keyword
https://read.qxmd.com/read/38397324/efficacy-of-lower-limb-orthoses-in-the-rehabilitation-of-children-affected-by-cerebral-palsy-a-systematic-review
#1
REVIEW
Sandra Miccinilli, Fabio Santacaterina, Rebecca Della Rocca, Silvia Sterzi, Federica Bressi, Marco Bravi
Lower limb orthoses are frequently used in children suffering from cerebral palsy (CP) alongside rehabilitation. The aim of this study was to analyze the effectiveness of ankle-foot orthosis (AFO) and knee-ankle-foot orthosis (KAFO) in walking, balance maintenance, spasticity, and quality of life improvement during rehabilitation in children affected by CP. The hypothesis was that the use of orthoses could improve the parameters compared to non-use. A systematic review was conducted in the main databases, including English language RCTs published about the use of AFO and KAFO in combination or not with rehabilitation methods in children affected by CP and studies mentioning walking, balance, muscle length, and quality of life as outcomes...
February 6, 2024: Children
https://read.qxmd.com/read/38339681/determination-of-gait-events-and-temporal-gait-parameters-for-persons-with-a-knee-ankle-foot-orthosis
#2
JOURNAL ARTICLE
Sumin Yang, Bummo Koo, Seunghee Lee, Dae-Jin Jang, Hyunjun Shin, Hyuk-Jae Choi, Youngho Kim
Gait event detection is essential for controlling an orthosis and assessing the patient's gait. In this study, patients wearing an electromechanical (EM) knee-ankle-foot orthosis (KAFO) with a single IMU embedded in the thigh were subjected to gait event detection. The algorithm detected four essential gait events (initial contact (IC), toe off (TO), opposite initial contact (OIC), and opposite toe off (OTO)) and determined important temporal gait parameters such as stance/swing time, symmetry, and single/double limb support...
February 1, 2024: Sensors
https://read.qxmd.com/read/38075513/relationship-between-muscle-activity-characteristics-and-physical-therapy-parameters-during-posterior-gait-assistance-with-knee-ankle-foot-orthosis-in-severe-acute-stroke-hemiplegic-patients
#3
JOURNAL ARTICLE
Motoya Sato, Akiyoshi Takami, Misato Makino
[Purpose] This study aimed to verify muscle activity patterns during posterior gait assistance with a knee-ankle-foot orthosis (KAFO) in patients with severe acute stroke hemiplegia and clarify its relationships with physical therapy parameters. [Participants and Methods] We measured activity in the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius muscles in 30 patients with acute stroke during KAFO posterior gait assistance and examined their muscle activity patterns using the Japan Coma Scale (JCS), Brunnstrom Recovery Stage (BRS), Berg Balance Scale (BBS), Functional Movement Screen (FMS), and Functional Independence Measure (FIM)...
December 2023: Journal of Physical Therapy Science
https://read.qxmd.com/read/37952269/predictors-indicating-the-continuous-need-for-a-knee-ankle-foot-orthosis-in-stroke-patients-at-1-month-after-onset
#4
JOURNAL ARTICLE
Naohide Tsujimoto, Hiroaki Abe, Toru Okanuka, Takashi Seki, Miki Fujimura
OBJECTIVES: To investigate predictors indicating the continuous need for a knee-ankle-foot orthosis (KAFO) at 1 month after stroke onset in patients who cannot walk without a KAFO in the acute period. MATERIALS AND METHODS: We enrolled patients with severe hemiplegia (n = 139) who were unable to walk without a KAFO on day 10 from stroke onset. The patients were divided into two groups depending on the need for a KAFO at 1 month after the onset: the KAFO group and non-KAFO group...
November 10, 2023: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/37901357/long-term-observation-in-patients-with-duchenne-muscular-dystrophy-with-early-introduction-of-a-standing-program-using-knee-ankle-foot-orthoses
#5
JOURNAL ARTICLE
Akiko Fujimoto, Katsuhiro Mizuno, Yasuyuki Iwata, Hiroyuki Yajima, Daisuke Nishida, Hirofumi Komaki, Akihiko Ishiyama, Madoka Mori-Yoshimura, Hisateru Tachimori, Yoko Kobayashi
OBJECTIVES: This study investigated the outcomes of the early introduction of a standing program for patients with Duchenne muscular dystrophy (DMD). METHODS: This was a retrospective observational study of 41 outpatients with DMD aged 15-20 years. We introduced the standing program using knee-ankle-foot orthoses (KAFO) to slow the progression of scoliosis when ankle dorsiflexion became less than 0° in the ambulatory period. RESULTS: Thirty-two patients with DMD were offered the standing program with KAFO; 12 continued the program until the age of 15 years (complete group) and 20 discontinued the program before the age of 15 years (incomplete group)...
2023: Progress in rehabilitation medicine
https://read.qxmd.com/read/37752724/a-microprocessor-stance-and-swing-control-orthosis-improves-balance-risk-of-falling-mobility-function-and-quality-of-life-of-individuals-dependent-on-a-knee-ankle-foot-orthosis-for-ambulation
#6
JOURNAL ARTICLE
Axel Ruetz, Tom DiBello, Chris Toelle, Bea Hemmen, Jason Wening, Eric Weber, Frank Braatz, Tobias Winkler, Friedemann Steinfeldt, Marina Umari, Rüdiger Rupp, Sascha Kluge, Alexander Krebs, Shane R Wurdeman
INTRODUCTION: The C-Brace microprocessor stance and swing control orthosis was designed to overcome safety and functional limitations of traditional knee-ankle-foot orthoses (KAFOs) for individuals with lower limb paresis. However, a systematic comparison to established KAFO types has not been performed in a bigger sample. METHODS: International multicenter, randomized, controlled, cross-over clinical trial. Legacy KAFO users at risk of falling were randomized to KAFO/C-Brace or C-Brace/KAFO use for three months with each orthosis...
September 26, 2023: Disability and Rehabilitation
https://read.qxmd.com/read/37597512/diagnosis-of-childhood-febrile-illness-using-a-multi-class-blood-rna-molecular-signature
#7
JOURNAL ARTICLE
Dominic Habgood-Coote, Clare Wilson, Chisato Shimizu, Anouk M Barendregt, Ria Philipsen, Rachel Galassini, Irene Rivero Calle, Lesley Workman, Philipp K A Agyeman, Gerben Ferwerda, Suzanne T Anderson, J Merlijn van den Berg, Marieke Emonts, Enitan D Carrol, Colin G Fink, Ronald de Groot, Martin L Hibberd, John Kanegaye, Mark P Nicol, Stéphane Paulus, Andrew J Pollard, Antonio Salas, Fatou Secka, Luregn J Schlapbach, Adriana H Tremoulet, Michael Walther, Werner Zenz, Michiel Van der Flier, Heather J Zar, Taco Kuijpers, Jane C Burns, Federico Martinón-Torres, Victoria J Wright, Lachlan J M Coin, Aubrey J Cunnington, Jethro A Herberg, Michael Levin, Myrsini Kaforou
BACKGROUND: Appropriate treatment and management of children presenting with fever depend on accurate and timely diagnosis, but current diagnostic tests lack sensitivity and specificity and are frequently too slow to inform initial treatment. As an alternative to pathogen detection, host gene expression signatures in blood have shown promise in discriminating several infectious and inflammatory diseases in a dichotomous manner. However, differential diagnosis requires simultaneous consideration of multiple diseases...
August 11, 2023: Med
https://read.qxmd.com/read/37458050/lower-limb-muscle-strength-of-the-affected-side-in-stroke-patients-is-an-accurate-predictor-of-the-need-for-a-kafo
#8
JOURNAL ARTICLE
Hiroaki Abe, Takashi Seki, Naohide Tsujimoto, Toru Okanuka
BACKGROUND: Accurate prediction of recovery is essential to determine whether a knee-ankle-foot orthosis (KAFO) is required in the subacute phase of stroke. However, there are currently no reliable methods to predict such recovery. OBJECTIVE: This study aimed to determine whether muscle strength of the affected lower limb (affected side LL strength) in stroke patients in the subacute phase who cannot walk without a KAFO can be used to predict the continuous need for a KAFO, using a hand-held dynamometer...
July 13, 2023: NeuroRehabilitation
https://read.qxmd.com/read/37400860/physical-function-and-activity-pain-and-health-status-in-adults-with-myelomeningocele-after-orthotic-management-from-childhood-a-descriptive-study
#9
JOURNAL ARTICLE
Åsa Bartonek, Marie Eriksson
BACKGROUND: Individuals with myelomeningocele (MMC) exhibit neurological deficits below the lesion level involving both motor and sensory functions. Ambulation and functional outcomes in patients offered orthotic management since childhood were investigated. METHODS: Physical function, physical activity, pain, and health status were assessed in a descriptive study. RESULTS: Of 59 adults with MMC, aged 18-33 years, 12 were in the community ambulation (Ca), 19 in the household ambulation (Ha), six in the non-functional (N-f), and 22 in the non-ambulation (N-a) groups...
July 3, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/37214128/long-term-locked-knee-ankle-foot-orthosis-use-a-perspective-overview-of-iatrogenic-biomechanical-and-physiological-perils
#10
JOURNAL ARTICLE
Kamiar Ghoseiri, Audrey Zucker-Levin
A knee ankle foot orthosis (KAFO) may be prescribed to the person with severe neuromusculoskeletal impairment of the lower limb to promote walking stability. The locked knee ankle foot orthosis (L-KAFO) is among the KAFO's routinely prescribed; however, long-term use of the L-KAFO is associated with musculoskeletal (arthrogenic and myogenic) and integumentary changes, and gait asymmetry with increased energy expenditure. Consequently, the risk of developing low back pain, osteoarthritis of the lower limbs and spinal joints, skin dermatitis, and ulceration increases, all of which impact quality of life...
2023: Front Rehabil Sci
https://read.qxmd.com/read/36757940/effects-of-orthoses-on-muscle-activity-and-synergy-during-gait
#11
JOURNAL ARTICLE
Yu Hashiguchi, Ryosuke Goto, Toru Naka
An orthosis is often used in rehabilitation to improve kinetic and kinematic parameters during gait. However, whether changes in neural control depend on wearing an orthosis during gait is unclear. We measured the muscle activity and synergy of the lower limb muscles without orthosis and with two types of orthoses: ankle-foot orthosis (AFO) and knee-ankle-foot orthosis (KAFO). Muscle activity during gait was measured in 15 healthy adults, and muscle synergies were extracted using non-negative matrix factorization...
2023: PloS One
https://read.qxmd.com/read/36722112/-think-interdisciplinary-to-improve-a-complex-multifactorial-gait-disorder-of-a-28-year-old-polio-patient
#12
JOURNAL ARTICLE
Alexander Truschkat, Martin Poller, Martin Berli, Paul Hasler
Think Interdisciplinary to Improve a Complex Multifactorial Gait Disorder of a 28-Year-Old Polio Patient Abstract. Poliomyelitis with the resulting paralytic sequelae is hardly present in Switzerland anymore and if so, only in elderly persons. The last reported case of poliomyelitis in Switzerland was received by the FOPH in 1982. A 28-year-old patient with paralytic poliomyelitis is extremely rare in this country. A combined multifactorial gait disorder with symptomatic hip dysplasia, pronounced leg length shortening and axial malalignment of the leg on the polio-affected side make this case unique and a special interdisciplinary challenge...
February 2023: Praxis
https://read.qxmd.com/read/36675345/robotized-knee-ankle-foot-orthosis-assisted-gait-training-on-genu-recurvatum-during-gait-in-patients-with-chronic-stroke-a-feasibility-study-and-case-report
#13
JOURNAL ARTICLE
Yoko Takahashi, Kohsuke Okada, Tomoyuki Noda, Tatsuya Teramae, Takuya Nakamura, Koshiro Haruyama, Kohei Okuyama, Kengo Tsujimoto, Katsuhiro Mizuno, Jun Morimoto, Michiyuki Kawakami
Genu recurvatum (knee hyperextension) is a common problem after stroke. It is important to promote the coordination between knee and ankle movements during gait; however, no study has investigated how multi-joint assistance affects genu recurvatum. We are developing a gait training technique that uses robotized knee-ankle-foot orthosis (KAFO) to assists the knee and ankle joints simultaneously. This report aimed to investigate the safety of robotized KAFO-assisted gait training (Experiment 1) and a clinical trial to treat genu recurvatum in a patient with stroke (Experiment 2)...
January 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36652463/effects-of-specialist-care-lower-limb-orthoses-on-personal-goal-attainment-and-walking-ability-in-adults-with-neuromuscular-disorders
#14
JOURNAL ARTICLE
Elza van Duijnhoven, Fieke S Koopman, Hilde E Ploeger, Frans Nollet, Merel-Anne Brehm
BACKGROUND: Lower limb orthoses intend to improve walking in adults with neuromuscular disorders (NMD). Yet, reported group effects of lower limb orthoses on treatment outcomes have generally been small and heterogeneous. We propose that guideline-based orthotic care within a multidisciplinary expert setting may improve treatment outcomes. AIM: To examine the effectiveness of specialist care orthoses compared to usual care orthoses on personal goal attainment and walking ability...
2023: PloS One
https://read.qxmd.com/read/36351989/comparing-walking-with-knee-ankle-foot-orthoses-and-a-knee-powered-exoskeleton-after-spinal-cord-injury-a-randomized-crossover-clinical-trial
#15
JOURNAL ARTICLE
Antonio Rodríguez-Fernández, Joan Lobo-Prat, Rafael Tarragó, Diego Chaverri, Xavier Iglesias, Lluis Guirao-Cano, Josep M Font-Llagunes
Recovering the ability to stand and walk independently can have numerous health benefits for people with spinal cord injury (SCI). Wearable exoskeletons are being considered as a promising alternative to conventional knee-ankle-foot orthoses (KAFOs) for gait training and assisting functional mobility. However, comparisons between these two types of devices in terms of gait biomechanics and energetics have been limited. Through a randomized, crossover clinical trial, this study compared the use of a knee-powered lower limb exoskeleton (the ABLE Exoskeleton) against passive orthoses, which are the current standard of care for verticalization and gait ambulation outside the clinical setting in people with SCI...
November 9, 2022: Scientific Reports
https://read.qxmd.com/read/35582910/efficacy-of-knee-ankle-foot-orthosis-on-functional-mobility-and-activities-of-daily-living-in-patients-with-stroke-a-systematic-review-of-case-reports
#16
JOURNAL ARTICLE
Eiji Kobayashi, Kenta Hiratsuka, Hirokazu Haruna, Nobue Kojima, Nobuaki Himuro
OBJECTIVE:  To synthesize available evidence from case reports regarding the efficacy of knee-ankle-foot orthosis (KAFO) on functional mobility and activities of daily living (ADL) in patients with stroke. METHODS:  The following databases were searched, based on the Population Intervention Comparison Outcome (PICO) model: PubMed, CINAHL, Sco- pus, Cochrane Central Register of Controlled Trials, PEDro, Web of Science, and Igaku Chuo Zassi (in Japanese)...
July 7, 2022: Journal of Rehabilitation Medicine
https://read.qxmd.com/read/35032757/early-wearing-of-knee-ankle-foot-orthosis-improves-functional-prognosis-in-patients-after-stroke
#17
JOURNAL ARTICLE
Keisuke Sato, Tatsuro Inoue, Keisuke Maeda, Akio Shimizu, Kenta Murotani, Junko Ueshima, Yuria Ishida, Takahiro Ogawa, Masaki Suenaga
OBJECTIVES: Knee-ankle-foot orthosis (KAFO) is sometimes used for gait training in stroke patients. The impact of the time of wearing KAFO on activities of daily living (ADL) recovery has not been clarified. This study aimed to examine the relationship between the days from onset to KAFO wearing and functional prognosis in patients after stroke. MATERIALS AND METHODS: This retrospective, observational study was conducted with stroke patients who were prescribed a KAFO...
March 2022: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/34827429/impact-of-alternate-gait-training-using-knee-ankle-foot-orthoses-with-oil-damper-ankle-hinge-in-patients-with-subacute-severe-hemiplegia
#18
JOURNAL ARTICLE
Hiroaki Abe, Kazutaka Nishiyama, Yuichi Yamamoto, Toru Okanuka, Yasuhito Yonezawa, Koji Matsumoto
Patients with severe hemiplegia along with knee instability require knee-ankle-foot orthoses (KAFOs) for gait training. However, in these patients, it is unclear which type of walking training is more effective to improve gait function. Providing alternate gait training (AGT) improves walking function in patients with spinal cord injury, but it is still unclear whether this is effective in hemiplegic stroke patients. In this study, we defined "unified AGT" as AGT performed with the same therapeutic concept by physiotherapists...
October 28, 2021: Brain Sciences
https://read.qxmd.com/read/34484485/stance-control-knee-ankle-foot-orthoses-for-people-with-knee-instability-a-health-technology-assessment
#19
JOURNAL ARTICLE
(no author information available yet)
Background: Knee instability can arise from various causes and conditions such as neuromuscular disease, central nervous system conditions, and trauma. For people with knee instability, knee orthosis devices are prescribed to help with standing, walking, and performing tasks. We conducted a health technology assessment of stance-control knee-ankle-foot orthoses (SCKAFOs) for people with knee instability, which included an evaluation of the effectiveness, safety, and budget impact of publicly funding SCKAFOs, as well as patient preferences and values...
2021: Ontario Health Technology Assessment Series
https://read.qxmd.com/read/34252030/combining-accelerometer-and-gps-features-to-evaluate-community-mobility-in-knee-ankle-foot-orthoses-kafo-users
#20
JOURNAL ARTICLE
Luca Lonini, Nicholas Shawen, Shenan Hoppe-Ludwig, Susan Deems-Dluhy, Chaithanya K Mummidisetty, Yochai Eisenberg, Arun Jayaraman
Orthotic and assistive devices such as knee ankle foot orthoses (KAFO), come in a variety of forms and fits, with several levels of available features that could help users perform daily activities more naturally. However, objective data on the actual use of these devices outside of the research lab is usually not obtained. Such data could enhance traditional lab-based outcome measures and inform clinical decision-making when prescribing new orthotic and assistive technology. Here, we link data from a GPS unit and an accelerometer mounted on the orthotic device to quantify its usage in the community and examine the correlations with clinical metrics...
2021: IEEE Transactions on Neural Systems and Rehabilitation Engineering
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