ambulation. Neurorehabilitation and neural repair, 20(3), 355-360.

Shorter, K. A., Xia, J., Hsiao-Wecksler, E. T., Durfee, W. K., & Kogler, G. F. (2011). Technologies for powered ankle-foot orthotic systems: Possibilities and challenges. IEEE/ASME Transactions on mechatronics, 18(1), 337-347.

van Swigchem, R., van Duijnhoven, H. J., den Boer, J., Geurts, A. C., & Weerdesteyn, V. (2012). Effect of peroneal electrical stimulation versus an ankle-foot orthosis on obstacle avoidance ability in people with stroke-related foot drop. Physical therapy, 92(3), 398-406.

Weingarden, H. P., & Hausdorff, J. M. (2007). FES Neuroprosthesis versus an Ankle Foot Orthosis: the effect on gait stability and symmetry. In Abstract RR-PL-2194 World Physical Therapy 2007 Congress. Physiotherapy 2007.




How to Cite

Khan, M. K., Bibi , U. ., & Shah , W. . (2023). COMPARING THE EFFECT OF LEAF SPRING AND SWEDISH AFO IN PATIENT WITH DROP FOOT DEFORMITY (PERONEAL NERVE INJURY). Journal of Prosthetics Orthotics and Science Technology, 2(1), 11–14.