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https://www.readbyqxmd.com/read/28525958/necessity-of-immobilizing-the-metacarpophalangeal-joint-in-carpometacarpal-osteoarthritis-short-term-effect
#1
Raquel Cantero-Téllez, Kristin Valdes, Deborah A Schwartz, Ivan Medina-Porqueres, Jean Christophe Arias, Jorge H Villafañe
BACKGROUND: Conservative treatment for carpometacarpal (CMC) joint osteoarthritis (OA) may include orthotic fabrication to decrease pain. Different types of orthoses have been used as conservative interventions to improve symptoms, but there are no guidelines specifying if inclusion of the thumb metacarpophalangeal (MCP) in an orthosis is required in the treatment of thumb CMC joint OA. The main objective of this study is to determine the effectiveness of 2 different thumb CMC joint orthotic designs on pain reduction and improved hand function: one design immobilizes both the MCP joint and the CMC joint and the other design immobilizes only the CMC joint...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28523987/six-month-effects-of-early-or-delayed-provision-of-an-ankle-foot-orthosis-in-patients-with-sub-acute-stroke-a-randomized-controlled-trial
#2
Corien Dm Nikamp, Jaap H Buurke, Job van der Palen, Hermie J Hermens, Johan S Rietman
OBJECTIVE: To study the six-month clinical effects of providing ankle-foot orthoses at different moments (early or delayed) in (sub)acute stroke; this is a follow-up to a published trial. DESIGN: Randomized controlled trial. SETTING: Rehabilitation centre. SUBJECTS: Unilateral hemiparetic stroke subjects maximal six weeks post-stroke with indication for ankle-foot orthosis use. INTERVENTIONS: Subjects were randomly assigned to early (at inclusion; week 1) or delayed provision (eight weeks later; week 9)...
May 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28513217/a-preliminary-study-on-the-effect-of-computer-aided-designed-and-manufactured-orthoses-on-chronic-plantar-heel-pain
#3
Alfred Gatt, Mark Grech, Nachiappan Chockalingam, Cynthia Formosa
INTRODUCTION: Chronic plantar heel pain (CPHP) is a significant, painful condition referring to a range of undifferentiated foot conditions that affect the heel of the foot. METHOD: Participants presenting with CPHP of more than 6 months' duration were recruited on a first through the door basis. Computer-Aided Design and Computer-Aided Manufactured (CAD-CAM) orthoses were designed and constructed for each participant, then dispensed as per normal practice. Pre- and postintervention assessment of pain was performed at baseline and after 6 weeks of use, utilizing the pain subset of the Foot Function Index (FFI)...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28512689/long-term-results-of-fibular-achilles-tenodesis-westin-s-tenodesis-for-paralytic-pes-calcaneus-is-hypercorrection-avoidable-a-longitudinal-retrospective-study
#4
Helder Henzo Yamada, Patricia Maria Moraes de Barros Fucs
PURPOSE: The purpose of this study was to review all cases of patients submitted to Westin's tenodesis, who had calcaneus feet secondary to myelomeningocele sequel, in order to evaluate the anatomical change provided by surgery and also to verify, in a long-term follow-up, the inversion of the deformity depending on the patient's age. METHODS: In this longitudinal retrospective study, all medical records of patients with myelomeningocele sequelae submitted to Westin's tenodesis from 1993 to 2013 in a public university hospital were reviewed...
May 16, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28503144/rigid-ankle-foot-orthosis-deteriorates-mediolateral-balance-control-and-vertical-braking-during-gait-initiation
#5
Arnaud Delafontaine, Olivier Gagey, Silvia Colnaghi, Manh-Cuong Do, Jean-Louis Honeine
Rigid ankle-foot orthoses (AFO) are commonly used for impeding foot drop during the swing phase of gait. They also reduce pain and improve gait kinematics in patients with weakness or loss of integrity of ankle-foot complex structures due to various pathological conditions. However, this comes at the price of constraining ankle joint mobility, which might affect propulsive force generation and balance control. The present study examined the effects of wearing an AFO on biomechanical variables and electromyographic activity of tibialis anterior (TA) and soleus muscles during gait initiation (GI)...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28499363/predictors-of-response-to-prefabricated-foot-orthoses-or-rocker-sole-footwear-in-individuals-with-first-metatarsophalangeal-joint-osteoarthritis
#6
Hylton B Menz, Maria Auhl, Jade M Tan, Pazit Levinger, Edward Roddy, Shannon E Munteanu
BACKGROUND: Osteoarthritis of the first metatarsophalangeal joint (1st MTPJ OA) is a common and disabling condition commonly managed with footwear and orthotic interventions. The objective of this study was to identify factors associated with a successful treatment response in people with 1st MTPJ OA provided with prefabricated orthoses or rocker-sole footwear as part of a randomised clinical trial. METHODS: People with 1st MTPJ OA (n = 88) who participated in a randomised trial were allocated to receive prefabricated foot orthoses (n = 47) or rocker-sole footwear (n = 41) and completed a baseline questionnaire including information on demographics, anthropometrics, general health, pain characteristics (including the Foot Health Status Questionnaire [FHSQ] and Foot Function Index [FFI]) and perceptions of the interventions, and a clinical assessment of foot posture, range of motion, radiographic severity and in-shoe plantar pressures...
May 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28486863/the-influence-of-the-use-of-ankle-foot-orthoses-on-thorax-spine-and-pelvis-kinematics-during-walking-in-children-with-cerebral-palsy
#7
Eva Swinnen, Jean-Pierre Baeyens, Benjamin Van Mulders, Julian Verspecht, Marc Degelaen
BACKGROUND: To improve gait function in children with cerebral palsy, ankle-foot orthoses are often prescribed. However, until now, little attention has been devoted to the effect of ankle-foot orthoses on the postural control during walking in children with cerebral palsy. OBJECTIVES: The aim was to compare the differences in thorax, spine, and pelvis movements in children with cerebral palsy during walking barefoot and walking with ankle-foot orthoses. STUDY DESIGN: Clinical study with an intra subject design...
May 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28484892/subject-specific-optimisation-of-the-stiffness-of-footwear-material-for-maximum-plantar-pressure-reduction
#8
Panagiotis E Chatzistergos, Roozbeh Naemi, Aoife Healy, Peter Gerth, Nachiappan Chockalingam
Current selection of cushioning materials for therapeutic footwear and orthoses is based on empirical and anecdotal evidence. The aim of this investigation is to assess the biomechanical properties of carefully selected cushioning materials and to establish the basis for patient-specific material optimisation. For this purpose, bespoke cushioning materials with qualitatively similar mechanical behaviour but different stiffness were produced. Healthy volunteers were asked to stand and walk on materials with varying stiffness and their capacity for pressure reduction was assessed...
May 9, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28482892/a-preliminary-investigation-into-the-design-of-pressure-cushions-and-their-potential-applications-for-forearm-robotic-orthoses
#9
N Alavi, S Zampierin, M Komeili, S Cocuzza, S Debei, C Menon
BACKGROUND: Load cells are often used in rehabilitation robotics to monitor human-robot interaction. While load cells are accurate and suitable for the stationary end-point robots used in rehabilitation hospitals, their cost and inability to conform to the shape of the body hinder their application in developing affordable and wearable robotic orthoses for assisting individuals in the activities of daily living. This exploratory work investigates the possibility of using an alternative technology, namely compliant polymeric air cushions, to measure interaction forces between the user and a wearable rigid structure...
May 8, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28455486/errata
#10
(no author information available yet)
van der Vegt AE, Grond R, Grüschke JS, Boomsma MF, Emmelot CH, Dijkstra PU, van der Sluis CK. The effect of two different orthoses on pain, hand function, patient satisfaction and preference in patients with thumb carpometacarpal osteoarthritis. Bone Joint J;2017;99-B:237-244.
May 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28454772/effects-of-client-centered-multimodal-treatment-on-impairment-function-and-satisfaction-of-people-with-thumb-carpometacarpal-osteoarthritis
#11
Barbara Shankland, Dorcas Beaton, Sara Ahmed, Bernadette Nedelec
STUDY DESIGN: Prepost design. INTRODUCTION: Previous research regarding the non-surgical treatment of thumb carpometacarpal joint osteoarthritis has been based on protocol driven research designs that primarily examined impairment level changes. Exploration is therefore needed to determine the benefits of individually prescribed orthoses, joint protection and assistive device education programs that are based on the activities the person needs to regularly perform...
April 25, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28450898/a-single-blinded-randomized-parallel-group-superiority-trial-investigating-the-effects-of-footwear-and-custom-foot-orthoses-versus-footwear-alone-in-individuals-with-patellofemoral-joint-osteoarthritis-a-phase-ii-pilot-trial-protocol
#12
Narelle Wyndow, Kay M Crossley, Bill Vicenzino, Kylie Tucker, Natalie J Collins
BACKGROUND: Patellofemoral joint osteoarthritis is a common condition, yet information regarding conservative management is lacking. Foot orthoses are an effective intervention for improving pain and function in younger individuals with patellofemoral pain and may be effective in those with patellofemoral osteoarthritis. This pilot study will seek to establish the feasibility of a phase III randomised controlled trial to investigate whether foot orthoses worn in prescribed motion controlled footwear are superior to prescribed motion control footwear alone in the management of patellofemoral osteoarthritis...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28434057/predictive-control-of-intersegmental-tarsal-movements-in-an-insect
#13
Alicia Costalago-Meruelo, David M Simpson, Sandor M Veres, Philip L Newland
In many animals intersegmental reflexes are important for postural and movement control but are still poorly undesrtood. Mathematical methods can be used to model the responses to stimulation, and thus go beyond a simple description of responses to specific inputs. Here we analyse an intersegmental reflex of the foot (tarsus) of the locust hind leg, which raises the tarsus when the tibia is flexed and depresses it when the tibia is extended. A novel method is described to measure and quantify the intersegmental responses of the tarsus to a stimulus to the femoro-tibial chordotonal organ...
April 22, 2017: Journal of Computational Neuroscience
https://www.readbyqxmd.com/read/28419877/effect-of-foot-orthoses-on-the-medial-longitudinal-arch-in-children-with-flexible-flatfoot-deformity-a-three-dimensional-moment-analysis
#14
Amir Ali Jafarnezhadgero, Morteza Madadi Shad, Mahdi Majlesi
Foot orthoses are often used to correct altered gait patterns. The purpose of this study was to investigate how foot orthoses can modify the magnitude of three dimensional moments of ankle, knee, and hip joints during a stride of gait in children with flexible flat feet. Bilateral gait data were collected from fourteen male children (age 10.2±1.4 years) suffering from flat feet syndrome. In order to obtain the kinematics data, a Vicon system with six cameras (100Hz) was used and two Kistler force plates (1000Hz) to record the kinetics data under each leg...
April 7, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28407505/a-randomized-controlled-trial-on-providing-ankle-foot-orthoses-in-patients-with-sub-acute-stroke-short-term-kinematic-and-spatiotemporal-effects-and-effects-of-timing
#15
Corien D M Nikamp, Marte S H Hobbelink, Job van der Palen, Hermie J Hermens, Johan S Rietman, Jaap H Buurke
Initial walking function is often limited after stroke, and regaining walking ability is an important goal in rehabilitation. Various compensatory movement strategies to ensure sufficient foot-clearance are reported. Ankle-foot orthoses (AFOs) are often prescribed to improve foot-clearance and may influence these strategies. However, research studying effects of actual AFO-provision early after stroke is limited. We conducted an explorative randomized controlled trial and aimed to study the short-term effects of AFO-provision on kinematic and spatiotemporal parameters in patients early after stroke...
March 30, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28400179/the-optimal-orthosis-and-motion-protocol-for-extensor-tendon-injury-in-zones-iv-viii-a-systematic-review
#16
Alison L Wong, Madeline Wilson, Sakina Girnary, Matthew Nojoomi, Soumyadipta Acharya, Scott M Paul
STUDY DESIGN: Systematic review INTRODUCTION: There exist numerous combinations of orthoses and motion protocols for the treatment of proximal extensor tendon injuries. PURPOSE: The purpose of this study was to determine the optimal combination of motion protocol and orthotic treatment for the rehabilitation of proximal extensor tendon injuries (zones IV-VIII). METHODS: A systematic review of English language randomized clinical trials and cohort studies investigating extensor tendon rehabilitation from 1960 to 2016 was conducted in MEDLINE, Embase, Cochrane, CINAHL, PEDro, and OTseeker...
April 8, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28389060/paraneoplastic-limbic-encephalitis-with-sox1-and-pca2-antibodies-and-relapsing-neurological-symptoms-in-an-adolescent-with-hodgkin-lymphoma
#17
M Kunstreich, J H Kreth, P T Oommen, J Schaper, M Karenfort, O Aktas, D Tibussek, F Distelmaier, A Borkhardt, M Kuhlen
BACKGROUND: Immune cross-reactivity between malignant and normal tissues causes the rare, so called paraneoplastic syndrome (PS). In approximately 60% of the patients, various onconeural antibodies are detectable in the cerebrospinal fluid (CSF) and are associated with typical tumour entities. METHODS: We report an unusual case of paraneoplastic limbic encephalitis (PLE) in a 17-year-old adolescent with classical Hodgkin lymphoma. RESULTS: He presented with a variety of neurologic and neuropsychiatric symptoms, profound B-symptoms and typical MRI findings including hyperintense lesions with contrast enhancement in the medial temporal lobe and limbic system...
March 27, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28387657/the-importance-of-orthoses-on-activities-of-daily-living-in-patients-with-unilateral-lower-limb-amputations
#18
Sule Sahin Onat, Sibel Ünsal-Delialioğlu, Sumru Özel
BACKGROUND: The role of the selected prothesis on activities of daily living (ADL). OBJECTIVE: To evaluate the impact of prothesis on ADL in patients with lower-limb amputations. METHODS: The data of 500 patients with unilateral lower limb amputation were recorded. The activity level was defined based on the Medicare Functional Classification Level. Old and new prescribed prosthesis were recorded. Nottingham Extended Activities of daily living activities Daily Living Scale was used to evaluate ADL...
March 31, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28366029/a-novel-mechanotronic-orthosis-enables-symmetrical-gait-kinematics-in-a-patient-with-a-femoral-nerve-palsy-a-case-study
#19
G M Hobusch, T Hasenöhrl, K Pieber, T Schmalz, S Dana, C Ambrozy, K Pohlig, H Dietl, R Crevenna, G von Skrbensky, C Hofer, R Auberger, R Windhager
The usage of stance- and swing-phase control orthoses (SSCOs) is a good option in patients with neuromuscular insufficiency of the quadriceps muscle in a broad range of musculo-skeletal disorders. The subjective sensation of improved mobility in daily life and walking comfort could be objectively confirmed by the ability to walk without crutches and by harmonization of the gait patterns in hip and knee. They could also be a considered mobility device after limb salvage surgery, which may even have an impact on preoperative decision making...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28364350/-conservative-treatment-of-hallux-valgus-what-can-be-achieved-with-splints-and-insoles
#20
R A Fuhrmann, W Rippel, A Traub
In hallux valgus syndrome conservative measures can only be applied to relieve the symptoms. Insoles, orthoses, and toe alignment splints cannot improve forefoot deformity. However, symptoms due to increased local pressure can be alleviated with orthotic devices. After surgically realigning the hallux, splints are helpful to retain joint congruency and assure proper toe position during soft tissue healing.
May 2017: Der Orthopäde
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