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Prosthetics and Orthotics International

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https://www.readbyqxmd.com/read/29301461/prosthesis-prescription-protocol-of-the-arm-ppp-arm-the-implementation-of-a-national-prosthesis-prescription-protocol
#1
Paula Wijdenes, Michael Brouwers, Corry K van der Sluis
BACKGROUND AND AIM: In order to create more uniformity in the prescription of upper limb prostheses by Dutch rehabilitation teams, the development and implementation of a Prosthesis Prescription Protocol of the upper limb (PPP-Arm) was initiated. The aim was to create a national digital protocol to structure, underpin, and evaluate the prescription of upper limb prostheses for clients with acquired or congenital arm defects. TECHNIQUE: Prosthesis Prescription Protocol of the Arm (PPP-Arm) was developed on the basis of the International Classification of Functioning and consisted of several layers...
January 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29224416/utilising-three-dimensional-printing-techniques-when-providing-unique-assistive-devices-a-case-report
#2
Sarah Jane Day, Shaun Patrick Riley
BACKGROUND: The evolution of three-dimensional printing into prosthetics has opened conversations about the availability and cost of prostheses. This report will discuss how a prosthetic team incorporated additive manufacture techniques into the treatment of a patient with a partial hand amputation to create and test a unique assistive device which he could use to hold his French horn. Case description and methods: Using a process of shape capture, photogrammetry, computer-aided design and finite element analysis, a suitable assistive device was designed and tested...
December 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29189099/creative-prosthetic-foot-selection-enables-successful-ambulation-in-stiletto-high-heels
#3
Elizabeth Russell Esposito, Delbert H Lipe, Christopher A Rábago
BACKGROUND: Walking in high heels presents biomechanical challenges, yet they remain part of many women's attire. However, women with a lower limb amputation are limited in available footwear options. Case description and methods: This case study is in response to one patient's assertion that she walked better and more symmetrically in heels than flat shoes with her below-knee prosthesis. She underwent gait analysis in athletic shoes and 10-cm stiletto high heels worn with a pediatric running foot to determine if these claims could be substantiated through biomechanical measures...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29153045/treatment-of-clubfoot-with-the-modified-copenhagen-method-a-10-year-follow-up
#4
Elia Utrilla-Rodríguez, Pedro V Munuera-Martínez, Manuel Albornoz-Cabello
BACKGROUND: Clubfoot is one of the most frequent congenital malformations in the world. Non-operative methods follows limiting surgery to a minimum. The modified Copenhagen method has not been studied enough. STUDY DESIGN: longitudinal retrospective study. OBJECTIVES: To evaluate prognostic factors for clinical rehabilitation with the modified Copenhagen method in a 10-year follow-up period. METHODS: A retrospective study was carried out on a 10-year follow-up of 82 children diagnosed with clubfoot at birth and treated with the modified Copenhagen method...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29153044/the-modular-socket-system-in-a-rural-setting-in-indonesia
#5
Bob Giesberts, Liezel Ennion, Olle Hjelmstrom, Agusni Karma, Knut Lechler, Edsko Hekman, Arjen Bergsma
BACKGROUND: Prosthetic services are inaccessible to people living in rural areas. Systems like the modular socket system have the potential to be fabricated outside of the prosthetic workshop. OBJECTIVES: This study aimed to evaluate the patient's performance and satisfaction with the use of the modular socket system, and the technical feasibility of its implementation in a rural setting. STUDY DESIGN: A quantitative longitudinal descriptive study design was followed...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29153043/effectiveness-of-mirror-therapy-motor-imagery-and-virtual-feedback-on-phantom-limb-pain-following-amputation-a-systematic-review
#6
Laura Herrador Colmenero, Jose Manuel Perez Marmol, Celia Martí-García, María de Los Ángeles Querol Zaldivar, Rosa María Tapia Haro, Adelaida María Castro Sánchez, María Encarnación Aguilar-Ferrándiz
BACKGROUND: Phantom limb pain is reported in 50%-85% of people with amputation. Clinical interventions in treating central pain, such as mirror therapy, motor imagery, or virtual visual feedback, could redound in benefits to amputee patients with phantom limb pain. OBJECTIVES: To provide an overview of the effectiveness of different techniques for treating phantom limb pain in amputee patients. STUDY DESIGN: Systematic review. METHODS: A computerized literature search up to April 2017 was performed using the following databases: PubMed, Scopus, CINAHL, MEDLINE, ProQuest, PEDro, EBSCOhost, and Cochrane Plus...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29126375/a-clinical-survey-about-commercial-games-in-lower-limb-prosthetic-rehabilitation
#7
Bita Imam, William C Miller, Heather C Finlayson, Janice J Eng, Tal Jarus
BACKGROUND: Despite the popularity of commercial games in lower limb prosthetic rehabilitation, data about their prevalence of use as well as therapists' perspectives about these games are still lacking. OBJECTIVES: To learn about the prevalence of use of commercial games in lower limb prosthetic rehabilitation and therapists' perspectives about these games. STUDY DESIGN: Cross-sectional. METHODS: An online survey was sent to physical and occupational therapists across prosthetic rehabilitation facilities in Canada...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29125399/an-analysis-of-variables-affecting-the-duration-of-pavlik-harness-treatment-is-it-possible-to-predict-the-duration-of-treatment
#8
Ahmet Salduz, Mehmet Demirel, Turgut Akgül, Fuat Bilgili
BACKGROUND: Pavlik harness is the initial treatment for the infants with developmental dysplasia of the hip who have not yet begun walking. OBJECTIVES: The present study evaluates the variables which affect the duration of PH treatment for patients successfully treated. STUDY DESIGN: Cross-sectional study. METHODS: Pavlik harness was employed for 140 hips of 87 patients with developmental dysplasia of the hip in our institution between 2010 and 2013...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29119861/carbohydrate-and-fat-oxidation-in-persons-with-lower-limb-amputation-during-walking-with-different-speeds
#9
Terje Gjovaag, Peyman Mirtaheri, Inger Marie Starholm
BACKGROUND: Studies suggest that the energy expenditure of healthy persons (control) during walking with the preferred walking speed in steady-state conditions is dominated by fat oxidation. Conversely, carbohydrate and fat oxidation during walking is little investigated in transfemoral amputees. OBJECTIVES: To investigate carbohydrate and fat oxidation, energy cost of walking, and percent utilization of maximal aerobic capacity [Formula: see text]during walking...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29119860/cost-effectiveness-of-bone-anchored-prostheses-using-osseointegrated-fixation-myth-or-reality
#10
Laurent Alain Frossard, Gregory Merlo, Brendan Burkett, Tanya Quincey, Debra Berg
BACKGROUND: In principle, lower limb bone-anchored prostheses could alleviate expenditure associated with typical socket manufacturing and residuum treatments due to socket-suspended prostheses. OBJECTIVE: This study reports (a) the incremental costs and (b) heath gain as well as (c) cost-effectiveness of bone-anchored prostheses compared to socket-suspended prostheses. STUDY DESIGN: Retrospective individual case-controlled observations and systematic review...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29113533/measurement-properties-and-usability-of-non-contact-scanners-for-measuring-transtibial-residual-limb-volume
#11
Rianne Kofman, Anna M Beekman, Cornelis H Emmelot, Jan H B Geertzen, Pieter U Dijkstra
BACKGROUND: Non-contact scanners may have potential for measurement of residual limb volume. Different non-contact scanners have been introduced during the last decades. Reliability and usability (practicality and user friendliness) should be assessed before introducing these systems in clinical practice. OBJECTIVES: The aim of this study was to analyze the measurement properties and usability of four non-contact scanners (TT Design, Omega Scanner, BioSculptor Bioscanner, and Rodin4D Scanner)...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29214919/effect-of-total-contact-orthosis-on-medial-longitudinal-arch-and-lower-extremities-in-flexible-flatfoot-subjects-during-walking
#12
Tulaya Prachgosin, Wipawan Leelasamran, Pruittikorn Smithmaitrie, Surapong Chatpun
BACKGROUND: Total-contact orthosis (TCO) is one kind of foot orthosis (FO) that is used to adjust biomechanics in flexible flatfoot. OBJECTIVE: To determine the effects of a TCO on the MLA moment, MLA deformation angle and lower limb biomechanics. STUDY DESIGN: Cross-sectional study. METHODS: Seven-flatfoot and thirteen-normal foot subjects were recruited by footprint and radiographs. The biomechanics of subjects with normal foot (NF), flatfoot with shoe only (FWOT) and flatfoot with TCO (FWT) were collected in a 3D motion analysis laboratory and force plates...
December 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29214918/effects-of-knee-orthosis-adjustment-on-biomechanical-performance-and-clinical-outcome-in-patients-with-medial-knee-osteoarthritis
#13
Andreas Brand, Isabella Klöpfer-Krämer, Mario Morgenstern, Inga Kröger, Björn Michel, Andreas Thannheimer, Janina Anna Müßig, Peter Augat
BACKGROUND: Valgus bracing in medial knee osteoarthritis aims to improve gait function by reducing the loading of the medial compartment. Orthosis composition and optimal adjustment is essential to achieve biomechanical and clinical effectiveness. OBJECTIVES: To investigate biomechanical functionality during gait, pain relief and compliance in patients with knee osteoarthritis using a lightweight adjustable knee unloader orthosis. STUDY DESIGN: Prospective observational clinical trial...
December 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28990467/mobility-analysis-of-amputees-maat-i-quality-of-life-and-satisfaction-are-strongly-related-to-mobility-for-patients-with-a-lower-limb-prosthesis
#14
Shane R Wurdeman, Phillip M Stevens, James H Campbell
BACKGROUND: While rehabilitation professionals are historically trained to place emphasis on the restoration of mobility following lower limb amputation, changes in healthcare dynamics are placing an increased emphasis on the limb loss patient's quality of life and general satisfaction. Thus, the relationship between these constructs and mobility in the patient with lower limb loss warrants further investigation. OBJECTIVES: To determine the relationship between mobility of the patient with lower limb loss and both (1) general (1) general satisfaction and (2) quality of life...
October 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28946827/development-of-a-high-performance-transtibial-cycling-specific-prosthesis-for-the-london-2012-paralympic-games
#15
Bryce Dyer, Howard Woolley
BACKGROUND AND AIM: It has been reported that cycling-specific research relating to participants with an amputation is extremely limited in both volume and frequency. However, practitioners might participate in the development of cycling-specific prosthetic limbs. This technical note presents the development of a successful design of a prosthetic limb developed specifically for competitive cycling. TECHNIQUE: This project resulted in a hollow composite construction which was low in weight and shaped to reduce a rider's aerodynamic drag...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28946826/when-to-biomechanically-examine-a-lower-limb-amputee-a-systematic-review-of-accommodation-times
#16
Andrea B Wanamaker, Rebecca R Andridge, Ajit Mw Chaudhari
BACKGROUND: Hundreds of investigations examining biomechanical outcomes of various prostheses have been completed, but one question remains unanswered: how much time should an amputee be given to accommodate to a new prosthesis prior to biomechanical testing? OBJECTIVE: To examine the literature for accommodation time given during biomechanical investigations to determine whether consensus exists. STUDY DESIGN: Systematic review. METHODS: A systematic search was completed on 7 January 2016 using PubMed and Scopus...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28946825/reliability-and-construct-validity-of-a-new-danish-translation-of-the-prosthesis-evaluation-questionnaire-in-a-population-of-danish-amputees
#17
Jan Christensen, Patrick Doherty, Jakob Bue Bjorner, Henning Langberg
BACKGROUND: Most amputees live with their prostheses for a long time. Therefore, quality of life is an important outcome for lower limb amputees. OBJECTIVE: To translate the Prosthesis Evaluation Questionnaire (PEQ) and evaluate psychometric properties. STUDY DESIGN: Methodological research. METHODS: Lower limb amputees responded to electronic versions of the PEQ and SF-36v2 at baseline (n=64), after two weeks (n=51), and after 12 weeks (n=50)...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28946824/clinical-evaluation-of-a-prosthetic-suspension-system-looped-silicone-liner
#18
Noor Azuan Abu Osman, Hossein Gholizadeh, Arezoo Eshraghi, Wan Abu Bakar Wan Abas
OBJECTIVES: This study aimed to evaluate and compare a newly designed suspension system with a common suspension in the market. STUDY DESIGN: Prospective study. METHODS: Looped liners with hook fastener and Iceross Dermo Liner with pin/lock system were mechanically tested using a tensile testing machine in terms of system safety. A total of 10 transtibial amputees participated in this study and were asked to use these two different suspension systems...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094687/successful-management-of-femoral-trauma-in-a-through-knee-amputee-with-a-previous-malunited-fracture-implications-and-functional-outcome
#19
Beth Lineham, Paul Harwood, Peter Giannoudis
BACKGROUND: After amputation patients are more likely to injure their residual limb. An injury of a previously amputated limb, especially if the residuum is not anatomically normal, poses a dilemma for management. Case Description and Methods: This case report discusses a femoral fracture sustained proximal to a through-knee amputation. Findings and outcomes: The fracture was at the site of a malunited fracture. A shortening osteotomy with bone graft was undertaken to improve alignment and prosthetic fit and remove poor-quality bone...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094681/relationship-between-body-height-and-spatiotemporal-parameters-during-a-100-m-sprint-in-able-bodied-and-unilateral-transtibial-sprinters
#20
Hiroaki Hobara, Wolfgang Potthast, Ralf Müller, Yoshiyuki Kobayashi, Satoru Hashizume, Thijs A Herdoorn, Masaaki Mochimaru
BACKGROUND: Although anthropometric factors could influence sprint performance in able-bodied sprinters, little is known about the relationships between these anthropometric factors and sprint performance in amputee sprinters. OBJECTIVES: To investigate the relationships between body height and spatiotemporal parameters of 100-m sprints in unilateral transtibial amputee and able-bodied sprinters. STUDY DESIGN: This is a cross-sectional study...
October 2017: Prosthetics and Orthotics International
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