Abstract:
:The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments that assess functional status, quality of life, and satisfaction with devices and services that can be used in an orthotics and prosthetics clinic. Selecting items from a variety of existing instruments, the authors developed and revised four instruments that differentiate patients with varying levels of lower limb function, quality of life, and satisfaction with devices and services. Evidence of construct validity is provided by hierarchies of item difficulty that are consistent with clinical experience. For example, with the lower limb function instrument, running one block was much more difficult than walking indoors. The instruments demonstrate adequate internal consistency (0.88 for lower limb function, 0.88 for quality of life, 0.74 for service satisfaction, 0.78 for device satisfaction). The next steps in their research programme are to evaluate sensitivity and construct validity. The Orthotics and Prosthetics Users' Survey (OPUS) is a promising self-report instrument which may, with further development, allow orthotic and prosthetic practitioners to evaluate the quality and effectiveness of their services as required by accreditation standards such as those of the American Board for Certification in Orthotics and Prosthetics that mandate quality assessment.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Heinemann AW,Bode RK,O'Reilly Cdoi
10.1080/03093640308726682keywords:
subject
Has Abstractpub_date
2003-12-01 00:00:00pages
191-206issue
3eissn
0309-3646issn
1746-1553journal_volume
27pub_type
杂志文章abstract::In order to reduce the need for repeated changes of socket due to postoperative atrophy and resorption of oedema simple temporary limbs are required to delay the casting of individual sockets until the stump is more mature. A randomized study of 95 below-knee amputees was performed with a re-usable temporary one-size ...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.3109/03093648309166980
更新日期:1983-08-01 00:00:00
abstract::In the present study the psychophysical detection threshold levels mechanical stimulation of 32 prosthetic limbs were determined. Prosthetic limbs were anchored to the bone by means of an implant (n=17) or supported by a socket enclosing the amputation stump (n=15). Detection threshold levels were assessed for pressur...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1080/03093640008726536
更新日期:2000-08-01 00:00:00
abstract::This paper describes functional outcome of a population of lower limb amputees five months after amputation compared with their preoperative functional abilities and studies the relationship between potential determinants and functional outcome. Twenty out of 26 patients who underwent a lower limb amputation between D...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649609164423
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND:After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging. Case Description and Methods: A 78-year-old man had a transtibi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364616684216
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Knee osteoarthritis has commonly been associated with a symptom of pain resulting in an inter-limb weight-bearing asymmetry during functional tasks. Patellar tendon strap is one of the non-pharmacologic interventions to alleviate knee pain. OBJECTIVES:To investigate the immediate effect of a patellar tendon...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615612251
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:During functional wheelchair movement there are several types of stroke pattern that a manual wheelchair user (MWCU) can utilize in order to propel. OBJECTIVES:To examine the biomechanical differences between disabled (WCU) and able-bodied (NWCU) children whilst taking part in functional activities at the C...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612448807
更新日期:2012-09-01 00:00:00
abstract::An anterior bending posture of the trunk during walking is often seen among the elderly commonly due to weakened thoraco-lumbar and gluteal muscles. For the management of this debilitating condition, the authors have developed a modified design of thoraco-lumbosacral orthosis (TLSO). Incorporated in this device are po...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509078233
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND AND AIM:Microtia is one of the forms of ear loss and deformity. A prosthesis that is simple to apply, and which has adequate suspension and acceptable aesthetics, can be useful in the rehabilitation of patients with this deficit and can improve the social and psychological effects of patients with ear amputa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612467344
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analy...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616628341
更新日期:2017-02-01 00:00:00
abstract::Orthoses which fit inside shoes have, in many cases in the past, been fashioned to the shape of the patient's foot. It is suggested that improved stability and comfort is achieved if, instead, the outside shape of the foot-piece of the orthosis is fashioned to the inside shape of the footwear. A method for achieving t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909103088
更新日期:1979-08-01 00:00:00
abstract:BACKGROUND:Contact dermatitis is a frequent inflammatory skin disease. A suspected diagnosis is based on clinical symptoms, a plausible contact to allergens and a suitable history of dermatitis. Therefore, careful diagnosis by patch testing is of great importance because the patch testing is important to find out which...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614534293
更新日期:2015-10-01 00:00:00
abstract::In able-bodied individuals, the ankle joint functions to provide shock absorption, aid in foot clearance during the swing phase, and provides a rocker mechanism during stance phase to facilitate forward progression of the body. Prosthetic ankles currently used by persons with lower limb amputations provide considerabl...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/02699200701847244
更新日期:2008-03-01 00:00:00
abstract::A CAD (computer aided design) analysis software package (CADVIEW) was designed for use with prosthetic and orthotic CAD CAM (computer aided design/computer aided manufacture) systems. Using the Microsoft Windows 3.1 environment, CADVIEW provides a series of anatomical shape viewing and analysis tools. These tools incl...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649409164393
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND AND AIM:Partial hand amputations are common in developing countries and have a negative impact on patients and their families' quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620905220
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Children with cerebral palsy (CP) often demonstrate postural control difficulties. Orthotic management may assist in improving postural control in these children. OBJECTIVE:The purpose of this investigation was to examine the influence of floor reaction ankle foot orthosis (FRAFO) on postural flexion called...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611429855
更新日期:2012-03-01 00:00:00
abstract::A new type of above-knee socket has been designed to provide total surface support and to dispense with ischial bearing as the primary weight bearing area. The socket is based upon the hypothesis that if the soft tissues of an above-knee stump are adequately supported in a suitably shaped container they will behave un...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909103096
更新日期:1979-12-01 00:00:00
abstract:BACKGROUND:Protective knee braces are used for rehabilitation or prevention. Due to poor patient compliance or slippage, the brace might be misaligned with the knee axis. OBJECTIVES:Does a misaligned knee brace stress the anterior cruciate ligament? STUDY DESIGN:It is an experimental study. METHODS:A strain sensor w...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618824443
更新日期:2019-06-01 00:00:00
abstract::We present a case report of a patient, affected by post-polio syndrome and cuff tear arthropathy of his right shoulder, who underwent reverse shoulder arthroplasty. A previous radial deficiency was unmasked in the post-operative follow-up, with passive elbow bending when the forearm was put in an antigravitational pos...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802425459
更新日期:2009-06-01 00:00:00
abstract::Long-term results over a period of more than 10 years give evidence of the superiority of the through-knee compared to the above-knee stump. However, failures in through-knee stumps before, during and after operation and pitfalls in prosthetic fitting are still too frequent. They are mostly due to errors because the p...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648309166986
更新日期:1983-08-01 00:00:00
abstract::The effects of introducing the Team Approach to the management of the lower limb amputee has been assessed in a consecutive series of 233 patients over a five year period. During the first year, baseline data was collected and during the subsequent yearly phases the effects of introducing a physiotherapist co-ordinato...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648709079376
更新日期:1987-04-01 00:00:00
abstract:BACKGROUND:Dysvascularity is the main cause of lower limb amputations in Scotland, and there is an insignificant proportion (1.7%) of knee disarticulations, despite the benefits of amputation. OBJECTIVES:The outcomes of knee disarticulation and its associated surgical techniques will be evaluated based on healing, rea...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364615574163
更新日期:2016-08-01 00:00:00
abstract::The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA)...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640701253952
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Mobility clinics are designed to extend gait and mobility training beyond rehabilitation programmes. No research has been undertaken into participants' experiences of attending these multidisciplinary, experience-based clinics. Research in this area is needed to ensure clinics meet intended goals, including ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619882126
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. OBJECTIVES:To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation....
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617752983
更新日期:2018-08-01 00:00:00
abstract: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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616679317
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:In principle, lower limb bone-anchored prostheses could alleviate expenditure associated with typical socket manufacturing and residuum treatments due to socket-suspended prostheses. OBJECTIVE:This study reports (a) the incremental costs and (b) heath gain as well as (c) cost-effectiveness of bone-anchored ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617740239
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The important purpose of a powered gait orthosis is to provide active joint movement for patients with spinal cord injury. OBJECTIVES:The aim of this study was to clarify the effect of a powered gait orthosis on the kinematics and temporal-spatial parameters in paraplegics with spinal cord injury. STUDY DE...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1177/0309364612463164
更新日期:2013-08-01 00:00:00
abstract::The aim of the present study was to compare sockets for below-knee (BK) prostheses made by Computer Aided Design-Computer Aided Manufacture (CAD-CAM) to those made by hand. The patients in the study were provided with two prostheses each, which apart from the sockets, were identical. One socket was made by the CAD-CAM...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648909079405
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:Conventional prosthetic devices fail to restore the function and characteristic movement quality of the upper limb. The DEKA Arm is a new, advanced prosthesis featuring a compound, powered wrist and multiple grip configurations. OBJECTIVES:The purpose of this study was to determine if the DEKA Arm improved ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616631348
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Conservative pedorthic management of the diabetic foot has been shown to be an effective method to prevent ulcers, amputations, and re-amputations. This article exhibits why and how pedorthics plays such an important role via modalities such as footwear, shoe modifications, custom foot orthoses, and partial ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364614535233
更新日期:2015-02-01 00:00:00