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Amputee Rehabilitation

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https://www.readbyqxmd.com/read/29322812/adjustment-to-finger-amputation-and-silicone-finger-prosthesis-use
#1
Zala Kuret, Helena Burger, Gaj Vidmar, Tomaz Maver
PURPOSE: Finger amputations are the most common amputations of upper limbs. They influence hand function, general functioning and quality of life. One of the possibilities for rehabilitation after finger amputation is fitting a silicone finger prosthesis. We wanted to evaluate the adjustment to amputation and prosthesis use in patients after finger amputation. METHODS: We included 42 patients with partial or complete single or multiple finger amputation of one hand who visited the outpatient clinic for prosthetics and orthotics at our institute and received a silicone prosthesis...
January 11, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29320640/syme-amputation-a-systematic-review
#2
Rudwina Braaksma, Pieter U Dijkstra, Jan H B Geertzen
BACKGROUND: In the decision-making process toward an amputation of the lower extremity, knowledge about patient-related outcomes after amputation and rehabilitation is important. We have not found a systematic review that provides this knowledge for Syme amputation. The aim of this study was to present an overview of outcomes after a Syme amputation grouped according to the International Classification of Functioning, Disability and Health (ICF) model, focusing on body structures and functions, activities, and participation...
January 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29317224/determining-reliability-of-a-dual-task-functional-mobility-protocol-for-individuals-with-lower-extremity-amputations
#3
Courtney Frengopoulos, Michael Wc Payne, Jeffrey Holmes, Ricardo Viana, Susan W Hunter
OBJECTIVES: To determine the relative and absolute reliability of a dual-task functional mobility assessment. DESIGN: Cross-sectional study. SETTING: Academic Rehabilitation Hospital. PARTICIPANTS: Sixty individuals with lower extremity amputation (LEA) attending an outpatient amputee clinic (age= 58.21±12.59; 80.0% male). Subjects were stratified into three groups: 1) transtibial amputations of vascular etiology (TTA-vas), transtibial amputations of non-vascular etiology (TTA-nonvas); transfemoral or bilateral amputees (TFA/bilat) of any etiology...
January 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29303002/physical-activity-participation-amongst-individuals-with-lower-limb-amputation
#4
Jennifer Langford, Michael P Dillon, Catherine L Granger, Chris Barr
PURPOSE: To examine physical activity participation amongst individuals with lower limb amputation. METHOD: Adults with lower limb amputation were convenience-sampled from a major metropolitan hospital outpatient amputee service and completed the International Physical Activity Questionnaire. RESULTS: Seventy-two individuals (65% male), mean age 53.6 (SD = 16.8) years, who were 10.8 (SD = 12.6) years post amputation (60% transtibial) participated in the study...
January 5, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29276850/maintaining-stable-transfemoral-amputee-gait-on-level-sloped-and-simulated-uneven-conditions-in-a-virtual-environment
#5
James A Sturk, Edward D Lemaire, Emily H Sinitski, Nancy L Dudek, Markus Besemann, Jacqueline S Hebert, Natalie Baddour
PURPOSE: Describe and quantify how people with transfemoral amputations (TFA) maintain stable gait over a variety of surfaces; including, downhill and uphill, top and bottom-cross-slopes, medial-lateral translations, rolling hills and simulated rocky surfaces. METHODS: Ten TFA and ten matched people without amputations (NA) walked in a virtual environment with level, sloped and simulated uneven surfaces on a self-paced treadmill. Stability was quantified using medial-lateral margin of stability (ML-MoS), step parameters, and gait variability (standard deviations for speed, temporal-spatial parameters, foot clearance and root-mean-square of medial-lateral trunk acceleration)...
December 24, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29261703/transhumeral-loading-during-advanced-upper-extremity-activities-of-daily-living
#6
Alex J Drew, Morgan T Izykowski, Kent N Bachus, Heath B Henninger, K Bo Foreman
Percutaneous osseointegrated (OI) implants for direct skeletal attachment of upper extremity prosthetics represent an alternative to traditional socket suspension that may yield improved patient function and satisfaction. This is especially true in high-level, transhumeral amputees where prosthetic fitting is challenging and abandonment rates remain high. However, maintaining mechanical integrity of the bone-implant interface is crucial for safe clinical introduction of this technology. The collection of population data on the transhumeral loading environment will aid in the design of compliance and overload protection devices that mitigate the risk of periprosthetic fracture...
2017: PloS One
https://www.readbyqxmd.com/read/29206273/social-relationships-in-rehabilitation-and-their-impact-on-positive-outcomes-among-amputees-with-lower-limb-loss-at-walter-reed-national-military-medical-center
#7
Seth Messinger, Sayeh Bozorghadad, Paul Pasquina
OBJECTIVE: To explore how the social context of the clinic influenced the way former patients with lower limb loss in the Military Advanced Training Center at Walter Reed National Military Medical Center evaluated their outcomes. DESIGN: Cross-sectional phenomenological-based interviews and observations. PATIENTS: Twenty individuals with lower limb amputation were recruited from a multidisciplinary military treatment programme for patients with lower-extremity traumatic limb-loss injured in Afghanistan or Iraq...
December 5, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29144392/design-and-development-of-a-novel-upper-limb-cycling-prosthesis
#8
Akira Tiele, Shivam Soni-Sadar, Jack Rowbottom, Shilen Patel, Edward Mathewson, Samuel Pearson, David Hutchins, John Head, Stephen Hutchins
The rise in popularity of the Paralympics in recent years has created a need for effective, low-cost sports-prosthetic devices for upper-limb amputees. There are various opportunities for lower-limb amputees to participate in cycling; however, there are only few options for those with upper-limb amputations. If the individual previously participated in cycling, a cycling-specific prosthesis could allow these activities to be integrated into rehabilitation methods. This article describes the processes involved with designing, developing and manufacturing such a prosthesis...
November 16, 2017: Bioengineering
https://www.readbyqxmd.com/read/29119861/carbohydrate-and-fat-oxidation-in-persons-with-lower-limb-amputation-during-walking-with-different-speeds
#9
Terje Gjovaag, Peyman Mirtaheri, Inger Marie Starholm
BACKGROUND: Studies suggest that the energy expenditure of healthy persons (control) during walking with the preferred walking speed in steady-state conditions is dominated by fat oxidation. Conversely, carbohydrate and fat oxidation during walking is little investigated in transfemoral amputees. OBJECTIVES: To investigate carbohydrate and fat oxidation, energy cost of walking, and percent utilization of maximal aerobic capacity [Formula: see text]during walking...
November 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29069141/intra-arterial-fibrinolysis-for-the-management-of-acute-ischemia-on-a-below-knee-amputation-stump-case-report
#10
Breno Boueri Affonso, Joaquim Maurício da Motta Leal Filho, Rafael Noronha Cavalcante, Priscila Mina Falsarella, Francisco Leonardo Galastri, Rodolfo Souza Cardoso, Felipe Nasser
Preservation of the knee joint has enormous advantages in terms of mobility and rehabilitation of an amputee. Any cause of breakdown requiring revision to an above-knee amputation is a major setback because it reduces the patient's rehabilitative potential. We report a case of intra-arterial thrombolysis use to save a below-knee amputation stump with acute ischemia. A 56-year-old man who sought the emergency department with 1-day history of acute pain on his right below-knee stump. The angiography confirmed popliteal artery occlusion...
October 23, 2017: Einstein
https://www.readbyqxmd.com/read/28990467/mobility-analysis-of-amputees-maat-i-quality-of-life-and-satisfaction-are-strongly-related-to-mobility-for-patients-with-a-lower-limb-prosthesis
#11
Shane R Wurdeman, Phillip M Stevens, James H Campbell
BACKGROUND: While rehabilitation professionals are historically trained to place emphasis on the restoration of mobility following lower limb amputation, changes in healthcare dynamics are placing an increased emphasis on the limb loss patient's quality of life and general satisfaction. Thus, the relationship between these constructs and mobility in the patient with lower limb loss warrants further investigation. OBJECTIVES: To determine the relationship between mobility of the patient with lower limb loss and both (1) general (1) general satisfaction and (2) quality of life...
October 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28974119/frontal-plane-pelvis-and-hip-kinematics-of-transfemoral-amputee-gait-effect-of-a-prosthetic-foot-with-active-ankle-dorsiflexion-and-individualized-training-a-case-study
#12
Anna Armannsdottir, Roy Tranberg, Gudfinna Halldorsdottir, Kristin Briem
Following a transfemoral amputation (TFA), numerous changes in movement patterns during gait can occur. Frontal plane hip and pelvis compensatory strategies are recognized among individuals with a TFA, some thought to aid in safe foot clearance during the swing phase of gait. The aim of this case study was to evaluate the effect of an active ankle dorsiflexion provided by a microprocessor-controlled prosthetic foot, as well as the effect of individualized training on these parameters. In this case study, a 42-year-old male underwent 3 D gait analysis...
October 3, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28964795/moca-domain-score-analysis-and-relation-to-mobility-outcomes-in-dysvascular-lower-extremity-amputees
#13
Courtney Frengopoulos, Michael W Payne, Ricardo Viana, Susan W Hunter
OBJECTIVE: To investigate the association between cognitive functioning, as measured by the Montreal Cognitive Assessment (MoCA), and functional outcomes upon discharge from prosthetic rehabilitation. DESIGN: Retrospective chart audit. SETTING: Rehabilitation hospital. PARTICIPANTS: Consecutive admissions (N=130; mean age, 66.21±11.19y) with lower extremity amputation of dysvascular etiology. INTERVENTIONS: Not applicable...
September 28, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28958175/the-impact-of-lower-limb-prosthetic-limb-use-in-international-c4-track-para-cycling
#14
Bryce Dyer
An investigation was undertaken to ascertain any impact or significance of athletes within the C4 paracycling classification between those who use a lower-limb prostheses and those who do not. A statistical evaluation of event completion time was undertaken to assess C4 cyclists when competing at the World Championships and the Paralympic Games in the 1 km track time trial. The C4 athletes who utilize a prostheses consistently outperformed non-amputees in the C4 classification from 2011 to 2016 on a competition-to-competition basis...
September 29, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28946825/reliability-and-construct-validity-of-a-new-danish-translation-of-the-prosthesis-evaluation-questionnaire-in-a-population-of-danish-amputees
#15
Jan Christensen, Patrick Doherty, Jakob Bue Bjorner, Henning Langberg
BACKGROUND: Most amputees live with their prostheses for a long time. Therefore, quality of life is an important outcome for lower limb amputees. OBJECTIVE: To translate the Prosthesis Evaluation Questionnaire (PEQ) and evaluate psychometric properties. STUDY DESIGN: Methodological research. METHODS: Lower limb amputees responded to electronic versions of the PEQ and SF-36v2 at baseline (n=64), after two weeks (n=51), and after 12 weeks (n=50)...
October 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28938326/progress-on-botulinum-toxin-type-a-induced-pain-relief-in-the-field-of-plastics
#16
Xiaona Lu, Guocheng Chen, Pengjie Ren, Yan Yang, Fei Fan
OBJECTIVE: To retrospectively evaluate the effectiveness of Botulinum Toxin Type A (BTX-A) injections relieve pain in the field of plastic surgery and postoperative rehabilitation, and discuss the analgesic mechanism of BTX- A in plastics and related research progress. METHODS: From appearance to September 1, 2016, PUBMED, EMBASE, and Web of Science were searched, using the key words related to "Botulinum Toxin Type A" and "Pain." Furtherly, nonplastic surgery-related literature was excluded by manual screening...
November 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28927643/a-combined-kinematic-and-kinetic-analysis-at-the-residuum-socket-interface-of-a-knee-disarticulation-amputee
#17
Jinghua Tang, Michael McGrath, Nick Hale, Liudi Jiang, Dan Bader, Piotr Laszczak, David Moser, Saeed Zahedi
The bespoke interface between a lower limb residuum and a prosthetic socket is critical for an amputee's comfort and overall rehabilitation outcomes. Analysis of interface kinematics and kinetics is important to gain full understanding of the interface biomechanics, which could aid clinical socket fit, rehabilitation and amputee care. This pilot study aims to investigate the dynamic correlation between kinematic movement and kinetic stresses at the interface during walking tests on different terrains. One male, knee disarticulation amputee participated in the study...
November 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28853120/martial-arts-based-high-intensity-interval-training-in-the-rehabilitation-of-combat-amputees
#18
Gavin L Mills, David J Tennent, Joseph F Aldrete, Anthony E Johnson
No abstract text is available yet for this article.
July 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/28826272/iodine-starch-test-for-assessment-of-hyperhidrosis-in-amputees-evaluation-of-different-methods-of-application
#19
Colby Hansen, Ben Wayment, Stephanie Klein, Bradeigh Godfrey
PURPOSE: Hyperhidrosis is a common problem for amputees. The iodine-starch test is frequently used to assess hyperhidrosis, but a method for its application has not been described for amputees. METHODS: We performed an unblinded comparison of the iodine-starch test using various methods to protect the prosthesis in 10 prosthetic limb users with hyperhidrosis. RESULTS: Plastic wrap produced a diffuse pattern of sweating in 70% of subjects. Forty percent had complaints about this method, and 50% experienced leakage of iodine stain onto prosthetic liners...
August 21, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28819590/minimally-invasive-total-hip-replacement-in-an-ipsilateral-post-traumatic-above-knee-amputation-a-case-report
#20
Sanjeev Patnaik, Biswaranjan Nayak, Akshaya Kumar Sahoo, Nabin Kumar Sahu
INTRODUCTION: Total hip replacement (THR) is a highly successful operation in alleviating pain and improving the overall function of the hip, in end-stage arthritis of the hip, in otherwise fit patients. However, THR as a surgical option in post-traumatic hip arthritis with ipsilateral above-knee amputation is rarely reported. CASE REPORT: We are presenting a case report of a 30-year-old male, who had previously underwent an above-knee amputation due to road-traffic accident, presenting 24 h after the injury with segmental fracture femur and popliteal artery laceration, for which the limb could not be salvaged...
March 2017: Journal of Orthopaedic Case Reports
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