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 factors that could potentially influence these adjustments. STUDY DESIGN:Cross-sectional. METHODS:Adult unilateral and non-congenital lower limb amputees (n = 368) met the inclusion/exclusion criteria. Face-to-face interviews were conducted using structured questionnaires including patient's background, amputation and the Trinity Amputation and Prosthesis Experience Scales. RESULTS:Amputees were on average satisfied with the functioning of the prosthesis, moderately psychosocially adjusted and not restricted in performing functional and social activities, except for athletic activities. Age, employment, daily use of prosthesis and assistive device use were the most important factors associated with adjustments to amputation and prosthesis, followed by gender, co-morbidity and amputation level. CONCLUSIONS:Evaluation of employment status and measures to curb unemployment through vocational rehabilitation and providing assistance for placement should be intrinsic to the rehabilitation programme. Future studies are envisaged to understand the underlying factors determining the extent of daily use of prosthesis and the reasons for the use of assistive devices by the amputees. Clinical relevance Proper appraisal and measures to alleviate employment and co-morbidity, related issues, routine evaluation of daily use of prosthesis and providing appropriate gait training might facilitate immediate and long-term adjustment.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Sinha R,van den Heuvel WJ,Arokiasamy Pdoi
10.1177/0309364613489332subject
Has Abstractpub_date
2014-04-01 00:00:00pages
115-21issue
2eissn
0309-3646issn
1746-1553pii
0309364613489332journal_volume
38pub_type
杂志文章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::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::A post-clinical investigation has been carried out among 42 unilateral amputees who lost their hand due to an accident. The investigation was directed at two main topics of interest. Firstly the amputee, the problems he has to cope with, and the role the prosthesis plays in his life; and secondly the prosthesis, its u...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648309166586
更新日期:1983-12-01 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::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 AND AIM:DEKA Integrated Solutions Corp. (DEKA) was charged by the Defense Advanced Research Project Agency to design a prosthetic arm system that would be a dramatic improvement compared with the existing state of the art. The purpose of this article is to describe the two DEKA Arm prototypes (Gen 2 and Gen ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613506913
更新日期:2014-12-01 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: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 ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612437005
更新日期:2012-06-01 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 AND AIM:Stair ascent is a particularly challenging task for transfemoral amputees. The aim of this clinical note was to describe the kinematic features of foot clearance in transfemoral amputee who can ascend stairs using a step-over-step strategy. TECHNIQUE:The marker trajectories of the first metatarsopha...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613497049
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Ankle-foot orthoses are known to have a generally positive effect on gait in stroke, however the specifc type of AFO and the time point at which it is provided are highly variable in the currently available literature. OBJECTIVE:The objective was to determine the immediate spatiotemporal and kinematic effec...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614538090
更新日期:2015-12-01 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:BACKGROUND:Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seati...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364619836028
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Increased foot temperature among individuals with type 2 diabetes can be predictive of diabetic foot ulcer development. A combination of physiological and mechanical deficiencies may contribute to elevations in intact foot temperature during gait for individuals with type 2 diabetes and transtibial amputatio...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620968642
更新日期:2020-12-07 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::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:BACKGROUND:Good suspension lessens the pistoning (vertical displacement) of the residual limb inside the prosthetic socket. Several methods are used for measuring the pistoning. STUDY DESIGN:Clinical trial. OBJECTIVES:To introduce and evaluate a new simple method for measuring the pistoning between the soft liner and...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1177/0309364611423130
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. OBJECTIVES:We hypothesized t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613490440
更新日期:2014-06-01 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:BACKGROUND:Prosthetic gait increases demands on stability. Some variability measures can be used to investigate the stability of movement for prosthetic feet. OBJECTIVES:The purpose of this study was to determine the influence of the prosthetic foot on ground reaction force variability for transtibial amputee gait. S...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612439572
更新日期:2012-06-01 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:Balance is an important variable to consider during the rehabilitation process of individuals with trans-tibial amputation. Limited evidence exists on the balance abilities of people with trans-tibial amputation due to vascular causes. OBJECTIVE:The purpose of this article is to review literature and determ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364616683819
更新日期:2017-08-01 00:00:00
abstract::A cheap and fast method of providing long term accommodating insoles is described. Room temperature vulcanizing (RTV) silicone rubber is used, with suitable coverings, to provide pain relief and support for feet and ankles. The combination of physical properties of the finished item provides a useful balance between s...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648409145347
更新日期:1984-04-01 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::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::Longitudinal ulnar deficiency, whose detailed anatomy is varied, is often accompanied by other abnormalities and appears as part of several syndromes. The history of its classification is reviewed, and the treatments, which have been offered, described. Follow-up of a series shows that the function achieved is good an...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164643
更新日期:1991-08-01 00:00:00
abstract::Fifty-nine amputees, 24 below-knee (BK), 17 through-knee (TK) and 18 above-knee (AK) who had prosthetic replacements, were evaluated using a questionnaire which provided a quantitative and qualitative assessment scale for the prosthetic function. The ability to apply or don the prosthesis was noted in 100% of the BK, ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164336
更新日期:1992-12-01 00:00:00
abstract::This review presents an analytical and comparative survey of upper limb prosthesis acceptance and abandonment as documented over the past 25 years, detailing areas of consumer dissatisfaction and ongoing technological advancements. English-language articles were identified in a search of Ovid, PubMed, and ISI Web of S...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640600994581
更新日期:2007-09-01 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::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164323
更新日期:1992-08-01 00:00:00