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https://www.readbyqxmd.com/read/28229034/comprehensive-review-of-non-operative-management-of-hallux-rigidus
#1
REVIEW
Charles Kon Kam King, James Loh Sy, Qishi Zheng, Kinjal V Mehta
This article aims to provide an evidence-based literature review for the non-operative management of hallux rigidus. Currently, there is very little article on the evidence for the non-operative management of hallux rigidus. A comprehensive evidence-based literature review of the PubMed database conducted in November 2016, identified 11 relevant articles out of 560 articles assessing the efficacy of non-operative modalities for hallux rigidus. The 11 studies were then assigned to a level of evidence (I-IV)...
January 20, 2017: Curēus
https://www.readbyqxmd.com/read/28227646/a-wearable-robotic-orthosis-with-a-spring-assist-actuator
#2
Seungmin Jung, Chankyu Kim, Jisu Park, Dongyoub Yu, Jaehwan Park, Junho Choi, Seungmin Jung, Chankyu Kim, Jisu Park, Dongyoub Yu, Jaehwan Park, Junho Choi, Dongyoub Yu, Jaehwan Park, Junho Choi, Seungmin Jung, Chankyu Kim, Jisu Park
This paper introduces a wearable robotic orthosis with spring-assist actuators, which is designed to assist people who have difficulty in walking. The spring-assist actuator consists of an electrical motor and a spring, which are attached to a rotational axis in parallel to each other. The spring-assist actuator is developed based on the analysis on the stiffness of the knee and hip joints during walking. "COWALK-Mobile," which is a wearable robotic orthosis, is developed using the spring-assist actuators to reduce the required motor torque during walking...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227644/evaluation-of-a-wrist-orthosis-on-lofstrand-crutch-assisted-gait
#3
Deen Farooq, Omid Jahanian, Brooke A Slavens, Elizabeth T Hsiao-Wecksler, Deen Farooq, Omid Jahanian, Brooke A Slavens, Elizabeth T Hsiao-Wecksler
Lofstrand, or forearm, crutches are a common assistive mobility device for those with functional impairments. However, repeated loading of the wrist and palmar region and continual hyperextension of the wrist during Lofstrand crutch usage may cause wrist strain, pain, and secondary injuries such as carpal tunnel syndrome. In order to reduce risk of injury, a novel wrist orthosis was developed with the intent of improving wrist posture and reducing/redirecting palmar loads from the carpal tunnel region to the adductor pollicis area...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227638/simulation-of-fluid-environment-using-a-robotic-orthosis-on-human-lower-extremity-for-therapeutic-purposes
#4
Tayfun Efe Ertop, Tolga Yuksel, Erhan Ilhan Konukseven, Tayfun Efe Ertop, Tolga Yuksel, Erhan Ilhan Konukseven, Tolga Yuksel, Erhan Ilhan Konukseven, Tayfun Efe Ertop
Rehabilitation under water is a viable physical rehabilitation option, but it has some limitations in terms of adapting to needs of each patient. In addition, its facility requirements are relatively high. Simulating the fluid environment using a robotic system would enable therapists adjust various parameters so that the therapy is tailored to the patient's unique state. Also, using a robotic system instead might be less costly and easily reachable. In this study, human lower extremity movement in fluids is modeled...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227214/activity-recognition-in-patients-with-lower-limb-impairments-do-we-need-training-data-from-each-patient
#5
Luca Lonini, Aakash Gupta, Konrad Kording, Arun Jayaraman, Luca Lonini, Aakash Gupta, Konrad Kording, Arun Jayaraman, Luca Lonini, Konrad Kording, Arun Jayaraman, Aakash Gupta
Machine learning allows detecting specific physical activities using data from wearable sensors. Such a quantification of patient mobility over time promises to accurately inform clinical decisions for physical rehabilitation. There are two strategies of setting up the machine learning problem: detect one patient's activities using data from the same patient (personal model) or detect their activities using data from other patients (global model), and we currently do not know if personal models are necessary...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226961/knee-orthosis-with-variable-stiffness-and-damping-that-simulates-hemiparetic-gait
#6
Christina-Anne Lahiff, Tyagi Ramakrishnan, Seok Hun Kim, Kyle Reed, Christina-Anne Lahiff, Tyagi Ramakrishnan, Seok Hun Kim, Kyle Reed, Christina-Anne Lahiff, Kyle Reed, Tyagi Ramakrishnan, Seok Hun Kim
Individuals with unilateral stroke have neuromuscular weakness or paralysis on one side of the body caused by some muscles disengaging and others overexciting. Hyperextension of the knee joint and complete lack of plantar flexion of the ankle joint are common symptoms of stroke. This paper focuses on the creation and implementation of a small, lightweight, and adjustable orthotic device to be positioned around the knee of an able-bodied person to simulate hemiparetic gait. Force and range of motion data from able-bodied subjects fitted with the orthosis, inducing hemiparetic gait, was collected using the Computer Assisted Rehabilitation ENvironment (CAREN) system...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28222640/dynamic-long-leg-casting-fixation-for-treating-12-to-18-month-old-infants-with-developmental-dysplasia-of-the-hip
#7
Zhencun Cai, Lianyong Li, Lijun Zhang, Shijun Ji, Qun Zhao
Objective To evaluate the effect of dynamic long leg casting in paediatric patients with developmental dysplasia of hip (DDH) diagnosed at 12-18 months. Methods The adductor tenotomy, closed reduction, and dynamic long leg casting method was adopted to treat paediatric patients with DDH. The hips were divided into four groups according to the Tonnis radiographic dislocation classification. Groups were also classified according to the baseline acetabular index (AI): 30°-35°, 36°-40°, and > 40°. The outcomes of the reductions were evaluated according to McKay's hip function criteria and Severin's radiological criteria...
February 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28222565/carbon-modular-orthosis-ca-m-o-an%C3%A2-innovative-hybrid-modular-ankle-foot-orthosis-to-tune-the-variable-rehabilitation-needs-in-hemiplegic-cerebral-palsy
#8
E Tavernese, M Petrarca, G Rosellini, E Di Stanislao, A Pisano, G Di Rosa, E Castelli
BACKGROUND: Hemiplegic Celebral Palsy (CP) children commonly use AFO orthoses as walking aids. It is known that AFOs may have a detrimental effect on gait. To enhance mechanical properties of AFOs we developed an innovative, custom-made, carbon, ankle-foot orthosis (Ca.M.O) which offers the opportunity to tune its response to the patient's gait characteristics and/or functional maturity. OBJECTIVE: To assess the efficacy of Ca.M.O. in improving gait in a group of hemiplegic CP children and to compare its performances with those of commonly prescribed AFO...
February 10, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28220573/a-comparison-of-two-types-of-ankle-supports-in-men-with-haemophilia-and-unilateral-ankle-pain-from-arthropathy
#9
D Oleson, L Fox, T Nguyen, P Sochacki, M McCarthy, E Adams, M Recht
INTRODUCTION: Adults with haemophilia frequently have a painful and disordered gait due to ankle arthropathy. AIM: The aim of this study was to determine if pain and gait parameters were affected by the use of different types of ankle bracing. METHODS: We investigated the gait patterns of 17 men with severe haemophilia without bracing, using a fracture boot (FB) and a carbon fibre floor reaction ankle foot orthosis (CF-AFO). Pain relief was determined in each condition...
February 20, 2017: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/28210045/a-kinematic-analysis-of-the-lower-limb-with-regard-to-restricted-spinal-motion-during-gait
#10
Hyeon-Nam Song, Young Mi Kim, Kyoung Kim
[Purpose] The purpose of this study was to investigate the effect of restricted spinal motion on kinematic changes in the lower extremities using a rigid thoracolumbosacral orthosis. [Subjects and Methods] Forty healthy males in their 20s were selected as the sample, which was randomly and evenly divided into two groups: (1) the WT group (with a thoracolumbosacral orthosis) and (2) the WOT group (without a thoracolumbosacral orthosis). The spinal orthosis used in this study was a thoracolumbosacral orthosis called a plastic body jacket...
January 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28207840/using-the-hephaistos-orthotic-device-to-study-countermeasure-effectiveness-of-neuromuscular-electrical-stimulation-and-dietary-lupin-protein-supplementation-a-randomised-controlled-trial
#11
Jochen Zange, Kathrin Schopen, Kirsten Albracht, Darius A Gerlach, Petra Frings-Meuthen, Nicola A Maffiuletti, Wilhelm Bloch, Jörn Rittweger
PURPOSE: The present study investigated whether neuromuscular electrical stimulation for 20 min twice a day with an electrode placed over the soleus muscle and nutritional supplementation with 19 g of protein rich lupin seeds can reduce the loss in volume and strength of the human calf musculature during long term unloading by wearing an orthotic unloading device. METHODS: Thirteen healthy male subjects (age of 26.4 ± 3.7 years) wore a Hephaistos orthosis one leg for 60 days during all habitual activities...
2017: PloS One
https://www.readbyqxmd.com/read/28203142/development-and-feasibility-assessment-of-a-rotational-orthosis-for-walking-with-arm-swing
#12
Juan Fang, Qing Xie, Guo-Yuan Yang, Le Xie
Interlimb neural coupling might underlie human bipedal locomotion, which is reflected in the fact that people swing their arms synchronously with leg movement in normal gait. Therefore, arm swing should be included in gait training to provide coordinated interlimb performance. The present study aimed to develop a Rotational Orthosis for Walking with Arm Swing (ROWAS), and evaluate its feasibility from the perspectives of implementation, acceptability and responsiveness. We developed the mechanical structures of the ROWAS system in SolidWorks, and implemented the concept in a prototype...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28198549/pelvic-limb-kinematics-in-the-dog-with-and-without-a-stifle-orthosis
#13
Bryan T Torres, Yang-Chieh Fu, Gabriella S Sandberg, Steven C Budsberg
OBJECTIVE: To report a method of evaluating 3-dimensional joint motion in dogs with a stifle orthosis. STUDY DESIGN: Experimental. ANIMALS: Six healthy dogs. METHODS: Three-dimensional pelvic limb joint motion was recorded with and without a stifle orthosis. Kinematic data were collected from dogs at a walk and trot for the hip, stifle, and tarsus prior to, and after application of, a stifle orthosis. Data were also obtained for the orthosis alone...
February 15, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28197198/application-of-a-paraplegic-gait-orthosis-in-thoracolumbar-spinal-cord-injury
#14
Lang Shuai, Guo-Hua Yu, Zhen Feng, Wan-Song Wang, Wei-Ming Sun, Lu Zhou, Yin Yan
Paraplegic gait orthosis has been shown to help paraplegic patients stand and walk, although this method cannot be individualized for patients with different spinal cord injuries and functional recovery of the lower extremities. There is, however, a great need to develop individualized paraplegic orthosis to improve overall quality of life for paraplegic patients. In the present study, 36 spinal cord (below T4) injury patients were equally and randomly divided into control and observation groups. The control group received systematic rehabilitation training, including maintenance of joint range of motion, residual muscle strength training, standing training, balance training, and functional electrical stimulation...
December 2016: Neural Regeneration Research
https://www.readbyqxmd.com/read/28188024/robotic-assisted-gait-training-improves-walking-abilities-in-diplegic-children-with-cerebral-palsy
#15
L Wallard, G Dietrich, Y Kerlirzin, J Bredin
The robotic-assisted gait training therapy (RAGT), based on intensity and repetition of movement, presents beneficial effects on recovery and improvement of postural and locomotor functions of the patient. This study sought to highlight the effect of this RAGT on the dynamic equilibrium control during walking in children with Cerebral Palsy (CP) by analyzing the different postural strategies of the fullbody (upper/lower body) before and after this RAGT in order to generate forward motion while maintaining balance...
February 2, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28180116/a-newly-designed-tennis-elbow-orthosis-with-a-traditional-tennis-elbow-strap-in-patients-with-lateral-epicondylitis
#16
Hossein Saremi, Vahid Chamani, Reza Vahab-Kashani
BACKGROUND: Lateral epicondylitis is a common cause of pain and upper limb dysfunction. The use of counterforce straps for treatment of lateral epicondylitis is widespread. This kind of orthosis can be modified to have a greater effect on relieving pain by reducing tension on the origin of the extensor pronator muscles. OBJECTIVES: To determine the immediate effects of a newly designed orthosis on pain and grip strength in patients with lateral epicondylitis. MATERIALS AND METHODS: Twelve participants (six men and six women) were recruited (mean age = 41 ± 6...
July 2016: Trauma Monthly
https://www.readbyqxmd.com/read/28178093/management-of-clubfoot-relapses-with-the-ponseti-method-results-of-a-survey-of-the-posna-members
#17
Pooya Hosseinzadeh, Gary M Kiebzak, Lori Dolan, Lewis E Zionts, Jose Morcuende
BACKGROUND: Despite the high rate of initial success using the Ponseti method to manage idiopathic clubfoot deformity, relapse continues to be a problem. We surveyed the Pediatric Orthopedic Society of North America (POSNA) members about their experience with relapsed deformity following the initial correction of clubfeet. METHODS: We created a survey to focus on the management of clubfeet after initial correction of deformity. The survey included questions on postcorrective bracing, clinical findings used to identify relapse, the observed frequency of relapsed deformity, and how relapses are managed...
February 7, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28148667/the-effect-of-two-different-orthoses-on-pain-hand-function-patient-satisfaction-and-preference-in-patients-with-thumb-carpometacarpal-osteoarthritis-a-multicentre-crossover-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
A E van der Vegt, R Grond, J S Grüschke, M F Boomsma, C H Emmelot, P U Dijkstra, C K van der Sluis
AIMS: The aim of this study was to compare the Push Ortho Thumb Brace CMC and a custom-made orthosis in the treatment of patients with primary osteoarthritis of the carpometacarpal joint of the thumb. Our outcome measures were pain scores, tests of hand function, patient satisfaction and patient preference. PATIENTS AND METHODS: A multicentre crossover randomised controlled trial was conducted which included 63 patients (44 women) with primary osteoarthritis of the carpometacarpal joint of the thumb...
February 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28141603/prevention-and-management-of-postoperative-delirium-in-elderly-patients-following-elective-spinal-surgery
#19
Alireza K Nazemi, Anirudh K Gowd, Jonathan J Carmouche, Stephen L Kates, Todd J Albert, Caleb J Behrend
STUDY DESIGN: This study is a systematic review. OBJECTIVE: Propose an evidence-based algorithm for prevention, diagnosis, and management of postoperative delirium in geriatric patients undergoing elective spine surgery. SUMMARY OF BACKGROUND DATA: Delirium is associated with longer stays after elective surgery, increased risk of readmission, and $6.9 billion annually in medical costs. Early diagnosis and treatment of delirium can reduce length of stay (LOS), in-hospital morbidity, and health care costs...
January 30, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28130084/giving-them-a-hand-wearing-a-myoelectric-elbow-wrist-hand-orthosis-reduces-upper-extremity-impairment-in-chronic-stroke
#20
Heather T Peters, Stephen J Page, Andrew Persch
OBJECTIVE: Determine the immediate impact of a portable, myoelectric elbow-wrist-hand orthosis (MEWHO) on paretic upper extremity (UE) impairment in chronic, stable, moderately impaired stroke survivors. DESIGN: Observational cohort study Setting: Outpatient rehabilitation clinic PARTICIPANTS: 18 participants exhibiting chronic, moderate, stable, post-stroke, UE hemiparesis. INTERVENTIONS: Subjects were administered a battery of measures testing UE impairment as well as UE function...
January 24, 2017: Archives of Physical Medicine and Rehabilitation
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