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Prosthetics and Orthotics International

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https://www.readbyqxmd.com/read/28318407/effectiveness-of-the-custom-mold-room-temperature-vulcanizing-silicone-toe-separator-on-hallux-valgus-a-prospective-randomized-single-blinded-controlled-trial
#1
Navaporn Chadchavalpanichaya, Voraluck Prakotmongkol, Nattapong Polhan, Pitchaya Rayothee, Sirirat Seng-Iad
BACKGROUND: Silicone toe separator is considered as a conservative treatment for hallux valgus. The prefabricated toe separator does not fit all. However, effectiveness in prescription of the custom-mold toe separator is still unknown. OBJECTIVES: To investigate the effect of using a custom-mold room temperature vulcanizing silicone toe separator to decrease hallux valgus angle and hallux pain. The compliances, complications, and satisfactions of toe separator were also explored...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28318406/use-of-a-shoulder-abduction-brace-after-arthroscopic-rotator-cuff-repair-a-study-on-gait-performance-and-falls
#2
Yuma Sonoda, Takashi Nishioka, Ryo Nakajima, Shinji Imai, Piers Vigers, Taku Kawasaki
BACKGROUND: Fall prevention is essential in patients after arthroscopic rotator cuff repair because of the high risk of re-rupture. However, there are no reports related to falls that occur during the early postoperative period, while the affected limb is immobilized. OBJECTIVES: This study assessed gait performance and falls in patients using a shoulder abduction brace after arthroscopic rotator cuff repair. STUDY DESIGN: Prospective cohort and postoperative repeated measures...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28318402/ipsilateral-scapular-cutaneous-anchor-system-an-alternative-for-the-harness-in-body-powered-upper-limb-prostheses
#3
Mona Hichert, Dick H Plettenburg
BACKGROUND: Body-powered prosthesis users frequently complain about the poor cosmesis and comfort of the traditional shoulder harness. The Ipsilateral Scapular Cutaneous Anchor System offers an alternative, but it remains unclear to what extent it affects the perception and control of cable operation forces compared to the traditional shoulder harness. OBJECTIVE: To compare cable force perception and control with the figure-of-nine harness versus the Ipsilateral Scapular Cutaneous Anchor System and to investigate force perception and control at different force levels...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28318394/effect-of-foot-and-ankle-immobilization-on-able-bodied-gait-as-a-model-to-increase-understanding-about-bilateral-transtibial-amputee-gait
#4
Antonia Nepomuceno, Matthew J Major, Rebecca Stine, Steven Gard
BACKGROUND: The anatomical foot-ankle complex facilitates advancement of the stance limb through foot rockers and late-stance power generation during walking, but this mechanism is altered for persons with bilateral transtibial amputation when using passive prostheses. OBJECTIVES: To study the effects of bilateral foot and ankle immobilization on able-bodied gait to serve as a model for understanding gait of persons with bilateral transtibial amputation and associated compensatory mechanisms...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28318387/a-qualitative-study-of-the-challenges-of-providing-pre-prosthetic-rehabilitation-in-rural-south-africa
#5
Liezel Ennion, Anton Johannesson Johannesson
BACKGROUND: There is a known shortage of rehabilitation staff in rural settings and a sharp increase in the number of lower limb amputations being performed. A lack of adequate pre-prosthetic rehabilitation will result in worse physical and psychological outcomes for a person with a lower limb amputation, and they will not be eligible to be fitted with a prosthesis. OBJECTIVE: To explore therapists' experiences with providing pre-prosthetic rehabilitation in a rural setting...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28316270/the-prosthetist-role-expectations-scale-development-and-initial-validation-of-a-scale-for-clinical-settings
#6
Renee L Mackenzie, Meg E Morris, Gregory Murphy, Margaret C Hodge
BACKGROUND: The role of the prosthetist has changed substantially over the past century. In the transition from 'limb-maker' to 'clinician', the expectations of prosthetics professionals have also changed. OBJECTIVES: To develop and test a new scale capable of assessing and comparing current expectations of the roles of the prosthetist. STUDY DESIGN: Scale development and validation. METHODS: A new scale was constructed in accordance with Organizational Role Theory...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28190380/passive-prosthetic-hands-and-tools-a-literature-review
#7
Bartjan Maat, Gerwin Smit, Dick Plettenburg, Paul Breedveld
BACKGROUND: The group of passive prostheses consists of prosthetic hands and prosthetic tools. These can either be static or adjustable. Limited research and development on passive prostheses has been performed although many people use these prosthesis types. Although some publications describe passive prostheses, no recent review of the peer-reviewed literature on passive prostheses is available. OBJECTIVE: Review the peer-reviewed literature on passive prostheses for replacement of the hand...
February 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28190379/the-turkish-version-of-the-brace-questionnaire-in-brace-treated-adolescents-with-idiopathic-scoliosis
#8
Gözde Gür, Yavuz Yakut, Theo Grivas
BACKGROUND: Evaluation of the effects of brace treatment on quality of life in adolescent idiopathic scoliosis is important. OBJECTIVES: To analyze the validity and reliability of the Turkish version of the Brace Questionnaire. STUDY DESIGN: Cohort study, evaluation of reliability and validity of the Turkish version of the Brace Questionnaire. METHODS: Twenty-eight patients undergoing brace treatment for adolescent idiopathic scoliosis (median age: 14...
February 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28190376/prosthesis-donning-and-doffing-questionnaire-development-and-validation
#9
Noor Azuan Abu Osman, Arezoo Eshraghi, Hossein Gholizadeh, Wan Abu Bakar Wan Abas, Knut Lechler
OBJECTIVES: To develop a questionnaire that specifically evaluates the ability of trans-tibial amputees to don and doff a prosthesis and to investigate the psychometric properties of the newly developed questionnaire. BACKGROUND: Prosthesis should be donned and doffed few times during the day and night; thus, it is important to measure ease of donning and doffing. STUDY DESIGN: A cross-sectional study. METHODS: The questionnaire was designed and evaluated by a group of experts...
February 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28147898/factors-influencing-quality-of-life-following-lower-limb-amputation-for-peripheral-arterial-occlusive-disease-a-systematic-review-of-the-literature
#10
Fiona Davie-Smith, Elaine Coulter, Brian Kennon, Sally Wyke, Lorna Paul
BACKGROUND: The majority of lower limb amputations are undertaken in people with peripheral arterial occlusive disease, and approximately 50% have diabetes. Quality of life is an important outcome in lower limb amputations; little is known about what influences it, and therefore how to improve it. OBJECTIVES: The aim of this systematic review was to identify the factors that influence quality of life after lower limb amputation for peripheral arterial occlusive disease...
February 1, 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
#11
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...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28103760/the-use-of-a-direct-manufacturing-prosthetic-socket-system-in-a-rural-community-in-south-africa-a-pilot-study-and-lessons-for-future-research
#12
Liezel Ennion, Anton Johannesson, Anthea Rhoda
BACKGROUND: Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES: The objective of this study was to test and explore the clients' perspectives with the application of this device. STUDY DESIGN: Within a mixed-methods approach, a longitudinal sequential explanatory design was applied. METHODS: The Orthotic and Prosthetic User's Survey was administered to explore the use of the direct manufacturing prosthetic socket system in terms of function, health-related quality of life and client satisfaction...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28100099/a-user-centered-qualitative-study-on-experiences-with-ankle-foot-orthoses-and-suggestions-for-improved-design
#13
Dymphy van der Wilk, Juha Markus Hijmans, Klaas Postema, Gijsbertus Jacob Verkerke
BACKGROUND: Improving ankle-foot orthosis design can best be done by implementing a user-centered approach. OBJECTIVE: To provide insight into the ideas of ankle-foot orthosis users with flaccid ankle muscle paresis on the importance of activities and suggestions for an improved ankle-foot orthosis design. STUDY DESIGN: A focus-group discussion with eight ankle-foot orthosis users (57 ± 5 years, 50% female). METHODS: Main inclusion criteria were as follows: ⩾18 years, unable to stand on tip-toe and unable to lift toes...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28100097/spina-bifida-and-lower-limb-amputation-in-northern-ireland-a-retrospective-study-of-demographics-and-outcome
#14
Lorraine Graham
BACKGROUND: Spina bifida is an uncommon cause for lower limb amputation. The causes and level of amputation and mobility outcome for these patients have not been reported previously. CASE DESCRIPTION: To identify the causes and level of amputation and the mobility outcome for amputee patients with spina bifida. STUDY DESIGN: Retrospective case series. METHODS: Chart review of patients identified by computer as having an amputation secondary to neurological or congenital cause...
January 1, 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...
January 1, 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
#16
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...
January 1, 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
#17
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...
January 1, 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
#18
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...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094680/changes-in-the-corticospinal-tract-after-wearing-prosthesis-in-bilateral-transtibial-amputation
#19
Sang Yoon Lee, Si Hyun Kang, Don-Kyu Kim, Kyung Mook Seo, Hee Joon Ro, Jae Kyun Kim
BACKGROUND: After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging. Case Description and Methods: A 78-year-old man had a transtibial amputation on his left side in 2008 and he underwent a right transtibial amputation in 2011. An initial brain magnetic resonance imaging with a diffusion tensor imaging was performed before starting rehabilitation on his right transtibial prosthesis, and a follow-up magnetic resonance imaging with diffusion tensor imaging was performed 2 years after this...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28094678/orthotic-treatment-of-positional-brachycephaly-associated-with-osteogenesis-imperfecta
#20
Carolina G Matarazzo, Gerd Schreen, Camilla D do Lago-Rizzardi, Maria Stella Peccin, Fernando Cg Pinto
Osteogenesis imperfecta is an inherited disorder of the connective tissue characterized primarily by fractures with no or small causal antecedents and extremely variable clinical presentation. The disorder requires a global and, therefore, multidisciplinary therapeutic approach that should aim, among other aspects, at the prevention and treatment of deformities resulting from osteogenesis imperfecta. Due to limitations related to bony deformities, it can be difficult to place these infants in a variety of positions that would help remediate skull deformities, so a cranial orthosis becomes the therapy of choice...
January 1, 2017: Prosthetics and Orthotics International
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