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Prosthetic and orthotic

Keun Ho Lee, Sung Jae Kim, Yong Ho Cha, Jae Lim Kim, Dong Kyu Kim, Sang Jun Kim
BACKGROUND AND AIM: Three-dimensional printer is widely used in industry, biology, and medical fields. We report a finger prosthesis produced by a three-dimensional scanner and printer for a 67-year-old man with a right thumb amputation above the metacarpophalangeal joint. TECHNIQUE: His right amputated and left intact hands were scanned with a three-dimensional scanner, and the left-hand image was rotated to the right side to design the right thumb prosthesis. The designed prosthesis was printed with a three-dimensional printer using the fused filament fabrication output system...
December 1, 2016: Prosthetics and Orthotics International
(no author information available yet)
This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2017. It also finalizes policies for coverage and payment for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. This rule also sets forth requirements for the ESRD Quality Incentive Program, including the inclusion of new quality measures beginning with payment year (PY) 2020 and provides updates to programmatic policies for the PY 2018 and PY 2019 ESRD QIP...
November 4, 2016: Federal Register
Sophie Hill
BACKGROUND: Curriculum documents identify key concepts within learning prosthetics. Threshold concepts provide an alternative way of viewing the curriculum, focussing on the ways of thinking and practicing within prosthetics. Threshold concepts can be described as an opening to a different way of viewing a concept. This article forms part of a larger study exploring what students and staff experience as difficult in learning about prosthetics. OBJECTIVES: To explore possible threshold concepts within prosthetics...
November 24, 2016: Prosthetics and Orthotics International
Christopher A Rábago, Mary Clouser, Christopher L Dearth, Shawn Farrokhi, Michael R Galarneau, M Jason Highsmith, Jason M Wilken, Marilynn P Wyatt, Owen T Hill
Congress authorized creation of the Extremity Trauma and Amputation Center of Excellence (EACE) as part of the 2009 National Defense Authorization Act. The legislation mandated the Department of Defense (DoD) and Department of Veterans Affairs (VA) to implement a comprehensive plan and strategy for the mitigation, treatment, and rehabilitation of traumatic extremity injuries and amputation. The EACE also was tasked with conducting clinically relevant research, fostering collaborations, and building partnerships across multidisciplinary international, federal, and academic networks to optimize the quality of life of service members and veterans who have sustained extremity trauma or amputations...
November 2016: Military Medicine
Emmelie Andregård, Lina Magnusson
PURPOSE: The aim of this study was to describe experiences of attitudes in the society of Sierra Leone from the perspective of individuals with poliomyelitis and people with amputations using orthotic or prosthetic devices. METHODS: Individual interviews were conducted using open-ended questions. Twelve participants with amputations or polio were included. Content analysis was applied to the data. RESULTS: The following six themes emerged during data analysis: Experience of negative attitudes; Neglected and respected by family; Traditional beliefs; The importance of assistive devices; People with disability struggle with poverty; and The need for governmental and international support...
November 10, 2016: Disability and Rehabilitation
H Salmani Nodooshan, S Koohi Booshehri, H Daneshmandi, A R Choobineh
BACKGROUND: In Iranian orthotic and prosthetic workshops, the majority of activities are carried out by manpower and the tasks are labor-intensive. In these workshops, ergonomic aspects of working conditions are seldom considered. OBJECTIVE: This study was conducted in orthotic and prosthetic workshops with the objectives of determination of prevalence rate of MSDs among employees and assessment of ergonomics working conditions. METHODS: In this cross-sectional study, all employees (n = 42; 29 males and 13 females) in 11 active orthotic and prosthetic production centers of Shiraz city participated...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Amir A Zadpoor, Jos Malda
The introduction of additive manufacturing (AM), often referred to as three-dimensional (3D) printing, has initiated what some believe to be a manufacturing revolution, and has expedited the development of the field of biofabrication. Moreover, recent advances in AM have facilitated further development of patient-specific healthcare solutions. Customization of many healthcare products and services, such as implants, drug delivery devices, medical instruments, prosthetics, and in vitro models, would have been extremely challenging-if not impossible-without AM technologies...
September 8, 2016: Annals of Biomedical Engineering
Elisa S Arch, Bretta L Fylstra
The large, late-stance energy generated by the ankle is believed to be critical during gait. However, the distal foot absorbs/dissipates a considerable amount of energy during the same phase. Thus, the energy generated by the combined ankle-foot system is more modest, which raises questions regarding the necessity of such a large ankle power and the interplay between foot and ankle energetics. This study aimed to evaluate our conservation of energy hypothesis, which predicted if distal foot energy absorption/dissipation was reduced, then less energy would be generated at the ankle and thus the same combined ankle-foot energetics would be achieved...
December 2016: Journal of Applied Biomechanics
Purushothaman Geethanjali
Myoelectric signals (MES) have been used in various applications, in particular, for identification of user intention to potentially control assistive devices for amputees, orthotic devices, and exoskeleton in order to augment capability of the user. MES are also used to estimate force and, hence, torque to actuate the assistive device. The application of MES is not limited to assistive devices, and they also find potential applications in teleoperation of robots, haptic devices, virtual reality, and so on...
2016: Medical Devices: Evidence and Research
Miriam Portuondo-Sao, Marcia Cobas-Ruiz, Eduardo Zacca-Peña, Araceli Lantigua-Cruz, Josefina López-García, Yosnel Boligán-Jomarrón, Martiza Leyva-Serrano, Anorys Herrera-Armenteros, Ileana R Morales-Suárez
Persons with disabilities constitute one of the most vulnerable groups in every society; their identification, assessment and care present a major challenge. In 2001-2003, Cuba conducted the first comprehensive national study of persons with disabilities in the Americas. In 2007-2010, the study was replicated in Bolivia, Ecuador, Nicaragua, Saint Vincent and the Grenadines, and Venezuela, at their governments' request. Study results have enabled implementation of strategies with substancial impact on human health in these countries...
July 2016: MEDICC Review
(no author information available yet)
The benefits of using a vacuum-assisted socket system to improve balance and gait in elderly transtibial amputees by C Beatriz Samitier, Lluis Guirao, Maria Costea, Josep M Camós, and Eulogio Pleguezuelos. Prosthetics and Orthotics International 2016; 40: 83-88, DOI: 10.1177/0309364614546927.
August 2016: Prosthetics and Orthotics International
Zahra Farsi, Somayeh Azarmi
BACKGROUND: Any defect in the extremities of the body can affect different life aspects. The purpose of this study was to investigate the effect of Roy's adaptation model-guided education on coping strategies of the veterans with lower extremities amputation. METHODS: In a double-blind randomized controlled clinical trial, 60 veterans with lower extremities amputation referring to Kowsar Orthotics and Prosthetics Center of Veterans Clinic in Tehran, Iran were recruited using convenience method and randomly assigned to intervention and control groups in 2013-2014...
April 2016: International Journal of Community Based Nursing and Midwifery
Silvestro Micera
Hand amputation is a traumatic event that dramatically and permanently changes the life of any person who undergoes one. After surgery, the amputee requires a prosthetic device to perform activities of daily living-in particular, tasks requiring grasping and manipulation functions. According to the Washington, D.C.-based Amputee Coalition, there are 1.9 million amputees who use limb prosthetic services and products, and it is estimated that, among them, 500,000 are upper-limb amputees, with approximately 185,000 new amputations every year (www...
May 2016: IEEE Pulse
N A Abd Razak, H Gholizadeh, N Hasnan, N A Abu Osman, S S Mohd Fadzil, N A Hashim
While considering the importance of the interface between amputees and prosthesis sockets, we study an anthropomorphic prosthesis socket whose size can be dynamically changed according to the requirements of the residual limb. First, we introduce the structure and function of the anthropomorphic prosthesis socket. Second, we study the dynamic model of the prosthesis system and analyze the dynamic characteristics of the prosthesis socket system, the inputs of an oscillometric pump, and the control mechanism of force-sensitive resistor (FSR) pressure signals...
May 11, 2016: Biomedizinische Technik. Biomedical Engineering
Allen W Heinemann, Linda Ehrlich-Jones, Lauri Connelly, Patrick Semik, Stefania Fatone
BACKGROUND: Prosthetic clinics in the United States must attain accreditation in order to receive reimbursement from Medicare. The accreditation process requires clinics to establish and implement performance management plans and quality improvement activities. This report describes the experience of seven prosthetic clinics in collecting patient-reported outcome data and using it to improve quality of services. OBJECTIVES: To describe the experience of prosthetic clinics implementing outcome monitoring and quality improvement activities as part of routine patient care...
April 18, 2016: Prosthetics and Orthotics International
Rebecca Maria Miro, William Young, Robert Dedrick, M Jason Highsmith
BACKGROUND: Many factors can potentially impact pass or fail performance of a certification examination. While studies regarding predictors of success have been conducted in other professions, no such studies have been conducted in prosthetics and orthotics. OBJECTIVES: Determine whether there are significant differences in prosthetics certification examination success or failure based on gender, Carnegie ranking of the institution from where the candidate received the degree, and whether the candidate is extending credential from orthotics to include prosthetics...
April 11, 2016: Prosthetics and Orthotics International
Abul Doulah, Xiangrong Shen, Edward Sazonov
A powered lower extremity orthotic brace can potentially be used to assist frail elderly during daily activities. This paper presents a method for an early detection of the initiation of sit-to-stand (SiSt) posture transition that can be used in the control of the powered orthosis. Unlike the methods used in prosthetic devices that rely on surface electromyography (EMG), the proposed method uses only sensors embedded into the orthosis brace attached to the limb. The method was developed and validated using data from a human study with 10 individuals...
April 2016: Physiological Measurement
Manxu Zheng, Zhenmin Zou, Paulo Jorge Da Silva Bartolo, Chris Peach, Lei Ren
The human shoulder is a complicated musculoskeletal structure and is a perfect compromise between mobility and stability. The objective of this paper is to provide a thorough review of previous finite element (FE) studies in biomechanics of the human shoulder complex. Those FE studies to investigate shoulder biomechanics have been reviewed according to the physiological and clinical problems addressed: glenohumeral joint stability, rotator cuff tears, joint capsular and labral defects, and shoulder arthroplasty...
February 18, 2016: International Journal for Numerical Methods in Biomedical Engineering
Luke Funk, Danielle Thiessen, Virginia Wright, Jan Andrysek, Karen Rispin
Purpose The Lower Limb Function Questionnaire (LLFQ) was developed as a self-report assessment of lower-limb functional ability for orthotic and prosthetic (O&P) device users to be suitable for a wide range of conditions, cultures, and ages. The measure aims to address an existing gap in tools for the assessment of functional ability in this population. The purpose of this study is to evaluate LLFQ reliability and validity in a sample of young adult O&P users. Methods Adolescents from a secondary school in Kenya completed the LLFQ twice, 6 d apart, and test-retest reliability was assessed using intra-class correlation coefficients...
February 17, 2016: Disability and Rehabilitation. Assistive Technology
James H Campbell
No abstract text is available yet for this article.
February 2016: Military Medicine
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