背景與目的:中風常造成病患在行走功能及功能活動能力的缺損，踝足裝具(ankle-footorthosis) 常為中風病人使用的輔異之一，本研究的臣的為評估中風病人穿戴踝足裝具後對於其行走能力以及功能性活動的影響。方法:收集PubMed、Cochrane1ibrary、中文電子期刊服務、 論文網等四個資料庫從2001年到2010年有關中風患者穿戴踝足裝具後，對步態參數和行走功能表現影響的相關研究，並針對走路速度、步頻、步伐長、患側步長、健側步長、計時起走，計時起走測試和功能性步行功能分級等參數做統合分析，以探討踝足裝具對各項參數的影響。結果:本研究選取九篇文章，針對各種步態參數和功能性活動在有無穿戴踝足裝異時來進行比較分析，其中篇文獻品質分數(P且Droscale) 2分有三篇、3分有兩篇、4分有四篇。而各篇證據等級皆為第2 級，依據牛津大學實證醫學中心醫學文獻證據等級分類標準顯示單篇研究的建議等級為B.結果 顯示中風患者在穿上踝足裝具後，可以有效的改善各項步態參數包含走路速度(Hedges'sg=0.313， p

Background and Purpose: Reduced gait performance and functional mobility are common problems after stroke. Ankle-foot orthoses are widely used assistive devices in patients with stroke.the purpose of this study was to investigate the effects of ankle-foot orthoses on gait performance and functional mobility in patients with stroke. Methods: We searched PubMed， Cochrane library， Chinese Electronic Periodical Services， and National Digital Library of Theses and Dissertations in Taiwan during the period of June 2000 to May 2010 and identifìed studies that compared gait performance while wearing AFO with not wearing AFO in patients with stroke. Outcome measures included walking speed， cadence， stride length、step length,Timed "Up & Go"Test， and Functional Ambulation Categories. ResuIts: Nine articles were identifìed for this study. ln PEDro score， there were 2 points in 3， 3 points in 2 and 4 points in 4 articles. Level of evidence were both stage 2 and grades of recommendation were both grade B according to Oxford Centre for Evidence-based Medicine-Level of Evidence. Meta-analysis revealed that while wearing AFO， patients improved walking speed (Hedges's g=0.313， p