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https://www.readbyqxmd.com/read/28107372/cohort-randomised-controlled-trial-of-a-multifaceted-podiatry-intervention-for-the-prevention-of-falls-in-older-people-the-reform-trial
#1
Sarah Cockayne, Joy Adamson, Arabella Clarke, Belen Corbacho, Caroline Fairhurst, Lorraine Green, Catherine E Hewitt, Kate Hicks, Anne-Maree Kenan, Sarah E Lamb, Caroline McIntosh, Hylton B Menz, Anthony C Redmond, Zoe Richardson, Sara Rodgers, Wesley Vernon, Judith Watson, David J Torgerson
BACKGROUND: Falls are a major cause of morbidity among older people. A multifaceted podiatry intervention may reduce the risk of falling. This study evaluated such an intervention. DESIGN: Pragmatic cohort randomised controlled trial in England and Ireland. 1010 participants were randomised (493 to the Intervention group and 517 to Usual Care) to either: a podiatry intervention, including foot and ankle exercises, foot orthoses and, if required, new footwear, and a falls prevention leaflet or usual podiatry treatment plus a falls prevention leaflet...
2017: PloS One
https://www.readbyqxmd.com/read/28100099/a-user-centered-qualitative-study-on-experiences-with-ankle-foot-orthoses-and-suggestions-for-improved-design
#2
Dymphy van der Wilk, Juha Markus Hijmans, Klaas Postema, Gijsbertus Jacob Verkerke
BACKGROUND: Improving ankle-foot orthosis design can best be done by implementing a user-centered approach. OBJECTIVE: To provide insight into the ideas of ankle-foot orthosis users with flaccid ankle muscle paresis on the importance of activities and suggestions for an improved ankle-foot orthosis design. STUDY DESIGN: A focus-group discussion with eight ankle-foot orthosis users (57 ± 5 years, 50% female). METHODS: Main inclusion criteria were as follows: ⩾18 years, unable to stand on tip-toe and unable to lift toes...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28009675/effects-of-foot-and-ankle-devices-on-balance-gait-and-falls-in-adults-with-sensory-perception-loss-a-systematic-review
#3
Joanne Paton, Anna L Hatton, Keith Rome, Bridie Kent
BACKGROUND: Foot and ankle devices are being developed as a method of preventing people with sensory perception loss sustaining a fall. Such devices are believed to work by reducing the likelihood of a fall by improving the balance and gait of the user. OBJECTIVES: The objective of the review was to evaluate the effectiveness of foot and ankle devices for the prevention of falls and the improvement of balance and gait in adults with sensory perception loss. INCLUSION CRITERIA TYPES OF PARTICIPANTS: Participants were community-dwelling adults with bilateral pathological sensory perception loss...
December 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27987301/evaluating-the-effects-of-ankle-foot-orthosis-mechanical-property-assumptions-on-gait-simulation-muscle-force-results
#4
Amy K Hegarty, Anthony J Petrella, Max J Kurz, Anne K Silverman
Musculoskeletal modeling and simulation techniques have been used to gain insights into movement disabilities for many populations, such as ambulatory children with cerebral palsy (CP). The individuals who can benefit from these techniques are often limited to those who can walk without assistive devices, due to challenges in accurately modeling these devices. Specifically, many children with CP require the use of ankle-foot orthoses (AFOs) to improve their walking ability, and modeling these devices is important to understand their role in walking mechanics...
December 17, 2016: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/27982715/the-effect-of-footwear-adapted-with-a-multi-curved-rocker-sole-in-conjunction-with-knee-ankle-foot-orthoses-on-walking-in-poliomyelitis-subjects-a-pilot-study
#5
Ali Mojaver, Mokhtar Arazpour, Gholamreza Aminian, Monireh Ahmadi Bani, Mahmood Bahramizadeh, Guive Sharifi, Arash Sherafatvaziri
BACKGROUND: Knee-ankle-foot orthoses (KAFOs) are used by people with poliomyelitis to ambulate. Whist advances in orthotic knee joint designs for use in KAFOs such the provision of stance control capability have proven efficacy, little attention has been paid to shoe adaptations which may also improve gait. AIM: The aim of this study was to evaluate the alteration to the kinematics and temporal-spatial parameters of gait caused by the use of heel-to-toe rocker-soled footwear when ambulating with KAFOs...
December 16, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/27965435/can-we-predict-the-outcome-for-people-with-patellofemoral-pain-a-systematic-review-on-prognostic-factors-and-treatment-effect-modifiers
#6
M Matthews, M S Rathleff, A Claus, T McPoil, R Nee, K Crossley, B Vicenzino
BACKGROUND: Patellofemoral pain (PFP) is a multifactorial and often persistent knee condition. One strategy to enhance patient outcomes is using clinically assessable patient characteristics to predict the outcome and match a specific treatment to an individual. AIM: A systematic review was conducted to determine which baseline patient characteristics were (1) associated with patient outcome (prognosis); or (2) modified patient outcome from a specific treatment (treatment effect modifiers)...
December 13, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27965200/foot-orthoses-reduce-sports-injury-but-shock-absorbing-insoles-do-not-study-finds
#7
Susan Mayor
No abstract text is available yet for this article.
December 12, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27942156/the-effect-of-a-powered-ankle-foot-orthosis-on-walking-in-a-stroke-subject-a-case-study
#8
Ali Pourghasem, Ismail Ebrahimi Takamjani, Mohammad Taghi Karimi, Mohammad Kamali, Mohammad Jannesari, Iman Salafian
[Purpose] Standing and walking are impaired in stroke patients. Therefore, assisted devices are required to restore their walking abilities. The ankle foot orthosis with an external powered source is a new type of orthosis. The aim of this study was to evaluate the performance of a powered ankle foot orthosis compared with unpowered orthoses in a stroke patient. [Subjects and Methods] A single stroke subject participated in this study. The subject was fitted with three types of ankle foot orthosis (powered, posterior leg spring, and carbon ankle foot orthoses)...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27935557/wearable-tubing-assistive-walking-device-immediately-enhances-gait-parameters-in-subjects-with-stroke-a-randomized-controlled-study
#9
Seung-Mi Lee, Heon-Seock Cynn, Chung-Hwi Yi, Tae-Lim Yoon, Ji-Hyun Lee
BACKGROUND: Stroke patients develop compensatory movements due to limitations of ankle dorsiflexion and knee flexion. To solve the limitations, there are many adjustable walking assistive devices such as robotic devices, ankle-foot orthoses, and functional electric stimulation in rehabilitation session. However, these assistive devices have some disadvantages, including expense and discomforts. Therefore, the development of a new assistive device for stroke patients is needed to assist ankle dorsiflexion and knee flexion...
December 8, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27927029/measuring-wearing-time-of-knee-ankle-foot-orthoses-in-children-with-cerebral-palsy-comparison-of-parent-report-and-objective-measurement
#10
Josina C Maas, Annet J Dallmeijer, Bodil Y Oudshoorn, Eline A M Bolster, Peter A Huijing, Richard T Jaspers, Jules G Becher
: Purpose state: Orthotic wearing time may be an important confounder in efficacy studies of treatment in children with spastic cerebral palsy (SCP). Most studies measure parent-reported wearing time (WTparent) with questionnaires, but it is questionable whether this yields valid results. This study aims to compare WTparent with objectively measured wearing time (WTobj) in children with SCP receiving orthotic treatment. METHOD: Eight children with SCP participated in this observational study...
December 7, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27919918/effectiveness-of-foot-orthoses-and-shock-absorbing-insoles-for-the-prevention-of-injury-a-systematic-review-and-meta-analysis
#11
Daniel R Bonanno, Karl B Landorf, Shannon E Munteanu, George S Murley, Hylton B Menz
OBJECTIVE: To investigate the evidence relating to the effectiveness of foot orthoses and shock-absorbing insoles for the prevention of musculoskeletal injury. DESIGN: Systematic review and meta-analysis. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Clinical trials evaluating the effectiveness of foot orthoses and shock-absorbing insoles for the prevention of injury. DATA SOURCES: Cochrane Library, CINAHL, EMBASE, MEDLINE and SPORTDiscus from their inception up to the first week of June 2016...
January 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27891180/the-effect-of-foot-orthoses-with-forefoot-cushioning-or-metatarsal-pad-on-forefoot-peak-plantar-pressure-in-running
#12
Michaela Hähni, Anja Hirschmüller, Heiner Baur
BACKGROUND: Foot orthoses are frequently used in sports for the treatment of overuse complaints with sufficient evidence available for certain foot-related overuse pathologies like plantar fasciitis, rheumatoid arthritis and foot pain (e.g., metatarsalgia). One important aim is to reduce plantar pressure under prominent areas like metatarsal heads. For the forefoot region, mainly two common strategies exist: metatarsal pad (MP) and forefoot cushioning (FC). The aim of this study was to evaluate which of these orthosis concepts is superior in reducing plantar pressure in the forefoot during running...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/27884055/the-association-of-forefoot-varus-deformity-with-patellofemoral-cartilage-damage-in-older-adult-cadavers
#13
Rebecca S Lufler, Joshua J Stefanik, Jingbo Niu, F Kip Sawyer, Todd M Hoagland, K Douglas Gross
INTRODUCTION: Forefoot alignment may contribute to patellofemoral joint (PFJ) osteoarthritis (OA) via its influence on the closed chain kinematics of the lower limb. The purpose of this cadaveric study was to investigate the relationship between forefoot varus and ipsilateral cartilage damage in the medial and lateral PFJ. MATERIALS AND METHODS: Forefoot alignment measurements were obtained from the feet of 25 cadavers (n=50). Cartilage damage in the medial and lateral PFJ of each knee was scored using the Outerbridge scale...
November 24, 2016: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/27853668/the-effectiveness-and-safety-of-exoskeletons-as-assistive-and-rehabilitation-devices-in-the-treatment-of-neurologic-gait-disorders-in-patients-with-spinal-cord-injury-a-systematic-review
#14
Christian Fisahn, Mirko Aach, Oliver Jansen, Marc Moisi, Angeli Mayadev, Krystle T Pagarigan, Joseph R Dettori, Thomas A Schildhauer
Study Design Systematic review. Clinical Questions (1) When used as an assistive device, do wearable exoskeletons improve lower extremity function or gait compared with knee-ankle-foot orthoses (KAFOs) in patients with complete or incomplete spinal cord injury? (2) When used as a rehabilitation device, do wearable exoskeletons improve lower extremity function or gait compared with other rehabilitation strategies in patients with complete or incomplete spinal cord injury? (3) When used as an assistive or rehabilitation device, are wearable exoskeletons safe compared with KAFO for assistance or other rehabilitation strategies for rehabilitation in patients with complete or incomplete spinal cord injury? Methods PubMed, Cochrane, and Embase databases and reference lists of key articles were searched from database inception to May 2, 2016, to identify studies evaluating the effectiveness of wearable exoskeletons used as assistive or rehabilitative devices in patients with incomplete or complete spinal cord injury...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27834573/minimum-detectable-change-in-medial-tibiofemoral-contact-force-parameters-derivation-and-application-to-a-load-altering-intervention
#15
Joaquin Barrios, John Willson
Medial tibiofemoral joint contact forces can be estimated using musculoskeletal models. To assess change in these forces that accompany load-modifying interventions, minimum detectable change (MDC) thresholds must be established. The primary study purpose was to derive MDCs for medial tibiofemoral peak force and force impulse during walking. The secondary purpose was to identify the proportions of individuals exhibiting reductions greater than these MDCs when walking with lateral foot wedging. Eight healthy individuals provided three-dimensional gait data over three test sessions to serve as inputs for an inverse dynamics-driven medial tibiofemoral contact force model, from which MDCs for peak force and impulse were derived...
November 11, 2016: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/27825592/immediate-effects-of-foot-orthoses-on-pain-during-functional-tasks-in-people-with-patellofemoral-osteoarthritis-a-cross-over-proof-of-concept-study
#16
Natalie J Collins, Rana S Hinman, Hylton B Menz, Kay M Crossley
BACKGROUND: The purpose of the study was to determine whether prefabricated foot orthoses immediately reduce pain during functional tasks in people with patellofemoral osteoarthritis, compared to flat insoles and shoes alone. METHODS: Eighteen people with predominant lateral patellofemoral osteoarthritis (nine women; mean [SD] age 59 [10]years; body mass index 27.9 [3.2]kg/m(2)) performed functional tasks wearing running sandals, and then wearing foot orthoses and flat insoles (random order)...
November 4, 2016: Knee
https://www.readbyqxmd.com/read/27790051/astym-therapy-improves-bilateral-hamstring-flexibility-and-achilles-tendinopathy-in-a-child-with-cerebral-palsy-a-retrospective-case-report
#17
Nicole A Scheer, Lucas R Alstat, Robert S Van Zant
PURPOSE: The purpose of this case report was to describe the use of Astym therapy to improve hamstring flexibility and Achilles tendinopathy in a child with cerebral palsy. CASE DESCRIPTION: An eight-year-old female with cerebral palsy was referred to physical therapy for the treatment of bilateral hamstring inflexibility and Achilles tendinopathy. Treatment focused on an Astym therapy protocol of eccentric exercise, stretching, active and passive range of motion, gait training, and a home exercise program...
2016: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/27789429/foot-orthoses-research-identifying-limitations-to-improve-translation-to-clinical-knowledge-and-practice
#18
EDITORIAL
Ian B Griffiths, Simon K Spooner
No abstract text is available yet for this article.
October 27, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27748162/comparison-of-energy-efficiency-between-wearable-power-assist-locomotor-wpal-and-two-types-of-knee-ankle-foot-orthoses-with-a-medial-single-hip-joint-msh-kafo
#19
Kanan Yatsuya, Satoshi Hirano, Eiichi Saitoh, Shigeo Tanabe, Hirotaka Tanaka, Masayuki Eguchi, Masaki Katoh, Yasuhiro Shimizu, Akito Uno, Hitoshi Kagaya
OBJECTIVE: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk. STUDY DESIGN: Cross over case-series. SETTING: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety. METHODS: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL...
October 17, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27703571/the-role-of-rehabilitation-in-the-management-of-patients-with-charcot-marie-tooth-disease-report-of-two-cases
#20
Erieta Nikolikj Dimitrova, Ivana Božinovikj, Simona Ristovska, Aleksandra Hadzieva Pejcikj, Aleksandra Kolevska, Mirjeta Hasani
BACKGROUND: Charcot-Marie-Tooth (CMT) disease is a hereditary disease with signs of chronic non-progressive motor-sensory neuropathy which is characterised by symmetric muscle atrophy and weakness of the distal portion of lower extremities. AIM: The aim is to present two cases with peroneal muscular atrophy, applied rehabilitation procedures and rehabilitation outcome. MATERIAL AND METHODS: Patient DR, aged 51, and patient KH, aged 78. Both patients had weakness and pronounced atrophy of the distal portion of lower extremities, numbness down the legs, contractures in the ankles and walking difficulties...
September 15, 2016: Open Access Macedonian Journal of Medical Sciences
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