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https://www.readbyqxmd.com/read/29658520/biomechanical-characterization-of-slope-walking-using-musculoskeletal-model-simulation
#1
Masayuki Kawada, Kazutaka Hata, Ryoji Kiyama, Tetsuo Maeda, Kazunori Yone
PURPOSE: Upslope and downslope walking are basic activities necessary for normal daily living in community, and they impose greater joint load on the lower extremities than during level walking. Thus, the purpose of this study was to quantify the resultant and shear forces in the hip and knee joints during slope walking. METHODS: Twelve healthy volunteers were evaluated when walking under level and 10° up- and downslope conditions. Three-dimensional gait analysis was conducted using a 7-camera optoelectronic motion analysis system combined with a force plate to measure ground reactive force...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29650492/robotically-driven-orthoses-exert-proximal-to-distal-differential-recovery-on-the-lower-limbs-in-children-with-hemiplegia-early-after-acquired-brain-injury
#2
Elena Beretta, Erika Molteni, Emilia Biffi, Roberta Morganti, Paolo Avantaggiato, Sandra Strazzer
Robotically-driven orthoses (RDO) are promising for treating gait impairment in children with hemiplegia after acquired brain injury (ABI). Despite this, existing literature on the employment of RDO in ABI is scanty, and cohorts' age spans throughout the adult age, with no specific focus on the developmental age. We aim to compare a treatment solely based on conventional physiotherapy (CP) with a program combining RDO training with CP, and to examine the effect of time following ABI on recovery. A prospective two-cohorts study was conducted in a rehabilitation hospital...
March 23, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29626145/risk-factors-for-lower-limb-injuries-during-initial-naval-training-a-prospective-study
#3
Daniel R Bonanno, S E Munteanu, G S Murley, K B Landorf, H B Menz
INTRODUCTION: This study aimed to identify risk factors associated with the development of common lower limb injuries during initial defence training in naval recruits who were enrolled in a randomised trial. METHODS: Three-hundred and six naval recruits were randomly allocated flat insoles (n=153) or foot orthoses (n=153) while undertaking 11 weeks of initial training. Participant characteristics (including anthropometrics, general health, physical activity, fitness and foot characteristics) were collected at the baseline assessment and injuries were documented prospectively...
April 6, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29625646/therapy-concepts-for-the-proximal-interphalangeal-joint
#4
REVIEW
Nathan P Douglass, Amy L Ladd
The principles of hand therapy for proximal interphalangeal joint disorders include protecting injured structures, minimizing patient discomfort, and optimizing patient recovery. Comprehension of hand anatomy, the nature of the injury being treated, and the phases of healing are critical when designing a safe and effective hand therapy program. Hand therapists use a combination of orthoses, guided exercises, and modalities to improve edema, sensitivity, range of motion, and function.
May 2018: Hand Clinics
https://www.readbyqxmd.com/read/29619094/foot-osteoarthritis-latest-evidence-and-developments
#5
REVIEW
Edward Roddy, Hylton B Menz
Foot osteoarthritis (OA) is a common problem in older adults yet is under-researched compared to knee or hand OA. Most existing studies focus on the first metatarsophalangeal joint, with evidence relating to midfoot OA being particularly sparse. Symptomatic radiographic foot OA affects 17% of adults aged 50 years and over. The first metatarsophalangeal joint is most commonly affected, followed by the second cuneometatarsal and talonavicular joints. Epidemiological studies suggest the existence of distinct first metatarsophalangeal joint and polyarticular phenotypes, which have differing clinical and risk factor profiles...
April 2018: Therapeutic Advances in Musculoskeletal Disease
https://www.readbyqxmd.com/read/29614943/primary-care-management-of-non-specific-low-back-pain-key-messages-from-recent-clinical-guidelines
#6
Matheus Almeida, Bruno Saragiotto, Bethan Richards, Chris G Maher
Research in the past decade supports some major changes to the primary care management of non-specific low back pain (LBP). The present article summarises recommendations from recently published United Kingdom, Danish, Belgian and United States guidelines to alert readers to the important changes in recommendations for management, and the recommendations from previous guidelines that remain unchanged. Main recommendations: Use a clinical assessment to triage patients with LBP. Further diagnostic workup is only required for the small number of patients with suspected serious pathology...
April 2, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29609159/net-ankle-quasi-stiffness-is-influenced-by-walking-speed-but-not-age-for-older-adult-women
#7
John D Collins, Elisa S Arch, Jeremy R Crenshaw, Kathie A Bernhardt, Sundeep Khosla, Shreyasee Amin, Kenton R Kaufman
BACKGROUND: Insufficient plantar flexor resistance due to plantar flexor weakness, an impairment common in patient populations, causes substantial gait deficits. The bending stiffness of passive-dynamic ankle-foot orthoses (PD-AFOs) has the capacity to replace lost plantar flexor resistance. Many patients who are prescribed PD-AFOs are older adults. While PD-AFO bending stiffness should be customized for patients, a method to objectively prescribe this stiffness does not exist. Quantifying natural plantar flexor resistance during non-pathological gait could provide a reference value for objectively prescribing PD-AFO bending stiffness...
March 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29603734/school-based-physical-therapy-services-and-student-functional-performance-at-school
#8
Sarah Westcott Mccoy, Susan K Effgen, Lisa A Chiarello, Lynn M Jeffries, Alejandro G Villasante Tezanos
AIM: We explored relationships of school-based physical therapy to standardized outcomes of students receiving physical therapy. METHOD: Using a practice-based evidence research design, School Function Assessment (SFA) outcomes of 296 students with disabilities (mean age 7y 4mo [standard deviation 2y]; 166 males, 130 females), served by 109 physical therapists, were explored. After training, therapists completed 10 SFA scales on students at the beginning and end of the school year...
March 30, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29589478/advantages-and-disadvantages-of-interdisciplinary-consultation-in-the-prescription-of-assistive-technologies-for-mobility-limitations
#9
Fred A de Laat, Bart van Heerebeek, Jaap J van Netten
PURPOSE: To explore the advantages and disadvantages experienced by professionals in interdisciplinary consultation involving the user, prescriber and technician in the prescription of assistive technologies for mobility limitations. METHOD: Cross-sectional study. Prescribers (N = 39) and orthopaedic technicians (N = 50), who were regularly involved in an interdisciplinary consultation completed a questionnaire about advantages and disadvantages of the interdisciplinary consultation...
March 28, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29587246/effect-of-different-designs-of-ankle-foot-orthoses-on-gait-in-patients-with-stroke-a-systematic-review
#10
REVIEW
Aliyeh Daryabor, Mokhtar Arazpour, Gholamreza Aminian
BACKGROUND: Ankle foot orthoses (AFOs) are used to improve the gait of patients with stroke. RESEARCH QUESTION: The current review aimed at evaluating the efficacy of different designs of AFOs and comparison between them on the gait parameters of individuals with hemiplegic stroke. METHODS: The search strategy was based on the population intervention comparison outcome (PICO) method. A search was performed in PubMed, ISI Web of Knowledge, Scopus, Science Direct, and Google Scholar databases...
March 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29582899/knee-ankle-foot-orthoses-for-treating-posterior-knee-pain-resulting-from-genu-recurvatum-efficiency-patients-tolerance-and-satisfaction
#11
Benoit Requier, Laurent Bensoussan, Julien Mancini, Alain Delarque, Jean-Michel Viton, Marjorie Kerzoncuf
OBJECTIVE: To assess the efficiency of knee-ankle-foot orthoses for treating painful genu recurvatum, and to determine users' tolerance and satisfaction. PATIENTS: Patients included in the study had a genu recurvatum during the stance phase, confirmed by a medical doctor on physical examination. A total of 27 patients with 31 knee-ankle-foot orthoses were included. METHODS: The main outcome was scored on a verbal numerical rating scale (VNRS) before and at least 3 months after a knee-ankle-foot orthosis was fitted, and scored on a verbal numerical pain rating scale (VRS)...
March 27, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29581729/national-profile-of-foot-orthotic-provision-in-the-united-kingdom-part-2-podiatrist-orthotist-and-physiotherapy-practices
#12
C J Nester, A Graham, A Martinez-Santos, A E Williams, J McAdam, V Newton, D Sweeney, D Walker
Background: A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision. Method: Quantitative data were collected from podiatrists, orthotists and physiotherapists via an online questionnaire. The topics, questions and answers were developed through a series of pilot phases...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29573012/telehealth-based-model-of-care-redesign-to-facilitate-local-fitting-and-management-of-patients-with-a-spinal-fracture-requiring-a-thoracic-lumbar-sacral-orthosis-in-rural-hospitals-in-new-south-wales
#13
Ryan Gallagher, Michelle Giles, Jane Morison, Judith Henderson
OBJECTIVE: To develop and implement a telehealth-based model of care for spinal fractures requiring management with thoracic lumbar sacral orthoses that eliminates the need for transfer to a metropolitan tertiary referral hospital. DESIGN: Pre-post design observational study evaluating model of care implementation. SETTING: Rural referral hospitals in a large NSW region covering metropolitan, rural and remote hospitals. PARTICIPANTS: Patients presenting with a thoracic or lumbar spine fracture requiring thoracic lumbar sacral orthoses management and rural clinicians caring for them...
March 23, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29563764/abnormal-foot-position-and-standing-and-walking-ability-in-rett-syndrome-an-exploratory-study
#14
Hanneke E Borst, Gillian S Townend, Mirjam van Eck, Eric Smeets, Mariëlle van den Berg, Aleid Laan, Leopold M G Curfs
This study aimed to determine whether there is a relationship between abnormal foot position and standing and walking ability in individuals with Rett syndrome (RTT), a rare neurological condition primarily affecting females, often accompanied by impaired gross motor function and musculoskeletal deformities. Through means of an online survey, physiotherapists were asked to share information about their work and experience with individuals with RTT. They were asked about their clients' scores on the Rett Syndrome Gross Motor Scale and measures of their foot deformity, passive range of motion of dorsiflexion of the foot, use of supportive footwear, pressure load on the foot, and symmetry in weight bearing...
2018: Journal of Developmental and Physical Disabilities
https://www.readbyqxmd.com/read/29555795/efficacy-of-foot-orthoses-for-the-treatment-of-plantar-heel-pain-a-systematic-review-and-meta-analysis
#15
REVIEW
Nadine Rasenberg, Henrik Riel, Michael S Rathleff, Sita M A Bierma-Zeinstra, Marienke van Middelkoop
BACKGROUND: Plantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this. OBJECTIVE: To investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions. DESIGN: Systematic review and meta-analysis. DATA SOURCES: A systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017...
March 19, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29553223/the-effect-of-different-foot-orthoses-on-pain-and-health-related-quality-of-life-in-painful-flexible-flat-foot-a-randomized-controlled-trial
#16
Yasin Yurt, Gül Şener, Yavuz Yakut
BACKGROUND: Foot orthoses are widely used in conservative treatment of painful flexible flatfoot however research is limited to choose the best option in orthotic treatment. AIM: We aimed to compare the effects of computer-aided design/computer-aided manufacturing (CAD-CAM) and conventional insole types in comparison with sham insole, on pain and health related quality of life in patients with painful flexible flatfoot. DESIGN: Randomized controlled trial...
March 16, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29551959/bi-articular-knee-ankle-foot-exoskeleton-produces-higher-metabolic-cost-reduction-than-weight-matched-mono-articular-exoskeleton
#17
Philippe Malcolm, Samuel Galle, Wim Derave, Dirk De Clercq
The bi-articular m. gastrocnemius and the mono-articular m. soleus have different and complementary functions during walking. Several groups are starting to use these biological functions as inspiration to design prostheses with bi-articular actuation components to replace the function of the m. gastrocnemius. Simulation studies indicate that a bi-articular configuration and spring that mimic the m. gastrocnemius could be beneficial for orthoses or exoskeletons. Our aim was to test the effect of a bi-articular and spring configuration that mimics the m...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29529903/design-and-analysis-of-an-original-powered-foot-clearance-creator-mechanism-for-walking-in-patients-with-spinal-cord-injury
#18
Maryam Maleki, Samaneh Badri, Hamed Shayestehepour, Mokhtar Arazpour, Farzam Farahmand, Mohamad Ebrahim Mousavi, Ehsan Abdolahi, Hasan Farkhondeh, John S Head, Navid Golchin, Mohammad Ali Mardani
BACKGROUND: The aim of this study was to assess the performance of an original powered foot clearance creator (PFCC) mechanism worn in conjunction with an isocentric reciprocal gait orthosis (IRGO) and evaluate its effect on trunk compensatory movements and spatiotemporal parameters in nine healthy subjects. METHOD: A PFCC motorized mechanism was designed that incorporated twin sole plates, the movements of which enabled increased toe to floor clearance during swing phase...
March 12, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29525232/why-owners-choose-an-orthosis-over-stifle-surgery-for-canine-cranial-cruciate-ligament-deficiency
#19
Gina E Bertocci, Nathan P Brown, Patrice M Mich
The objective of this study was to describe the patient population of dogs with cranial cruciate ligament (CrCL) deficiency that were prescribed a stifle orthosis. A total of 215 client-owned dogs with previously diagnosed CrCL deficiency were prescribed a stifle orthosis at a veterinary pain management and mobility clinic. Patient intake data collected included dog signalment, chief medical complaint, home environment and activity description, medical and surgical history, and diagnosing veterinarian. An orthopedic examination was conducted to assess pelvic limb function and determine pelvic limb morphologic measures...
December 2017: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/29518588/examination-of-factors-related-to-the-effect-of-improving-gait-speed-with-functional-electrical-stimulation-intervention-for-stroke-patients
#20
Koichiro Sota, Yuki Uchiyama, Mitsuhiro Ochi, Shuji Matsumoto, Kenji Hachisuka, Kazuhisa Domen
BACKGROUND: Functional electrical stimulation (FES) for patients with stroke and foot drop is an alternative to ankle foot orthoses. Characteristics of FES responders and nonresponders have not been clarified. OBJECTIVES: (1) To investigate the effects of treatment with FES on patients with stroke and foot drop and (2) to determine which factors may relate to responders and nonresponders. DESIGN: Multicenter, nonrandomized, prospective study...
March 6, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
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