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Amputee Rehabilitation

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https://www.readbyqxmd.com/read/28105954/the-amp-foot-3-new-generation-propulsive-prosthetic-feet-with-explosive-motion-characteristics-design-and-validation
#1
Pierre Cherelle, Victor Grosu, Manuel Cestari, Bram Vanderborght, Dirk Lefeber
The last decades, rehabilitation has become a challenging context for mechatronical engineering. From the state-of-the-art it is seen that the field of prosthetics offers very promising perspectives to roboticist. Today's prosthetic feet tend to improve amputee walking experience by delivering the necessary push-off forces while walking. Therefore, several new types of (compliant) actuators are developed in order to fulfill the torque and power requirements of a sound ankle-foot complex with minimized power consumption...
December 19, 2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28094580/is-walking-symmetry-important-for-ambulatory-patients-with-spinal-cord-injury
#2
Makamas Kumprou, Pipatana Amatachaya, Thanat Sooknuan, Thiwabhorn Thaweewannakij, Sugalya Amatachaya
PURPOSE: To assess and compare the levels of walking symmetry in ambulatory participants with spinal cord injury (SCI) who had different degrees of lesion severity, levels of walking ability, and fall history. In addition, the study explored the relationship between the levels of walking symmetry and variables related to the ability of well-controlled walking of the participants. STUDY DESIGN: Cross-sectional study. METHODS: Sixty-six eligible participants were assessed and interviewed for levels of walking symmetry, walking speed, functional endurance, symmetrical lower limb support ability, balance control, and fall history over the last 6 months...
January 17, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28070628/osseointegrated-prosthetic-limb-for-the-treatment-of-lower-limb-amputations-experience-and-outcomes
#3
Munjed Al Muderis, William Lu, Jiao Jiao Li
BACKGROUND: Osseointegration has emerged over the past two decades as a dramatically different approach for the treatment of lower limb amputations, which involves direct attachment of the prosthesis to the skeletal residuum. This approach can address many of the socket-interface issues associated with socket prostheses which represent the current standard of care for amputees. The Osseointegrated Prosthetic Limb (OPL) is an osseointegration implant with a new design and improved features compared to other available implant systems...
January 9, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28068847/case-study-survey-of-patient-satisfaction-with-prosthesis-quality-and-design-among-below-knee-prosthetic-leg-socket-users
#4
Nurhanisah Mohd Hawari, Mohammad Jawaid, Paridah Md Tahir, Raja Ahmad Azmeer
The aim of this case study was to explore patient satisfaction with the quality of prosthetic leg sockets intended for persons with lower limb amputations. A qualitative study based on in-depth interviews, preceded by a questionnaire session, was carried out with patients from the Rehabilitation Center and Hospital in Malaysia. Twelve out-patient and in-patient amputees with lower limb amputations, specifically below-knee amputations, were chosen randomly. The analysis of patients' narratives aimed to identify the functional and esthetic characteristics of currently used prosthetic leg sockets and any problems related to them...
January 10, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28067120/standing-balance-in-people-with-trans-tibial-amputation-due-to-vascular-causes-a-literature-review
#5
Mayank Seth, Eric Lamberg
BACKGROUND: Balance is an important variable to consider during the rehabilitation process of individuals with trans-tibial amputation. Limited evidence exists on the balance abilities of people with trans-tibial amputation due to vascular causes. OBJECTIVE: The purpose of this article is to review literature and determine if standing balance is diminished in people with trans-tibial amputation due to vascular causes. STUDY DESIGN: Literature review...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28066521/interventions-to-manage-residual-limb-ulceration-due-to-prosthetic-use-in-individuals-with-lower-extremity-amputation-a-systematic-review-of-the-literature
#6
M Jason Highsmith, Jason T Kahle, Tyler D Klenow, Casey R Andrews, Katherine L Lewis, Rachel C Bradley, Jessica M Ward, John J Orriola, James T Highsmith
Patients with lower extremity amputation (LEA) experience 65% more dermatologic issues than non-amputees, and skin problems are experienced by ≈75% of LEA patients who use prostheses. Continuously referring LEA patients to a dermatologist for every stump related skin condition may be impractical. Thus, physical rehabilitation professionals should be prepared to recognize and manage common non-emergent skin conditions in this population. The purpose of this study was to determine the quantity, quality, and strength of available evidence supporting treatment methods for prosthesis-related residual limb (RL) ulcers...
September 2016: Technology and Innovation
https://www.readbyqxmd.com/read/28051969/effects-of-adding-neuromuscular-electrical-stimulation-to-traditional-military-amputee-rehabilitation
#7
Laura A Talbot, Emily Brede, E Jeffrey Metter
BACKGROUND: Traumatic transtibial amputations lead to an early decline in the use and weight bearing of the residual limb. These changes result in progressive quadriceps muscle atrophy with strength loss that affects standing and walking. Neuromuscular electrical stimulation (NMES) may be useful as an adjunct to amputee prosthetic rehabilitation to maintain quadriceps muscle strength and mass. The objective of this pilot study was to compare the effects of a home-based NMES rehabilitation program plus the traditional military amputee rehabilitation program (TMARP) to the effects of TMARP alone on quadriceps muscle strength, functional mobility, and pain in military service members after a combat-related lower extremity amputation...
January 2017: Military Medicine
https://www.readbyqxmd.com/read/28038786/epidemiologic-data-of-trauma-related-lower-limb-amputees-a-single-center-10-year-experience
#8
Evren Yaşar, Fatih Tok, Serdar Kesikburun, A Mustafa Ada, Bayram Kelle, A Salim Göktepe, Kamil Yazıcıoğlu, A Kenan Tan
OBJECTIVE: The aim of this study is three fold: 1) to introduce epidemiologic data of patients with trauma-related amputations as a 10-year experience of a rehabitation center; 2) to determine comorbidities and secondary conditions of lower limb loss; 3) to determine the rehospitalization reasons for lower limb amputee patients. MATERIALS AND METHODS: This retrospective study was conducted in a tertiary rehabilitation center in Turkey. Clinical and demographic data of amputees including sex, age, employment status, time since amputation, time after amputation to first hospitalization, length of hospitalization, how many times the patient was hospitalized, reason for hospitalization, stump complications, comorbid conditions, amputation level and K classifacation were documented...
December 23, 2016: Injury
https://www.readbyqxmd.com/read/28029356/comparison-of-patient-reported-outcomes-after-traumatic-upper-extremity-amputation-replantation-versus-prosthetic-rehabilitation
#9
Mitchell A Pet, Shane D Morrison, Jacob S Mack, Erika D Sears, Thomas Wright, Alisha D Lussiez, Kenneth R Means, James P Higgins, Jason H Ko, Paul S Cederna, Theodore A Kung
BACKGROUND: After major upper extremity traumatic amputation, replantation is attempted based upon the assumption that outcomes for a replanted limb exceed those for revision amputation with prosthetic rehabilitation. While some reports have examined functional differences between these patients, it is increasingly apparent that patient perceptions are also critical determinants of success. Currently, little patient-reported outcomes data exists to support surgical decision-making in the setting of major upper extremity traumatic amputation...
October 19, 2016: Injury
https://www.readbyqxmd.com/read/27993357/amputation-not-a-failure-for-severe-lower-extremity-combat-injury
#10
Thijs T C F van Dongen, Eelco P Huizinga, Loes G M de Kruijff, Arie C van der Krans, Jochem M Hoogendoorn, Luke P H Leenen, Rigo Hoencamp
INTRODUCTION: The use of improvised explosive devices is a frequent method of insurgents to inflict harm on deployed military personnel. Consequently, lower extremity injuries make up the majority of combat related trauma. The wounding pattern of an explosion is not often encountered in a civilian population and can lead to substantial disability. It is therefore important to study the impact of these lower extremity injuries and their treatment (limb salvage versus amputation) on functional outcome and quality of life...
December 10, 2016: Injury
https://www.readbyqxmd.com/read/27959816/a-real-time-gait-event-detection-for-lower-limb-prosthesis-control-and-evaluation
#11
Hafiz Farhan Maqbool, Muhammad Afif Bin Husman, Mohammed I Awad, Alireza Abouhossein, Nadeem Iqbal, Abbas A Dehghani-Sanij
Lower extremity amputees suffer from mobility limitations which will result in a degradation of their quality of life. Wearable sensors are frequently used to assess spatio-temporal, kinematic and kinetic parameters providing the means to establish an interactive control of the amputee-prosthesis-environment system. Gait events and the gait phase detection of an amputee's locomotion are vital for controlling lower limb prosthetic devices. The paper presents an approach to real-time gait event detection for lower limb amputees using a wireless gyroscope attached to the shank when performing level ground and ramp activities...
December 7, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/27935565/traumatic-amputations-in-children-and-adolescents-a-demographic-study-from-a-tertiary-care-center-in-northern-india
#12
Javed Ahmad, Anil Kumar Gupta, V P Sharma, Dileep Kumar, Ganesh Yadav, Sanjai Singh
PURPOSE: To determine the demographic pattern, level, mechanism of traumatic amputation in children and adolescent age group and to compare findings with other studies. METHODS: Patients aged less than 18 years with traumatic amputation attending Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, India between July 2013 and January 2016 were enrolled and their demographic characteristics were analyzed. RESULTS: Fifty-three patients were included aged less than 18 years when injured...
November 30, 2016: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/27926681/influence-of-immediate-and-delayed-lower-limb-amputation-compared-with-lower-limb-salvage-on-functional-and-mental-health-outcomes-post-rehabilitation-in-the-u-k-military
#13
Peter Ladlow, Rhodri Phillip, Russell Coppack, John Etherington, James Bilzon, M Polly McGuigan, Alexander N Bennett
BACKGROUND: Medical practitioners face difficult decisions over whether to amputate or to salvage a lower limb that has undergone trauma. To our knowledge, there has been little evidence reporting the impact of different surgical decisions on functional and mental health outcomes following intensive rehabilitation that might inform decision-making. METHODS: This study is a retrospective, independent-group comparison of rehabilitation outcomes from a U.K. military complex trauma rehabilitation center...
December 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#14
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27888261/fluctuating-residual-limb-volume-accommodated-with-an-adjustable-modular-socket-design-a-novel-case-report
#15
Kay Mitton, Jai Kulkarni, Kenneth William Dunn, Anthony Hoang Ung
BACKGROUND: This novel case report describes the problems of prescribing a prosthetic socket in a left transfemoral amputee secondary to chronic patellofemoral instability compounded by complex regional pain syndrome. CASE DESCRIPTION AND METHODS: Following the amputation, complex regional pain syndrome symptoms recurred in the residual limb, presenting mainly with oedema. Due to extreme daily volume fluctuations of the residual limb, a conventional, laminated thermoplastic socket fitting was not feasible...
November 24, 2016: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27882044/the-importance-of-rehabilitation-concerning-upper-extremity-amputees-a-systematic-review
#16
REVIEW
Kardem Soyer, Banu Unver, Seval Tamer, Ozlem Ulger
OBJECTIVE: To evaluate and point out the importance of prosthetic rehabilitation of upper extremity. METHODS: A systematic literature search was performed to identify studies concerning prosthetic rehabilitation in upper extremity. The PRISMA Statement 2009 was used to establish the study and the methodological quality was assessed. RESULTS: The literature search identified 620 studies. Of these 620, 9 studies fulfilled the inclusion criteria and were included for data extraction...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27868449/establishing-the-turkish-version-of-the-sigam-mobility-scale-and-determining-its-validity-and-reliability-in-lower-extremity-amputees
#17
Hülya Yilmaz, Ümit Gafuroğlu, Nicola Ryall, Selcen Yüksel
PURPOSE: The aim of this study is to adapt the Special Interest Group in Amputee Medicine (SIGAM) mobility scale to Turkish, and to test its validity and reliability in lower extremity amputees. MATERIAL AND METHODS: Adaptation of the scale into Turkish was performed by following the steps in American Association of Orthopedic Surgeons (AAOS) guideline. Turkish version of the scale was tested twice on 109 patients who had lower extremity amputations, at hours 0 and 72...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27865845/temporal-spatial-and-metabolic-measures-of-walking-in-highly-functional-individuals-with-lower-limb-amputations
#18
Hannah L Jarvis, Alex N Bennett, Martin Twiste, Rhodri D Phillip, John Etherington, Richard Baker
OBJECTIVE: The aim of this descriptive exploratory study is to record the temporal spatial parameters and metabolic energy expenditure during walking of individuals with amputation, walking with advanced prostheses and following completion of comprehensive rehabilitation, to able-bodied controls. DESIGN: Cross-sectional SETTING: Multi-disciplinary comprehensive rehabilitation centre PARTICIPANTS: Thirty severely injured United Kingdom military personnel with amputation and subsequent completion of their rehabilitation programme (10 unilateral trans-tibial, 10 unilateral trans-femoral, and 10 bilateral trans-femoral) were compared to (and of similar age, height and mass (p >0...
November 16, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27832952/cross-slope-and-level-walking-strategies-during-swing-in-individuals-with-a-lower-limb-amputation
#19
Coralie Villa, Isabelle Loiret, Karine Langlois, Xavier Bonnet, François Lavaste, Pascale Fodé, Hélène Pillet
OBJECTIVE: The aim of this study was to quantitatively analyze prosthetic limb swing phase gait strategies used to adapt to cross-slopes compared to level walking. DESIGN: Cross-sectional study SETTING: Gait laboratory PARTICIPANTS: A volunteer sample of seventeen individuals with a transfemoral amputation, fifteen individuals with a transtibial amputation and seventeen able-bodied subjects. INTERVENTIONS: Participants walked on level and 6° (10%) cross slope surfaces at a self-selected walking speed...
November 7, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27826195/roles-and-challenges-of-the-multidisciplinary-team-involved-in-prosthetic-rehabilitation-in-a-rural-district-in-south-africa
#20
Liezel Ennion, Anthea Rhoda
BACKGROUND: Major lower limb amputations result in a significant sense of loss, psychological stress, and decrease in function and overall quality of life for the amputee. The holistic, patient-centered prosthetic rehabilitation of an amputee requires input from a team of dedicated health professionals from different disciplines commonly referred to as a multidisciplinary team (MDT). MDT rehabilitation is considered crucial in the reintegration of the amputee into the community, as well as for providing psychological support after limb loss...
2016: Journal of Multidisciplinary Healthcare
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