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Prosthetics and Orthotics International

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https://www.readbyqxmd.com/read/28726572/successful-forearm-prosthesis-fitting-in-a-patient-with-epidermolysis-bullosa-dystrophica-case-report
#1
Carl Verduyn, Marie-Anne Morren, Marguerite Stas, Friedl Sinnaeve, Katarina Segers, Carlotte Kiekens
BACKGROUND: Epidermolysis bullosa dystrophica is a rare dermatological disease characterized by extreme skin fragility and elevated risk of developing a squamous cell carcinoma. In some cases, amputation of a limb is necessary. Case description and methods: A 37-year-old man with recessive, severe generalized epidermolysis bullosa dystrophica developed a squamous cell carcinoma on the right forearm requiring a below-elbow amputation. Preoperative advice concerning indication and level of amputation was given...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28718362/adaptive-behaviour-and-motor-skills-in-children-with-upper-limb-deficiency
#2
Hiroshi Mano, Sayaka Fujiwara, Nobuhiko Haga
BACKGROUND: The dysfunction of individuals with upper limb deficiencies affects their daily lives and social participation. OBJECTIVES: To clarify the adaptive behaviours and motor skills of children with upper limb deficiencies. STUDY DESIGN: Cross-sectional survey. METHODS: The subjects were 10 children ranging from 1 to 6 years of age with unilateral upper limb deficiencies at the level distal to the elbow who were using only cosmetic or passive prostheses or none at all...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28718357/the-influence-of-staff-training-and-education-on-prosthetic-and-orthotic-service-quality-a-scoping-review
#3
Saeed Forghany, Ebrahim Sadeghi-Demneh, Ursula Trinler, Pornsuree Onmanee, Michael P Dillon, Richard Baker
BACKGROUND: Education and training in prosthetics and orthotics typically comply with International Society for Prosthetics and Orthotics standards based on three categories of prosthetic and orthotic professionals. OBJECTIVE: This scoping study sought to describe the evidence base available to answer the question, How are prosthetic and orthotic services influenced by the training of staff providing them? STUDY DESIGN: Scoping review. METHODS: A structured search of the peer-reviewed literature catalogued in major electronic databases yielded 3039 papers...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28693377/effect-of-floor-reaction-ankle-foot-orthosis-on-crouch-gait-in-patients-with-cerebral-palsy-what-can-be-expected
#4
Harald Böhm, Hösl Matthias, Frank Braatz, Leonhard Döderlein
BACKGROUND: Floor reaction ankle-foot orthoses are commonly prescribed to improve knee extension of children with cerebral palsy having crouch gait. Their effectiveness is debated. Therefore, the objective of this study is to optimize current prescription criteria for the improvement of crouch gait. STUDY DESIGN: Cross-sectional interventional study. METHODS: A total of 22 patients with bilateral spastic cerebral palsy, between 6 and 17 years, Gross Motor Function Classification System II-IV participated in this study...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28691574/enhancement-of-a-prosthetic-knee-with-a-microprocessor-controlled-gait-phase-switch-reduces-falls-and-improves-balance-confidence-and-gait-speed-in-community-ambulators-with-unilateral-transfemoral-amputation
#5
Sara Agueda Fuenzalida Squella, Andreas Kannenberg, Ângelo Brandão Benetti
BACKGROUND: Despite the evidence for improved safety and function of microprocessor stance and swing-controlled prosthetic knees, non-microprocessor-controlled prosthetic knees are still standard of care for persons with transfemoral amputations in most countries. Limited feature microprocessor-control enhancement of such knees could stand to significantly improve patient outcomes. OBJECTIVES: To evaluate gait speed, balance, and fall reduction benefits of the new 3E80 default stance hydraulic knee compared to standard non-microprocessor-controlled prosthetic knees...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28655287/the-influence-of-traumatic-transfemoral-amputation-on-metabolic-cost-across-walking-speeds
#6
Elizabeth Russell Esposito, Christopher A Rábago, Jason Wilken
BACKGROUND: Recent literature indicates equivalent costs of walking can be achieved after a transtibial amputation when the individual is young, active, and/or has extensive access to rehabilitative care. It is unknown if a similar cohort with transfemoral amputation can also achieve lower metabolic costs of walking than previously reported. OBJECTIVE: Compare metabolic cost in individuals with a transfemoral amputation to controls and to the literature across a range of walking speeds...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28650213/visualisation-of-upper-limb-activity-using-spirals-a-new-approach-to-the-assessment-of-daily-prosthesis-usage
#7
Alix Chadwell, Laurence Kenney, Malcolm Granat, Sibylle Thies, John S Head, Adam Galpin
BACKGROUND: Current outcome measures used in upper limb myoelectric prosthesis studies include clinical tests of function and self-report questionnaires on real-world prosthesis use. Research in other cohorts has questioned both the validity of self-report as an activity assessment tool and the relationship between clinical functionality and real-world upper limb activity. Previously,(1) we reported the first results of monitoring upper limb prosthesis use. However, the data visualisation technique used was limited in scope...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28649911/three-dimensional-printed-upper-limb-prostheses-lack-randomised-controlled-trials-a-systematic-review
#8
Laura E Diment, Mark S Thompson, Jeroen Hm Bergmann
BACKGROUND: Three-dimensional printing provides an exciting opportunity to customise upper-limb prostheses. OBJECTIVE: This review summarises the research that assesses the efficacy and effectiveness of three-dimensional printed upper-limb prostheses. STUDY DESIGN: Systematic review. METHODS: PubMed, Web of Science and OVID were systematically searched for studies that reported human trials of three-dimensional printed upper-limb prostheses...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28641476/direct-medical-costs-of-accidental-falls-for-adults-with-transfemoral-amputations
#9
Benjamin Mundell, Hilal Maradit Kremers, Sue Visscher, Kurtis Hoppe, Kenton Kaufman
BACKGROUND: Active individuals with transfemoral amputations are provided a microprocessor-controlled knee with the belief that the prosthesis reduces their risk of falling. However, these prostheses are expensive and the cost-effectiveness is unknown with regard to falls in the transfemoral amputation population. The direct medical costs of falls in adults with transfemoral amputations need to be determined in order to assess the incremental costs and benefits of microprocessor-controlled prosthetic knees...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28639478/relation-between-capacity-and-performance-in-paediatric-upper-limb-prosthesis-users
#10
Helen Lindner, Ayako Hiyoshi, Liselotte Hermansson
BACKGROUND: The International Classification of functioning, disability and health refers capacity to what an individual can do in a standardised environment and describes performance as what an individual really does and whether the individual encounters any difficulty in the real-life environment. Measures of capacity and performance can help to determine if there is any gap between them that may restrict participation. The aim of this study was to explore the relationship between capacity scores obtained in a standardised clinical setting and proportional ease of performance obtained from a real-life environment...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28639474/custom-rapid-prototype-thumb-prosthesis-for-partial-hand-amputation-a-case-report
#11
Ashley Quinn Swartz, Kristi Turner, Laura Miller, Todd Kuiken
BACKGROUND: Due to advancements in three-dimensional printing, custom-made prostheses are becoming more viable options for persons with difficult cases of prosthetic management. The purpose of this article was to develop a custom voluntary-closing, body-powered thumb mechanism for a partial-hand amputee who had amputations of the index finger and thumb on the left, non-dominant hand. Case description and methods: The prosthesis model was manufactured using rapid prototype technology and was developed to provide greater force and functionality, and to decrease overall size compared to traditional hand prostheses...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28621577/fatigue-free-operation-of-most-body-powered-prostheses-not-feasible-for-majority-of-users-with-trans-radial-deficiency
#12
Mona Hichert, Alistair N Vardy, Dick Plettenburg
BACKGROUND: Body-powered prostheses require cable operation forces between 33 and 131 N. The accepted upper limit for fatigue-free long-duration operation is 20% of a users' maximum cable operation force. However, no information is available on users' maximum force. OBJECTIVES: To quantify users' maximum cable operation force and to relate this to the fatigue-free force range for the use of body-powered prostheses. STUDY DESIGN: Experimental trial...
June 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28468600/sensory-feedback-add-on-for-upper-limb-prostheses
#13
Nader Fallahian, Hassan Saeedi, Hamidreza Mokhtarinia, Farhad Tabatabai Ghomshe
BACKGROUND AND AIM: Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses. TECHNIQUE: A sensory feedback system was tested on a below-elbow myoelectric prosthesis. The aim was to have the amputee grasp fragile objects without crushing while other accidental feedback sources were blocked...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28132589/northwestern-university-flexible-subischial-vacuum-socket-for-persons-with-transfemoral-amputation-part-2-description-and-preliminary-evaluation
#14
Stefania Fatone, Ryan Caldwell
BACKGROUND: Current transfemoral prosthetic sockets are problematic as they restrict function, lack comfort, and cause residual limb problems. Development of a subischial socket with lower proximal trim lines is an appealing way to address this problem and may contribute to improving quality of life of persons with transfemoral amputation. OBJECTIVES: The purpose of this study was to illustrate the use of a new subischial socket in two subjects. STUDY DESIGN: Case series...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094689/quantification-of-rectifications-for-the-northwestern-university-flexible-sub-ischial-vacuum-socket
#15
Stefania Fatone, William Brett Johnson, Lilly Tran, Kerice Tucker, Christofer Mowrer, Ryan Caldwell
BACKGROUND: The fit and function of a prosthetic socket depend on the prosthetist's ability to design the socket's shape to distribute load comfortably over the residual limb. We recently developed a sub-ischial socket for persons with transfemoral amputation: the Northwestern University Flexible Sub-Ischial Vacuum Socket. OBJECTIVE: This study aimed to quantify the rectifications required to fit the Northwestern University Flexible Sub-Ischial Vacuum Socket to teach the technique to prosthetists as well as provide a computer-aided design-computer-aided manufacturing option...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094686/northwestern-university-flexible-subischial-vacuum-socket-for-persons-with-transfemoral-amputation-part-1-description-of-technique
#16
Stefania Fatone, Ryan Caldwell
BACKGROUND: Current transfemoral prosthetic sockets restrict function, lack comfort, and cause residual limb problems. Lower proximal trim lines are an appealing way to address this problem. Development of a more comfortable and possibly functional subischial socket may contribute to improving quality of life of persons with transfemoral amputation. OBJECTIVES: The purpose of this study was to (1) describe the design and fabrication of a new subischial socket and (2) describe efforts to teach this technique...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27913784/the-effectiveness-of-the-bone-bridge-transtibial-amputation-technique-a-systematic-review-of-high-quality-evidence
#17
Jason T Kahle, M Jason Highsmith, John Kenney, Tim Ruth, Paul A Lunseth, Janos Ertl
BACKGROUND: This literature review was undertaken to determine if commonly held views about the benefits of a bone bridge technique are supported by the literature. METHODS: Four databases were searched for articles pertaining to surgical strategies specific to a bone bridge technique of the transtibial amputee. A total of 35 articles were identified as potential articles. Authors included methodology that was applied to separate topics. Following identification, articles were excluded if they were determined to be low quality evidence or not pertinent...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27881551/comparison-of-the-otto-bock-solid-ankle-cushion-heel-foot-with-wooden-keel-to-the-low-cost-cr-equipements-%C3%A2-solid-ankle-cushion-heel-foot-with-polypropylene-keel-a-randomized-prospective-double-blind-crossover-study-assessing-patient-satisfaction-and-energy
#18
Alain Lacraz, Stéphane Armand, Katia Turcot, Gorki Carmona, Richard Stern, Olivier Borens, Mathieu Assal
BACKGROUND: The International Committee of the Red Cross supports a worldwide program of prosthetic fitting and rehabilitation. In this context, a prosthetic foot was developed and widely distributed in least developed countries. STUDY DESIGN: Prospective, randomized, double-blind, controlled study. OBJECTIVE: To compare patient satisfaction and energy expenditure during ambulation between a low-cost prosthetic foot designed with a polypropylene keel (CR-Equipements(™) solid ankle cushion heel, International Committee of the Red Cross) to a well-recognized solid ankle cushion heel foot with a wooden keel (solid ankle cushion heel foot, Otto Bock)...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27638012/prosthetists-perceptions-and-use-of-outcome-measures-in-clinical-practice-long-term-effects-of-focused-continuing-education
#19
Brian J Hafner, Susan E Spaulding, Rana Salem, Sara J Morgan, Ignacio Gaunaurd, Robert Gailey
BACKGROUND: Continuing education is intended to facilitate clinicians' skills and knowledge in areas of practice, such as administration and interpretation of outcome measures. OBJECTIVE: To evaluate the long-term effect of continuing education on prosthetists' confidence in administering outcome measures and their perceptions of outcomes measurement in clinical practice. DESIGN: Pretest-posttest survey methods. METHODS: A total of 66 prosthetists were surveyed before, immediately after, and 2 years after outcomes measurement education and training...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27625122/the-effectiveness-of-core-stabilization-exercise-in-adolescent-idiopathic-scoliosis-a-randomized-controlled-trial
#20
Gözde Gür, Cigdem Ayhan, Yavuz Yakut
BACKGROUND: Core stabilization training is used to improve postural balance in musculoskeletal problems. OBJECTIVES: The purpose of this study was to investigate the effectiveness of stabilization training in adolescent idiopathic scoliosis. STUDY DESIGN: A randomized controlled trial, pretest-posttest design. METHODS: In total, 25 subjects with adolescent idiopathic scoliosis were randomly divided into two groups: stabilization group ( n = 12) and control group ( n = 13)...
June 2017: Prosthetics and Orthotics International
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