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https://www.readbyqxmd.com/read/29881465/a-protocol-for-a-randomised-controlled-trial-of-prefabricated-versus-customised-foot-orthoses-for-people-with-rheumatoid-arthritis-the-focos-ra-trial-foot-orthoses-customised-v-off-the-shelf-in-rheumatoid-arthritis
#1
Kellie S Gallagher, Jon Godwin, Gordon J Hendry, Martijn Steultjens, Jim Woodburn
Background: Foot pain is common in rheumatoid arthritis and appears to persist despite modern day medical management. Several clinical practice guidelines currently recommend the use of foot orthoses for the treatment of foot pain in people with rheumatoid arthritis. However, an evidence gap currently exists concerning the comparative clinical- and cost-effectiveness of prefabricated and customised foot orthoses in people with early rheumatoid arthritis. Early intervention with orthotics may offer the best opportunity for positive therapeutic outcomes...
2018: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/29865941/comparison-of-ankle-foot-orthoses-with-plantar-flexion-stop-and-plantar-flexion-resistance-in-the-gait-of-stroke-patients-a-randomized-controlled-trial
#2
Sumiko Yamamoto, Souji Tanaka, Naoyuki Motojima
BACKGROUND: The effect of plantar flexion resistance of ankle-foot orthoses on the ankle and knee joints is well known, but its effect on the hip joint and upper body movement during the gait of stroke patients remains unclear. OBJECTIVES: To compare the effect of an ankle-foot orthosis with plantar flexion stop and an ankle-foot orthosis with plantar flexion resistance on the gait of stroke patients in the subacute phase. STUDY DESIGN: Randomized controlled trial...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29859416/dynamic-rheological-comparison-of-silicones-for-podiatry-applications
#3
Ana-María Díaz-Díaz, Bárbara Sánchez-Silva, Javier Tarrío-Saavedra, Jorge López-Beceiro, Julia Janeiro-Arocas, Carlos Gracia-Fernández, Ramón Artiaga
PURPOSE: This work shows an effective methodology to evaluate the dynamic viscoelastic behavior of silicones for application in podiatry. The aim is to characterize, compare their viscoelastic properties according to the dynamic stresses they can be presumably subjected when used in podiatry orthotic applications. These results provide a deeper insight which extends the previous creep-recovery results to the world of dynamic stresses developed in physical activity. In this context, it shoulod be taken into account that an orthoses can subjected to a set of static and dynamic shear and compressive forces...
May 26, 2018: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29851844/effect-produced-on-ground-reaction-forces-by-a-prefabricated-weight-bearing-and-non-weight-bearing-foot-orthosis-in-the-treatment-of-pronated-foot-pilot-study
#4
Gabriel Gijon-Nogueron, Inmaculada Palomo-Toucedo, Alejandro Gil-Tinoco, Ana Belen Ortega-Avila, Pedro Vicente Munuera-Martínez
BACKGROUND: The aim of this study is to explore the changes in ground reaction force (GRF) produced by custom-made weight-bearing and nonweight-bearing foot orthoses and by a prefabricated foot orthosis, in the control of the pronated foot. METHODS: Thirty-nine participants were recruited. All were in good health, aged 18 to 25 years, and presented pronated foot. Three different types of foot orthosis were studied: prefabricated, weight-bearing, and nonweight-bearing...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29809093/determination-of-ankle-and-metatarsophalangeal-stiffness-during-walking-and-jogging
#5
Fabian Mager, Jim Richards, Malika Hennies, Eugen Dötzel, Ambreen Chohan, Alex Mbuli, Felix Capanni
Forefoot stiffness has been shown to influence joint biomechanics. However, little or no data exists on metatarsophalangeal stiffness. Twenty-four healthy rearfoot strike runners were recruited from a staff and student population at the University of Central Lancashire. Five repetitions of shod, self-selected speed level walking and jogging were performed. Kinetic and kinematic data were collected using retro-reflective markers placed on the lower limb and foot, to create a three-segment foot model using the Calibrated Anatomical System Technique...
May 29, 2018: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/29806569/comparison-of-an-epicondylitis-bandage-with-a-wrist-orthosis-in-patients-with-lateral-epicondylitis
#6
Halil Ekrem Akkurt, Hilal Kocabaş, Halim Yılmaz, Cemile Eser, Zafer Şen, Kemal Erol, Hamit Göksu, Gülten Karaca, Süleyman Baktık
BACKGROUND: Lateral epicondylitis is one of the most common causes of elbow pain. It is generally observed in people between the ages of 40 and 50 years, and the dominant extremity is more frequently affected. Various noninvasive methods are frequently used; however, studies investigating the effectiveness of the orthoses are limited and with controversial outcomes. OBJECTIVE: To investigate the effectiveness of a hand-wrist resting orthosis and an epicondylitis bandage in lateral epicondylitis...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29793121/head-coaches-attitudes-towards-injury-prevention-and-use-of-related-methods-in-professional-basketball-a-survey
#7
J Wilke, D Niederer, L Vogt, W Banzer
OBJECTIVES: To investigate the practices and attitudes of professional basketball head coaches towards injury prevention. DESIGN: Survey. SETTING: Elite-level basketball. PARTICIPANTS: Head coaches of all 366 German professional teams. MAIN OUTCOME MEASURES: Use of injury risk screening methods, rated importance of different musculoskeletal injuries and rated effectiveness of preventive interventions...
April 17, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29792211/the-impact-of-ankle-foot-orthoses-on-toe-clearance-strategy-in-hemiparetic-gait-a-cross-sectional-study
#8
Kannit Pongpipatpaiboon, Masahiko Mukaino, Fumihiro Matsuda, Kei Ohtsuka, Hiroki Tanikawa, Junya Yamada, Kazuhiro Tsuchiyama, Eiichi Saitoh
BACKGROUND: Ankle-foot orthoses (AFOs) are frequently used to improve gait stability, toe clearance, and gait efficiency in individuals with hemiparesis. During the swing phase, AFOs enhance lower limb advancement by facilitating the improvement of toe clearance and the reduction of compensatory movements. Clinical monitoring via kinematic analysis would further clarify the changes in biomechanical factors that lead to the beneficial effects of AFOs. The purpose of this study was to investigate the actual impact of AFOs on toe clearance, and determine the best strategy to achieve toe clearance (including compensatory movements) during the swing phase...
May 23, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29782615/feasibility-study-applying-a-parametric-model-as-the-design-generator-for-3d-printed-orthosis-for-fracture-immobilization
#9
Jianyou Li, Hiroya Tanaka
Background: Applying 3D printing technology for the fabrication of custom-made orthoses provides significant advantages, including increased ventilation and lighter weights. Currently, the design of such orthoses is most often performed in the CAD environment, but creating the orthosis model is a time-consuming process that requires significant CAD experience. This skill gap limits clinicians from applying this technology in fracture treatment. The purpose of this study is to develop a parametric model as the design generator for 3D-printed orthoses for an inexperienced CAD user and to evaluate its feasibility and ease of use via a training and design exercise...
2018: 3D printing in medicine
https://www.readbyqxmd.com/read/29778980/the-influence-of-early-or-delayed-provision-of-ankle-foot-orthoses-on-pelvis-hip-and-knee-kinematics-in-patients-with-sub-acute-stroke-a-randomized-controlled-trial
#10
Corien D M Nikamp, Job van der Palen, Hermie J Hermens, Johan S Rietman, Jaap H Buurke
BACKGROUND: Compensatory pelvis, hip- and knee movements are reported after stroke to overcome insufficient foot-clearance. Ankle-foot orthoses (AFOs) are often used to improve foot-clearance, but the optimal timing of AFO-provision post-stroke is unknown. Early AFO-provision to prevent foot-drop might decrease the development of compensatory movements, but it is unknown whether timing of AFO-provision affects post-stroke kinematics. RESEARCH QUESTIONS: 1) To compare the effect of AFO-provision at two different points in time (early versus delayed) on frontal pelvis and hip, and sagittal hip and knee kinematics in patients with sub-acute stroke...
May 16, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29776724/outcomes-of-splinting-in-pediatric-mallet-finger
#11
James S Lin, Julie Balch Samora
PURPOSE: Excessive flexion at the distal interphalangeal (DIP) joint disrupts the extensor mechanism, leading to mallet finger injuries. The goal of management is to restore active DIP joint extension. We sought to learn which variables (treatment technique, injury type, time to presentation, adherence to treatment) affect clinical outcomes of pediatric mallet finger injuries. METHODS: A retrospective review was performed of patients who presented with mallet finger injuries during 2013 to 2017 at a large pediatric hospital...
May 15, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29775129/health-related-quality-of-life-and-orthosis-use-in-a-swedish-population-with-arthrogryposis
#12
Marie Eriksson, Leena Jylli, Li Villard, Anna-Karin Kroksmark, Åsa Bartonek
BACKGROUND: Joint contractures are the main characteristics for children with arthrogryposis multiplex congenita. Orthoses are often used to enable or facilitate walking. OBJECTIVES: To describe health-related quality of life in children with arthrogryposis multiplex congenita and satisfaction with orthoses in those using orthoses. STUDY DESIGN: Cross-sectional study. METHODS: A total of 33 children with arthrogryposis multiplex congenita participated in the study...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29759027/upper-limb-congenital-muscular-hypertrophy-and-aberrant-muscle-syndrome-in-children
#13
Emmanuel Dahan, Camilo Chaves, Manon Bachy, Frank Fitoussi
Congenital muscle hypertrophy of the upper limb is a very rare condition with unknown aetiology. This descriptive observational and retrospective series included eight children followed by a multidisciplinary team from 2005 to 2017. The diagnosis was based on a cluster of clinical and radiological characteristics after elimination of differential diagnoses. Patients were categorized according to: anomalies of the wrist, anomalies of long fingers of intrinsic or extrinsic origin; and anomalies of the thumb with or without first web space contracture...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29753998/use-of-high-speed-stereo-radiography-to-assess-the-foot-orthoses-effectiveness-in-controlling-midfoot-posture-during-walking-a-pilot-study
#14
Erin M Mannen, Stuart J Currie, Elizabeth C Bachman, Amira Otmane, Bradley S Davidson, Kevin B Shelburne, Thomas G McPoil
BACKGROUND: The intent of this pilot study was to determine the feasibility of using high-speed stereo radiography (HSSR) to assess the effectiveness of footwear and foot orthoses in controlling the change in the position of the midfoot during walking in individuals with a flexible pes planus foot type. METHODS: Four individuals (1 female; 3 male) with a mean age of 25 years (range 22-29) and a bilateral flexible pes planus foot type participated in the study. The HSSR system was used to measure 3-dimensional changes in the longitudinal arch angle (LAA) with each participant walking barefoot, shoe only and shoes with orthoses...
January 31, 2018: Foot
https://www.readbyqxmd.com/read/29753125/adaptation-of-kinematic-synergy-and-postural-control-to-mechanical-ankle-constraint-on-an-unsteady-stance-surface
#15
Yi-Ying Tsai, Gwo-Ching Chang, Ing-Shiou Hwang
Joint constraint interferes with the coordinative structure in joint movements used to optimize postural stability. This study aimed to investigate changes in postural synergy when the ankle joints were bilaterally braced during a stabilometer stance. Twenty-four young adults stood on a stabilometer plate while wearing a pair of ankle-foot orthoses, which were either unlocked or locked to restrict ankle motion (the ankle constraint (AC) and non-constraint (NC) conditions). Although ankle constraint did not significantly affect the dynamics of the stabilometer movements, the size and regularity of the first principal component (PC1), which explained more than 80% of the variance of joint movements in the lower limb, were increased...
May 9, 2018: Human Movement Science
https://www.readbyqxmd.com/read/29747079/mechanical-effects-of-medial-and-lateral-wedged-orthoses-during-running
#16
Jonathan Sinclair
OBJECTIVE: The aim of the current investigation was to examine the effects of orthoses with 5° medial and lateral wedges on knee joint kinetics during the stance phase of running. DESIGN: Repeated measures. SETTING: Laboratory. PARTICIPANTS: Twelve recreational runners. OUTCOME MEASUREMENTS: Twelve male participants ran over a force platform at 4.0 m/s in three different conditions (medial orthotic, lateral orthotic and no-orthotic)...
May 3, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29729467/the-efficacy-of-thoracolumbar-bracing-on-spinal-immobilization-a-precise-assessment-of-gross-intersegmental-and-segmental-spinal-motion-restriction-by-a-3d-kinematic-system
#17
Gernot Lang, Anja Hirschmüller, Stefanie Patermann, Patric Eichelberger, Peter Strohm, Heiner Baur, Norbert P Südkamp, Georg W Herget
BACKGROUND: Various diseases of the spine are treated by immobilization via orthoses, although detailed evidence on the efficiency of orthotic bracing remains elusive. The present study sought to investigate the impact of three different orthoses on spinal immobilization utilizing three dimensional (3D) kinematic measurements. METHODS: Twelve healthy volunteers performed different motion tasks such as trunk flexion/extension and bilateral trunk bending, respectively...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29724537/confirmation-bias-affects-user-perception-of-knee-braces
#18
Brittany Balsamo, Mark D Geil, Rebecca Ellis, Jianhua Wu
Technological advances in orthopedic devices such as prostheses and orthoses are intended to improve function but may also result in increased complexity and expense. Consequently, accurate determination of effectiveness is important. When devices with advanced technology are used, it is possible that confirmation bias - the tendency for a user to actually experience what he or she expects to experience - will influence outcomes. This study assessed confirmation bias in 18 healthy young adults walking in knee braces...
April 25, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29715361/assessment-of-mechanical-characteristics-of-ankle-foot-orthoses
#19
Amanda Wach, Linda McGrady, Mei Wang, Barbara Silver-Thorn
Recent designs of ankle-foot orthoses (AFOs) have been influenced by the increasing demand for higher function from active individuals. The biomechanical function of the individual and device is dependent upon the underlying mechanical characteristics of the AFO. Prior mechanical testing of AFOs has primarily focused on rotational stiffness to provide insight into expected functional outcomes; mechanical characteristics pertaining to energy storage and release have not yet been investigated. A pseudostatic bench testing method is introduced to characterize compressive stiffness, device deflection, and motion of solid-ankle, anterior floor reaction, posterior leaf spring, and the intrepid dynamic exoskeletal orthosis (IDEO) AFOs...
July 1, 2018: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29714066/effect-of-ankle-foot-orthoses-on-gait-balance-and-gross-motor-function-in-children-with-cerebral-palsy-a-systematic-review-and-meta-analysis
#20
Mael Lintanf, Jean-Sébastien Bourseul, Laetitia Houx, Mathieu Lempereur, Sylvain Brochard, Christelle Pons
OBJECTIVE: To determine the effects of ankle-foot orthoses (AFOs) on gait, balance, gross motor function and activities of daily living in children with cerebral palsy. DATA SOURCES: Five databases were searched (Pubmed, Psycinfo, Web of Science, Academic Search Premier and Cochrane Library) before January 2018. REVIEW METHODS: Studies of the effect of AFOs on gait, balance, gross motor function and activities of daily living in children with cerebral palsy were included...
April 1, 2018: Clinical Rehabilitation
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