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Prosthetics and orthotics

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https://www.readbyqxmd.com/read/28718357/the-influence-of-staff-training-and-education-on-prosthetic-and-orthotic-service-quality-a-scoping-review
#1
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/28631506/the-influence-of-standards-and-clinical-guidelines-on-prosthetic-and-orthotic-service-quality-a-scoping-review
#2
Ebrahim Sadeghi-Demneh, Saeed Forghany, Pornsuree Onmanee, Ursula Trinler, Michael P Dillon, Richard Baker
OBJECTIVES: Standards and guidelines are an integral part of prosthetic and orthotic service delivery in the developed world underpinned by an assumption that they lead to improved services. Implementing them has a cost, however, and that cost needs to be justified, particularly in resource-limited environments. This scoping review thus asks the question, "What is the evidence of the impact of standards and guidelines on service delivery outcomes in prosthetics and orthotics?" MATERIALS AND METHODS: A structured search of three electronic databases (Medline, Scopus and Web of Science) followed by manual searching of title, abstract and full text, yielded 29 articles...
June 20, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28545613/self-efficacy-in-prosthetics-orthotics-students-who-did-and-did-not-participate-in-short-term-study-abroad-programs-preliminary-results
#3
Goeran Fiedler, Uta Kremer
It is conventional knowledge that travel is educational and that a study stay in a foreign country contributes to a student's personality formation and well-roundedness. The benefit of such experiences on attitudes that shape professional aptitude and career success may, however, be debated. It could be argued that exposure to experiences that are irrelevant to a student's chosen profession may have no sizeable impact - thus not justifying the invested time and money - or, in an extreme case, may even be detrimental to career success if the wrong conclusions are drawn...
April 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28487620/kinematics-of-the-normal-knee-during-dynamic-activities-a-synthesis-of-data-from-intracortical-pins-and-biplane-imaging
#4
Xavier Gasparutto, Florent Moissenet, Yoann Lafon, Laurence Chèze, Raphaël Dumas
Few studies have provided in vivo tibiofemoral kinematics of the normal knee during dynamic weight-bearing activities. Indeed, gold standard measurement methods (i.e., intracortical pins and biplane imaging) raise ethical and experimental issues. Moreover, the conventions used for the processing of the kinematics show large inconsistencies. This study aims at synthesising the tibiofemoral kinematics measured with gold standard measurement methods. Published kinematic data were transformed in the standard recommended by the International Society of Biomechanics (ISB), and a clustering method was applied to investigate whether the couplings between the degrees of freedom (DoFs) are consistent among the different activities and measurement methods...
2017: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/28324977/a-novel-method-to-assess-angle-sensor-performance-for-wearable-exoskeletal-joint-kinematics
#5
Nicholas B Bolus, Geza F Kogler, Omer T Inan
Full range of motion (ROM) at a joint is necessary for efficient and adaptive movement; as such, it is an essential clinical evaluation measure for assessing an individual's motor function, which can be affected by any number of musculoskeletal injuries and neuropathies. Measurement of joint ROM in the clinic has classically been accomplished statically through the use of a manual goniometer. More recent efforts in the fields of prosthetics and orthotics have demonstrated the potential utility of wearable systems (e...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227176/a-novel-method-to-assess-angle-sensor-performance-for-wearable-exoskeletal-joint-kinematics
#6
Nicholas B Bolus, Geza F Kogler, Omer T Inan, Nicholas B Bolus, Geza F Kogler, Omer T Inan, Geza F Kogler, Omer T Inan, Nicholas B Bolus
Full range of motion (ROM) at a joint is necessary for efficient and adaptive movement; as such, it is an essential clinical evaluation measure for assessing an individual's motor function, which can be affected by any number of musculoskeletal injuries and neuropathies. Measurement of joint ROM in the clinic has classically been accomplished statically through the use of a manual goniometer. More recent efforts in the fields of prosthetics and orthotics have demonstrated the potential utility of wearable systems (e...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28179609/physical-and-environmental-hazards-in-the-prosthetics-and-orthotics-workshop-a-pilot-study
#7
Sarah Anderson, Rwth Stuckey, Diana Poole, Jodi Oakman
Prosthetists and Orthotists (P&O) are exposed to physical hazards within the workshop environment. Concern regarding these exposures has been expressed by P&Os; however, little research has been undertaken. Exposures to noise and volatile organic compounds in amounts larger than statutorily allowed can have adverse short and long term consequences on people's health. To identify and quantify hazardous noise and chemical exposures in a typical P&O workplace. Noise and volatile organic compound testing was undertaken in 2011 and 2013...
June 8, 2017: Industrial Health
https://www.readbyqxmd.com/read/28143549/patients-satisfaction-with-lower-limb-prosthetic-and-orthotic-devices-and-service-delivery-in-sierra-leone-and-malawi
#8
Lina Magnusson, Gerd Ahlström
BACKGROUND: People with disabilities have the right to personal mobility and available and affordable assistive technology, according to the Convention of Rights of Persons with Disabilities. The aims were to investigate similarities and differences between Sierra Leone and Malawi concerning participants' mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery, and to identify variables associated with patients' satisfaction with assistive devices and associated services in the entire study group from these two low-income countries...
February 1, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28140419/rehabilitation-the-health-strategy-of-the-21st-century
#9
Gerold Stucki, Jerome Bickenbach, Christoph Gutenbrunner, John Melvin
There is strong evidence that population ageing and the epidemiological transition to a higher incidence of chronic, non-communicable diseases will continue to profoundly impact societies worldwide, putting more pressure on healthcare systems to respond to the needs of the people they serve. These trends argue for the need to address what matters to people about their health: limitations in their functioning that affect their day-to-day actions and goals in life. From its inception, rehabilitation, 1 of the 4 health strategies identified in the Declaration of Alma Ata in 1978, has had functioning as its outcome of interest...
January 31, 2017: Journal of Rehabilitation Medicine
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
#10
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/27913783/three-dimensional-printed-prosthesis-demonstrates-functional-improvement-in-a-patient-with-an-amputated-thumb-a-technical-note
#11
Keun Ho Lee, Sung Jae Kim, Yong Ho Cha, Jae Lim Kim, Dong Kyu Kim, Sang Jun Kim
BACKGROUND AND AIM: Three-dimensional printer is widely used in industry, biology, and medical fields. We report a finger prosthesis produced by a three-dimensional scanner and printer for a 67-year-old man with a right thumb amputation above the metacarpophalangeal joint. TECHNIQUE: His right amputated and left intact hands were scanned with a three-dimensional scanner, and the left-hand image was rotated to the right side to design the right thumb prosthesis. The designed prosthesis was printed with a three-dimensional printer using the fused filament fabrication output system...
December 1, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27905888/medicare-program-end-stage-renal-disease-prospective-payment-system-coverage-and-payment-for-renal-dialysis-services-furnished-to-individuals-with-acute-kidney-injury-end-stage-renal-disease-quality-incentive-program-durable-medical-equipment-prosthetics-orthotics
#12
(no author information available yet)
This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2017. It also finalizes policies for coverage and payment for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. This rule also sets forth requirements for the ESRD Quality Incentive Program, including the inclusion of new quality measures beginning with payment year (PY) 2020 and provides updates to programmatic policies for the PY 2018 and PY 2019 ESRD QIP...
November 4, 2016: Federal Register
https://www.readbyqxmd.com/read/27888260/threshold-concepts-in-prosthetics
#13
Sophie Hill
BACKGROUND: Curriculum documents identify key concepts within learning prosthetics. Threshold concepts provide an alternative way of viewing the curriculum, focussing on the ways of thinking and practicing within prosthetics. Threshold concepts can be described as an opening to a different way of viewing a concept. This article forms part of a larger study exploring what students and staff experience as difficult in learning about prosthetics. OBJECTIVES: To explore possible threshold concepts within prosthetics...
November 24, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27849455/the-extremity-trauma-and-amputation-center-of-excellence-overview-of-the-research-and-surveillance-division
#14
Christopher A Rábago, Mary Clouser, Christopher L Dearth, Shawn Farrokhi, Michael R Galarneau, M Jason Highsmith, Jason M Wilken, Marilynn P Wyatt, Owen T Hill
Congress authorized creation of the Extremity Trauma and Amputation Center of Excellence (EACE) as part of the 2009 National Defense Authorization Act. The legislation mandated the Department of Defense (DoD) and Department of Veterans Affairs (VA) to implement a comprehensive plan and strategy for the mitigation, treatment, and rehabilitation of traumatic extremity injuries and amputation. The EACE also was tasked with conducting clinically relevant research, fostering collaborations, and building partnerships across multidisciplinary international, federal, and academic networks to optimize the quality of life of service members and veterans who have sustained extremity trauma or amputations...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27829289/experiences-of-attitudes-in-sierra-leone-from-the-perspective-of-people-with-poliomyelitis-and-amputations-using-orthotics-and-prosthetics
#15
Emmelie Andregård, Lina Magnusson
PURPOSE: The aim of this study was to describe experiences of attitudes in the society of Sierra Leone from the perspective of individuals with poliomyelitis and people with amputations using orthotic or prosthetic devices. METHODS: Individual interviews were conducted using open-ended questions. Twelve participants with amputations or polio were included. Content analysis was applied to the data. RESULTS: The following six themes emerged during data analysis: Experience of negative attitudes; Neglected and respected by family; Traditional beliefs; The importance of assistive devices; People with disability struggle with poverty; and The need for governmental and international support...
November 10, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27689584/ergonomic-workplace-assessment-in%C3%A2-orthotic-and-prosthetic-workshops
#16
H Salmani Nodooshan, S Koohi Booshehri, H Daneshmandi, A R Choobineh
BACKGROUND: In Iranian orthotic and prosthetic workshops, the majority of activities are carried out by manpower and the tasks are labor-intensive. In these workshops, ergonomic aspects of working conditions are seldom considered. OBJECTIVE: This study was conducted in orthotic and prosthetic workshops with the objectives of determination of prevalence rate of MSDs among employees and assessment of ergonomics working conditions. METHODS: In this cross-sectional study, all employees (n = 42; 29 males and 13 females) in 11 active orthotic and prosthetic production centers of Shiraz city participated...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/27632024/additive-manufacturing-of-biomaterials-tissues-and-organs
#17
Amir A Zadpoor, Jos Malda
The introduction of additive manufacturing (AM), often referred to as three-dimensional (3D) printing, has initiated what some believe to be a manufacturing revolution, and has expedited the development of the field of biofabrication. Moreover, recent advances in AM have facilitated further development of patient-specific healthcare solutions. Customization of many healthcare products and services, such as implants, drug delivery devices, medical instruments, prosthetics, and in vitro models, would have been extremely challenging-if not impossible-without AM technologies...
September 8, 2016: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/27619191/combined-ankle-foot-energetics-are-conserved-when-distal-foot-energy-absorption-is-minimized
#18
Elisa S Arch, Bretta L Fylstra
The large, late-stance energy generated by the ankle is believed to be critical during gait. However, the distal foot absorbs/dissipates a considerable amount of energy during the same phase. Thus, the energy generated by the combined ankle-foot system is more modest, which raises questions regarding the necessity of such a large ankle power and the interplay between foot and ankle energetics. This study aimed to evaluate our conservation of energy hypothesis, which predicted if distal foot energy absorption/dissipation was reduced, then less energy would be generated at the ankle and thus the same combined ankle-foot energetics would be achieved...
December 2016: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/27555799/myoelectric-control-of-prosthetic-hands-state-of-the-art-review
#19
REVIEW
Purushothaman Geethanjali
Myoelectric signals (MES) have been used in various applications, in particular, for identification of user intention to potentially control assistive devices for amputees, orthotic devices, and exoskeleton in order to augment capability of the user. MES are also used to estimate force and, hence, torque to actuate the assistive device. The application of MES is not limited to assistive devices, and they also find potential applications in teleoperation of robots, haptic devices, virtual reality, and so on...
2016: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/27510933/improving-disability-care-in-countries-of-the-bolivarian-alliance-for-the-peoples-of-our-america
#20
Miriam Portuondo-Sao, Marcia Cobas-Ruiz, Eduardo Zacca-Peña, Araceli Lantigua-Cruz, Josefina López-García, Yosnel Boligán-Jomarrón, Martiza Leyva-Serrano, Anorys Herrera-Armenteros, Ileana R Morales-Suárez
Persons with disabilities constitute one of the most vulnerable groups in every society; their identification, assessment and care present a major challenge. In 2001-2003, Cuba conducted the first comprehensive national study of persons with disabilities in the Americas. In 2007-2010, the study was replicated in Bolivia, Ecuador, Nicaragua, Saint Vincent and the Grenadines, and Venezuela, at their governments' request. Study results have enabled implementation of strategies with substancial impact on human health in these countries...
July 2016: MEDICC Review
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