Abstract:
BACKGROUND:Patients suffering from medial compartment knee osteoarthritis (OA) may be treated with unloader knee orthoses or laterally wedged insoles. OBJECTIVES:The aim of this study was to identify and compare the effects of them on the gait parameters and pain in these patients. STUDY DESIGN:Quasi-experimental. METHODS:Volunteer subjects with medial compartment knee OA (n = 24, mean age 59.29 ± 2.23 years) were randomly assigned to two separate groups and evaluated when wearing an unloader knee orthosis or insoles incorporating a 6° lateral wedge. Testing was performed at baseline and after six weeks of each orthosis use. A visual analog scale score was used to assess pain and gait analysis was utilized to determine gait parameters. RESULTS:Both orthoses improved all parameters compared to the baseline condition (p = 0.000). However, no significant differences in pain (p = 0.649), adduction moment (p = 0.205), speed of walking (p = 0. 056) or step length (p = 0.687) were demonstrated between them. The knee range of motion (p = 0.000) were significantly different between the two interventions. CONCLUSION:Both orthoses reduced knee pain. Maximum knee range of motion was increased by both interventions although it was 3 degrees less when wearing the knee orthosis. Clinical relevance Both orthoses reduce pain and improve gait anomalies in medial compartment knee OA. Our results suggest a laterally wedged insole can be an alternative conservative approach to unloader knee orthosis for treating symptoms of medial compartment knee OA.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Arazpour M,Bani MA,Maleki M,Ghomshe FT,Kashani RV,Hutchins SWdoi
10.1177/0309364612447094subject
Has Abstractpub_date
2013-02-01 00:00:00pages
50-7issue
1eissn
0309-3646issn
1746-1553pii
0309364612447094journal_volume
37pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Prosthetic foot prescription guidelines lack scientific evidence and are concurrent with an amputee's concurrent with an amputee's Medicare Functional Classification Level (K-Level) and categorization of prosthetic feet. OBJECTIVE:To evaluate the influence of gait training and four categories of prosthetic ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612473501
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND AND AIM:Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses. TECHNIQUE:...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616677653
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Maintaining an optimal rolling of the foot over the ground is thought to increase the stability and efficiency of pathologic gait. Ankle-foot orthoses are often prescribed to improve gait mechanics in individuals with lower extremity injuries; however, their design may compromise how the foot rolls over the ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620971407
更新日期:2020-11-21 00:00:00
abstract:BACKGROUND:Step counts, obtained via activity monitors, provide insight into activity level in the free-living environment. Accuracy assessments of activity monitors are limited among individuals with lower-limb amputations. OBJECTIVES:(1) To evaluate the step count accuracy of both monitors during forward-linear and ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618767138
更新日期:2018-10-01 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::A study has been performed to investigate the physical effects of lumbar spinal supports. Two groups were studied, a group of normal male subjects and a group of male low back pain patients. Five different spinal supports were investigated and their effects upon the skin temperature, spinal movements and intra-abdomin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648209166772
更新日期:1982-08-01 00:00:00
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::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::Static footprint parameters have been used to quantify arch height with conflicting results. This could be caused by the inherent inaccuracy and variations of the methodology used. Since the foot is a dynamic structure that undergoes changes during a step, it is more desirable to capture and analyse the dynamic footpr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640408726701
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Flexor tendon repair in the hand remains challenging in avoiding tendon rupture and adhesion formation. Post-operative mobilization has been shown to be critical in regaining functional range of motion. OBJECTIVES:The objective of this study is 2-fold: to assess the influence of wrist position on maximum gr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615605395
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Mandibular reconstruction has been experiencing an amazing evolution. Several different approaches are used to reconstruct this bone and therefore have a fundamental role in the recovery of oral functions. OBJECTIVES:This review aims to highlight the persistent problems associated with the approaches identi...
journal_title:Prosthetics and orthotics international
pub_type: 历史文章,杂志文章,评审
doi:10.1177/0309364613520032
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND AND AIM:In recent years, there has been an increased interest in recording high-quality electromyographic signals from within the sockets of lower-limb amputees. However, successful recording presents major challenges to both researchers and clinicians. This article details and compares four prototypical int...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613516484
更新日期:2015-04-01 00:00:00
abstract::Interface pressures and shear stresses at different sagittal plane angular alignment settings were measured on 3 trans-tibial amputee subjects ambulating with patellar-tendon-bearing total contact prostheses. Substantial socket-shank angular alignment modifications in the sagittal plane had minimal effect on stance ph...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071607
更新日期:1999-04-01 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::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::The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164653
更新日期:1991-08-01 00:00:00
abstract::If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909164695
更新日期:1979-04-01 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
abstract::Since 1972 the Hyogo Rehabilitation Centre has been developing a variable-resistance-type pneumatic control device, the HRC Adjustable Pneumatic Swing-Phase Control Knee. Successful field tests have been carried out on 20 cases with Model IV since 1973 with only a limited number of mechanical troubles. This paper intr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647809166698
更新日期:1978-12-01 00:00:00
abstract::Telehealth has the potential to be a valuable tool for technical and clinical support of computer controlled prosthetic devices. This pilot study examined the use of Internet-based, desktop video conferencing for remote configuration of the Otto Bock C-Leg. Laboratory tests involved connecting two computers running Mi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640208726638
更新日期:2002-08-01 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: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::The purpose of this study was to determine the effect of varying prosthetic shank mass, while maintaining the mass centre location and moment of inertia, on the swing phase kinematics, kinetics and hip muscular effort of free speed above-knee (AK) amputee gait. Six AK amputees, wearing similar prosthetic designs, had ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649009080338
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND:The aim of this case study was to identify the effect of a powered hip orthosis on the kinematics and temporal-spatial parameters of walking by a patient with spinal cord injury (SCI). CASE DESCRIPTION AND METHODS:Two orthoses were evaluated while worn by an incomplete SCI subject with a T-8level of injury....
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611431482
更新日期:2012-03-01 00:00:00
abstract::This paper describes a new casting system for transtibial socket fabrication. Like the earlier CIR Sand Casting System, the CIR Casting System is based on the 'dilatancy' principle that is similar to the packaging process for coffee beans by which loose beans become a solid mass when a vacuum is applied. The main diff...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802446703
更新日期:2009-03-01 00:00:00
abstract::Prefabricated ICEROSS (Icelandic Roll On Silicone Socket) sockets have been in use in Iceland since early 1986. Use of custom-made silicone sockets began several years earlier, and a paper devoted to the subject was presented at the 1984 AOPA Assembly by the author of this article. The ICEROSS system is primarily used...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649309164354
更新日期:1993-04-01 00:00:00
abstract::Gains in stump volume have been documented in trans-tibial amputees while walking in custom made under-sized, total surface-bearing, vacuum-assisted sockets (Board et al., 2001). These gains raised doubts as to whether the sockets were truly under-sized and concerns that using an over-sized socket with vacuum-assist c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726666
更新日期:2003-08-01 00:00:00
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 t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726682
更新日期:2003-12-01 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::In Europe, bespoke orthopaedic shoes are usually sent for a trial fitting in order to check the fit and indicate any modifications required before final finishing. The use of shell shoes at the fit assessment stage, rather than the traditional alternative of partially or fully finished shoes, can offer service advanta...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509168002
更新日期:1995-12-01 00:00:00