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Custom foot orthosis

Yoann Dessery, Étienne Belzile, Sylvie Turmel, Philippe Corbeil
BACKGROUND: There is contradictory evidence regarding whether the addition of medial arch supports to laterally wedged insoles reduces knee adduction moment, improves comfort, and reduces knee pain during the late stance phase of gait. OBJECTIVES: To verify if such effects occur in participants with medial knee osteoarthritis. STUDY DESIGN: Randomized single-blinded study. METHODS: Gait analysis was performed on 18 patients affected by medial knee osteoarthritis...
August 23, 2016: Prosthetics and Orthotics International
Evgenia Manousaki, Tomasz Czuba, Gunnar Hägglund, Louise Mattsson, Hanneke Andriesse
Relapse after successful initial correction of idiopathic clubfoot with the Ponseti method is often related to poor compliance with the foot abduction orthosis (FAO). The aim of this study was to evaluate treatment with custom-made dynamic orthoses. Twenty children with idiopathic clubfoot (30feet) who had been treated with dynamic orthoses after the correction phase according to the Ponseti casting technique were evaluated. Relapse rates during orthotic treatment were registered. A Vicon gait analysis system was used to measure gait parameters at the age of seven years...
August 7, 2016: Gait & Posture
Andrew J Sheean, David J Tennent, Johnny G Owens, Jason M Wilken, Joseph R Hsu, Daniel J Stinner
BACKGROUND: Fractures of the distal tibia, ankle, and foot sustained through a high-energy mechanism can be extremely debilitating, and ankle and/or subtalar fusion may be indicated if the limb is deemed salvageable. Functional outcomes among this population are often poor. The purposes of this study were to evaluate the effect of an advanced rehabilitation program combined with the use of a custom ankle-foot orthosis for patients with ankle or subtalar fusion on selected physical performance measures and patient-derived outcome measures and to determine if the response to treatment was predicated upon the type of fusion...
August 11, 2016: Foot & Ankle International
Joanne O'Connor, Dorothy McCaughan, Catriona McDaid, Alison Booth, Debra Fayter, Roccio Rodriguez-Lopez, Roy Bowers, Lisa Dyson, Cynthia P Iglesias, Simon Lalor, Rory J O'Connor, Margaret Phillips, Gita Ramdharry
BACKGROUND: Patients who have knee instability that is associated with neuromuscular disease (NMD) and central nervous system (CNS) conditions can be treated using orthoses, such as knee-ankle-foot orthoses (KAFOs). OBJECTIVES: To assess existing evidence on the effectiveness of orthoses; patient perspectives; types of orthotic devices prescribed in the UK NHS; and associated costs. METHODS: Qualitative study of views of orthoses users - a qualitative in-depth interview study was undertaken...
July 2016: Health Technology Assessment: HTA
Jennifer M Aldridge Whitehead, Elizabeth Russell Esposito, Jason M Wilken
The ability to navigate stairs step-over-step is an important functional outcome following severe lower leg injury and is difficult for many patients. Ankle-foot orthoses, such as the Intrepid Dynamic Exoskeletal Orthosis (IDEO), are often prescribed to improve function. This study compared stair climbing mechanics between IDEO users and able-bodied control participants. Thirteen IDEO users who sustained severe lower leg injury and 13 controls underwent biomechanical gait analysis. Participants ascended and descended a 16-step instrumented staircase without handrail use at a controlled cadence of 80 steps/min...
September 6, 2016: Journal of Biomechanics
Latricia L Allen, Garrett Kalmar, Vickie R Driver
We report a case of calcaneal osteomyelitis that was surgically resected from a patient with diabetes and peripheral vascular disease. A 91-year-old male with history of type 2 diabetes, peripheral vascular disease, balloon angioplasty, and recent (2 months ago) stent of the superficial femoral artery presented to the emergency department with a left heel wound infection probed to bone. The patient reported having been on intravenous Zosyn for several months via an outside infectious disease provider for clinical suspicion of osteomyelitis, but noted no improvement...
June 2016: Techniques in Vascular and Interventional Radiology
C Palazzo, J P Montigny, F Barbot, B Bussel, I Vaugier, D Fort, I Courtois, C Marty-Poumarat
OBJECTIVE: To assess the effectiveness of bracing in adult with scoliosis. DESIGN: Retrospective cohort study SETTING: Outpatients followed in 2 French tertiary care hospitals PARTICIPANTS: 38 adults with non-operated progressive idiopathic or degenerative scoliosis treated by custom-molded lumbar-sacral orthosis (LSO), with a minimum follow-up time of 10 years before bracing and 5 years after bracing. Progression was defined as a variation in Cobb angle ≥ 10° between the first and the last radiograph before bracing...
June 22, 2016: Archives of Physical Medicine and Rehabilitation
Dilek Sahinoğlu, Gürsoy Coskun, Nilgün Bek
BACKGROUND: Adaptive seating supports for cerebral palsy are recommended to develop and maintain optimum posture, and functional use of upper extremities. OBJECTIVES: To compare the effectiveness of different seating adaptations regarding postural alignment and related functions and to investigate the effects of these seating adaptations on different motor levels. STUDY DESIGN: Prospective study. METHODS: A total of 20 children with spastic cerebral palsy (Gross Motor Function Classification System 3-5) were included...
March 29, 2016: Prosthetics and Orthotics International
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Hyun-Ju Yun, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. METHOD: A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation...
December 2015: Annals of Rehabilitation Medicine
Dietmar Dammerer, Matthias Braito, Rainer Biedermann, Michael Ban, Johannes Giesinger, Christian Haid, Michael C Liebensteiner, Gerhard Kaufmann
BACKGROUND: The aim of this study is to assess patients' driving ability when wearing surgical shoes following right-sided first metatarsal osteotomy. METHODS: From August 2013 to August 2015, 42 consecutive patients (mean age 54.5 years) with right-sided hallux valgus deformity underwent first metatarsal osteotomy. Patients were tested for brake response time (BRT) 1 day preoperatively (control run) and at 2 and 6 weeks postoperatively. Two different types of foot orthosis were investigated...
2016: Journal of Orthopaedic Surgery and Research
Wen-Dien Chang, Nai-Jen Chang, Hung-Yu Lin, Ping-Tung Lai
Toe-in gait and crouch gait can make children with mild cerebral palsy fall and suffer improper balance during walking or ambulation training. A customized external strap orthosis for correcting leg alignment was used to resolve this problem. The purpose of this study was to research the immediate effects while wearing the customized external strap orthosis. Pressure platform was used to assess the plantar pressure through static and dynamic assessments and to record the changes in path of pressure trajectory...
2015: BioMed Research International
Lauren DeMeyer, Marcie Brown, Ashley Adams
OBJECTIVE: To investigate the effect of night positioning on ankle motion in patients after stroke or brain injury. DESIGN: Prospective randomized controlled pilot study with 3 groups: bivalve cast; pressure-relieving ankle-foot orthosis; and control. SUBJECTS/PATIENTS: Adults (n = 46) in inpatient rehabilitation with lower extremity paresis following stroke or brain injury. METHODS: Intervention group participants wore a custom bivalve cast or pre-fabricated orthosis 8-12 h/night...
October 5, 2015: Journal of Rehabilitation Medicine
Elisa S Arch, Steven J Stanhope, Jill S Higginson
BACKGROUND: Passive-dynamic ankle-foot orthosis characteristics, including bending stiffness, should be customized for individuals. However, while conventions for customizing passive-dynamic ankle-foot orthosis characteristics are often described and implemented in clinical practice, there is little evidence to explain their biomechanical rationale. OBJECTIVES: To develop and combine a model of a customized passive-dynamic ankle-foot orthosis with a healthy musculoskeletal model and use simulation tools to explore the influence of passive-dynamic ankle-foot orthosis bending stiffness on plantar flexor function during gait...
October 2016: Prosthetics and Orthotics International
Ulf Krister Hofmann, Stefan Thumm, Maurice Jordan, Christian Walter, Ina-Christine Rondak, Ingmar Ipach
BACKGROUND: Although a person's fitness to drive has gained more attention over the past few years, investigations have focused mainly on postsurgical (eg, hip arthroplasty) driving performance. Few data are available on how orthoses affect the ability to perform an emergency stop. OBJECTIVE: To determine whether common lumbar and hip orthoses impair driving performance by increasing brake response time and weakening brake force (BF). DESIGN: Crossover repeated measures design...
January 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Jesse F Doty, Richard G Alvarez, Timothy B Ervin, Ashley Heard, John Gilbreath, Nicholas S Richardson
The purpose of the present study was to compare the hallux valgus deformity pressure parameters seen in standard footwear (no orthosis) versus the pressure observed in the same footwear with the addition of 3 different length orthoses. The forefoot pressure at a hallux valgus deformity was recorded with pressure sensors placed on the plantar, medial, and dorsal surface of the first metatarsal head. The participants performed walking trials without an orthosis and with orthoses of 3 different lengths. The average pressure and maximum pressure of each area was recorded for each orthosis, and comparisons were made across the groups...
September 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Hong-Jae Lee, Kil-Byung Lim, JeeHyun Yoo, Sung-Won Yoon, Tae-Ho Jeong
OBJECTIVE: To evaluate the effect of custom molded foot orthoses on children with growing pains of the lower extremities. METHODS: Children with growing pains were recruited during a clinic visit. None had any bony deformities, inflammatory joint disease or depression. Resting calcaneal stance position (RCSP) and calcaneal pitch angle were measured, and individual custom molded rigid foot orthoses were prescribed using the inverted orthotic technique to control for foot overpronation using the RCSP angle...
April 2015: Annals of Rehabilitation Medicine
Valerie M Pomeroy, Philip Rowe, Allan Clark, Andrew Walker, Andrew Kerr, Elizabeth Chandler, Mark Barber, Jean-Claude Baron
BACKGROUND: Timely provision of an ankle-foot orthosis (AFO) orthotist customized for individuals early after stroke can be problematic. OBJECTIVE: To evaluate the efficacy of a therapist-made AFO (SWIFT Cast) for walking recovery. METHODS: This was a randomized controlled, observer-blind trial. Participants (n = 105) were recruited 3 to 42 days poststroke. All received conventional physical therapy (CPT) that included use of "off-the-shelf" and orthotist-made AFOs...
January 2016: Neurorehabilitation and Neural Repair
T Mittlmeier, A Eschler
OBJECTIVE: The goal of treatment is a plantigrade, stable, ulcer-free foot which can be addressed with diabetes-adapted insoles and/or DNOAP shoes. INDICATIONS: Charcot foot of the midfoot with/without infection-free ulcers. CONTRAINDICATIONS: Inacceptable anesthesiological risk in polymorbidity. Severe anesthesiological risks in multimorbid patients; symptomatic peripheral arterial occlusive disease not suitable for reconstruction; infections PEDIS/IWGDF grade 3 or 4, nonreconstructable osseous defects...
April 2015: Operative Orthopädie und Traumatologie
Larissa A Sletto, Yeongchi Wu, Christopher Robinson
BACKGROUND AND AIM: Current methods used to take impressions for custom foot orthoses include plaster bandage, foam box, fiberglass, and laser-optical scanner. Impressions are converted to positive plaster or foam models. These methods create waste and may not be feasible in resource-limited areas. This technical note presents an alternative, greener impression and fabrication technique for foot orthoses that utilizes the dilatancy principle. TECHNIQUE: Steps of the dilatancy (vacuum-based) procedure include taking an impression of the foot, converting the negative mold to a positive sand model, modifying the positive sand model, and thermoforming the foot orthosis...
June 2016: Prosthetics and Orthotics International
Simon Fuk-Tan Tang, Chien-Hung Chen, Chih-Kuan Wu, Wei-Hsien Hong, Kuan-Jung Chen, Chih-Kuang Chen
The purpose of this study is to evaluate the therapeutic effect of total contact insole with forefoot medial posting (TCIFMP) orthosis in patients with flexible flatfoot. The TCIFMP insole was custom- mode, made from semi-rigid plastazote and PPT. Using the gait analysis and the plantar-pressure measure systems, we investigate rearfoot motion and plantar pressure redistribution in these patients. The results of this study showed that the excessive valgus movement of the rearfoot can be reduced significantly by the TCIFMP insole in these patients...
February 2015: Clinical Neurology and Neurosurgery
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