Abstract:
BACKGROUND:Little evidence exists for the orthotic management for individuals diagnosed with diabetic neuropathy and partial foot amputation. OBJECTIVE:This pilot study examined differences in balance and pressure distribution while individuals wore foot orthoses inside shoes (BA) and this same orthosis combined with an above-ankle (AABA) orthosis. STUDY DESIGN:Within-group repeated measures crossover design. METHODS:Participants with transmetatarsal amputation were assessed during randomized visits with the two interventions. Using a motion analysis system and force plates, we computed the instantaneous inclination angle between the center of mass and center of pressure to quantify balance. The F-Scan in-shoe sensor system was used to measure plantar pressures. RESULTS:Improvement in balance was measured with the use of the AABA orthosis for the participant who had the greatest time from the timed up and go test (TUG). Plantar pressure during terminal stance did not change between the two conditions. And, lack of ankle mobility appears to lead to less compliance. CONCLUSION:Only individuals with reduced mobility may have improved balance with an orthosis that extends above the ankle. The TUG score may be an effective clinical exam to differentiate those individuals who may benefit from an AABA design as compared to a BA design. CLINICAL RELEVANCE:Orthotic interventions aim to improve balance and distribute plantar pressures. This study suggests that the different effects on balance while walking with the BA and AABA devices are individually specific and the TUG outcome measure may provide a useful means to determine the appropriate intervention.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Spaulding SE,Chen T,Chou LSdoi
10.1177/0309364612437005subject
Has Abstractpub_date
2012-06-01 00:00:00pages
217-24issue
2eissn
0309-3646issn
1746-1553pii
0309364612437005journal_volume
36pub_type
杂志文章,随机对照试验abstract::The multifunctional above-knee prosthesis WLP-7R (Waseda Leg Prosthesis - type 7 Refined) described in this study allows amputees to descend and ascend stairs with no external power sources. With the hydraulic circuit mounted in the shank, the ankle joint and the knee joint mutually conterbalance during stance phase i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648709078198
更新日期:1987-12-01 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:BACKGROUND AND AIM:It is difficult to measure foam model shapes using contact digitizers because the stylus contact tends to get stuck in the soft foam. The aim of this paper is to describe a technique to overcome this challenge and to assess its effect on digitizer error. TECHNIQUE:A controlled laboratory study was c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364610394478
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617729925
更新日期:2018-10-01 00:00:00
abstract::In a prospective study of polypropylene (PP) prostheses for trans-tibial amputees four different modified SACH feet were used. These are identified as: 1. BAVI from the national manufacturer of componentry in BaVi; 2. HCMC a design initiated by the International Committee of the Red Cross (ICRC) together with the Army...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071641
更新日期:1999-12-01 00:00:00
abstract::This paper reviews the literature comparing the results obtained in applying regimes involving motion with those involving rest following injury or surgery. The deleterious effects of immobilisation are compared to those obtained under conditions of passive motion and intermittent passive motion. It is concluded that ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.3109/03093649309164369
更新日期:1993-08-01 00:00:00
abstract::A keen skier who is a trans-tibial and trans-radial quadrilateral amputee sought an improved adaptation for skiing from the Rehabilitation Engineering Service in Edinburgh. The unpredictable nature of the bending moments and loads that can be imposed on the prostheses during skiing raised concern about the suitability...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640409167927
更新日期:2004-04-01 00:00:00
abstract::This study investigated the validity of post-amputation application of removable rigid dressings (RRDs) for trans-tibial amputees, regarding preparation for prosthetic management and key rehabilitation timelines. It was hypothesised that the use of RRDs would result in faster preparation of the residual limb for prost...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802016795
更新日期:2008-06-01 00:00:00
abstract::The casting of flexible polyurethane foam into a wide range of customised shapes has been found to offer a relatively straightforward solution to a number of problems associated with providing support for the physically handicapped. This note describes the techniques used for the production of such supports and report...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648409145359
更新日期:1984-08-01 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::At the request of a polio survivor, a partially flexible thigh cuff made of leather and canvas for a carbon KAFO was devised to allow the wearer to feel more comfortable while sitting on a toilet seat. The original, acrylic resin, thigh cuff was partially excised to make an opening (15x10 cm), which was stuffed with r...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640600863844
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:The functional performance of currently available body-powered prostheses is unknown. OBJECTIVE:The goal of this study was to objectively assess and compare the functional performance of three commonly used body-powered upper limb terminal devices. STUDY DESIGN:Experimental trial. METHODS:A total of 21 ab...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614554030
更新日期:2016-02-01 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::A polio victim who has been in a negative pressure ventilator ("iron lung") since 1950 was in need of an activated mattress to combat the hallucinatory effects of complete immobilization and to assist with body pressure distribution. A mechanical method was used to give the patient's mattress a moving wave form of ver...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093647809177773
更新日期:1978-08-01 00:00:00
abstract:BACKGROUND:Positive adjustments to amputation and an artificial limb play important roles in the rehabilitation process. OBJECTIVES:To study the different facets of adjustments to amputation and an artificial limb in lower limb amputees and to assess the possible role of different background and amputation-related fac...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613489332
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Few studies have explored the effects of exercise on gait performance in people with lower limb amputations. OBJECTIVES:To (1) summarize the effects of exercise programs on gait performance and (2) assess the overall quality of the evidence for adults ambulating with leg prostheses. STUDY DESIGN:Systematic...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364614546926
更新日期:2016-02-01 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:Nowadays, a transfemoral amputation prosthesis can be fitted to the skeleton using an osseointegrated implant, that is, without a socket. Treated patients have reported improvements in quality of life. OBJECTIVES:To investigate differences in prosthetic costs and service of osseointegrated prostheses compar...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612454160
更新日期:2013-04-01 00:00:00
abstract::The Stanmore-Kingston Splat is a graphical display of the goals and achievements of amputee rehabilitation patients using the Locomotor Capability Index. The chart is in a radial polygram form with the sectors coloured and shaded. Three scores can be shown: The patient's capability at delivery of the prosthesis, the g...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640600818863
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614556837
更新日期:2016-02-01 00:00:00
abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640309167979
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:High-quality clinical practice guidelines are necessary for effective use of resources both at an individual patient- and national-level. Nordic clinical practice guidelines recommendations for orthotic treatment of knee osteoarthritis vary and little is known about their quality. OBJECTIVES:The aim of the ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619857854
更新日期:2019-10-01 00:00:00
abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640108726609
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:The group of passive prostheses consists of prosthetic hands and prosthetic tools. These can either be static or adjustable. Limited research and development on passive prostheses has been performed although many people use these prosthesis types. Although some publications describe passive prostheses, no re...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364617691622
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND::Ambulation with a prosthesis is the ultimate goal of rehabilitation for a person with a major lower limb amputation. Due to challenges with prosthetic service delivery in rural settings, many patients with amputations are not benefitting from prosthetic interventions. Inaccessibility to prosthetic services ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618792730
更新日期:2019-04-01 00:00:00
abstract::Clinically applied multichannel stimulation was visualized in the very beginnings of FES. A short survey of existing multichannel systems was taken and compared to initial expectations. While much still remains to be done to get multichannel stimulation out of the research environment and into the clinical routine, th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647709164605
更新日期:1977-04-01 00:00:00
abstract:BACKGROUND:Orthotic treatment of idiopathic toe walking is complicated by the lack of a known etiology. This study compared control of toe walking using an articulated ankle-foot orthosis versus a rigid carbon fiber footplate attached to a foot orthosis. OBJECTIVES:Ascertain differences between two orthoses in the con...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364614564023
更新日期:2016-04-01 00:00:00
abstract::Recent work suggests that a prosthetic ankle-foot component's roll-over shape - the effective rocker it conforms to between initial contact and opposite initial contact (the 'roll-over' interval of walking) - is closely linked to its final alignment in the prosthesis (as determined by a skilled prosthetist using heuri...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802366158
更新日期:2008-12-01 00:00:00
abstract::The activity achieved by a lower limb amputee is usually assessed by clinical judgement or physiological tests. The former is seldom absolute, being affected by factors such as patient age, and is expressed in categories which may not be equivalent to those used by other observers. Physiological testing provides a mea...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648109146225
更新日期:1981-04-01 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