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Prosthesis
Volume 7
Issue 1
10.3390/prosthesis7010013
Review Report
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Systematic Review
Peer-Review Record

The Role of Ankle–Foot Orthoses in Improving Gait in Children and Adolescents with Neuromotor Disability: A Systematic Review and Meta-Analysis

Prosthesis 2025, 7(1), 13; https://doi.org/10.3390/prosthesis7010013
by Silvia Faccioli 1,*, Giulia Tonini 2, Elena Vinante 3, Alessandro Ehsani 4, Eleonora Pellarin 5, Giuliano Cassanelli 6, Francesca Malvicini 6, Silvia Perazza 1, Francesco Venturelli 7, Andrea Guida 7,8 and Silvia Sassi 1
Reviewer 1: Anonymous
Reviewer 2: Anonymous
Prosthesis 2025, 7(1), 13; https://doi.org/10.3390/prosthesis7010013
Submission received: 1 December 2024 / Revised: 11 January 2025 / Accepted: 15 January 2025 / Published: 28 January 2025
(This article belongs to the Special Issue Recent Advances in Foot Prosthesis and Orthosis)

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

This systematic review appears to be well conducted and reported transparently. Some pragmatic decisions were made to lump different types of AFOs together for the meta-analyses. Overall the findings do not robuslty move the science forward much, though the work merits publication as the patest review on this neglected topic for research. Perhaps ensure cite all previous systematic reviews on the topic, e.g.this one from 2002

A review of the efficacy of lower-limb orthoses used for cerebral palsy. Dev Med Child Neurol. 2002 Mar;44(3):205-11. doi: 10.1017/s0012162201001943

Author Response

Please see the attachment

Author Response File: Author Response.pdf

Reviewer 2 Report

Comments and Suggestions for Authors

1. Suggest eliminate the subjects using AFO with DMD and CMT. These diseases have a different pathology and are considered progressive depending on age and severity of disease. CP is considered a static disease of CNS.

2.Any anterior shell AFO used.  Sometimes considered in spina bifida.

3.No measurement of spasticity which will influence decision o type of AFO.

4.No mention of use of medications or BMI.

5. GMFCS level important for both cognition and degree of spasticity.

6. Any surgery or Botox injections may influence type of AFO.

7. In mild cases sometimes compliance is a problems. Any use high top boots instead of AFO

8. use of crutches, canes or walker may influence AFO. Please comment

9. Were patients complaint with physiotherapy and did this influence outcome?

10. Were all studies done in a gait lab or only clinical observation?

Author Response

Please see the attachment

Author Response File: Author Response.pdf

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