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 transtibial amputation on his left side in 2008 and he underwent a right transtibial amputation in 2011. An initial brain magnetic resonance imaging with a diffusion tensor imaging was performed before starting rehabilitation on his right transtibial prosthesis, and a follow-up magnetic resonance imaging with diffusion tensor imaging was performed 2 years after this. Findings and Outcomes: In the initial diffusion tensor imaging, the number of fiber lines in his right corticospinal tract was larger than that in his left corticospinal tract. At follow-up diffusion tensor imaging, there was no definite difference in the number of fiber lines between both corticospinal tracts. CONCLUSION:We found that side-to-side corticospinal tract differences were equalized after using bilateral prostheses. Clinical relevance This case report suggests that diffusion tensor imaging tractography could be a useful method to understand corticomotor reorganization after using prosthesis in transtibial amputation.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Lee SY,Kang SH,Kim DK,Seo KM,Ro HJ,Kim JKdoi
10.1177/0309364616684216subject
Has Abstractpub_date
2017-10-01 00:00:00pages
507-511issue
5eissn
0309-3646issn
1746-1553journal_volume
41pub_type
杂志文章,评审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: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: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::The authors report on a new device for the primary mobilization of a boy with severe deficiencies of all four limbs. This device allows independent mobility. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649409164671
更新日期:1994-04-01 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: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:BACKGROUND:Many individuals with cerebral palsy wear ankle foot orthoses during daily life. Orthoses influence joint motion, but how they impact muscle remains unclear. In particular, the gastrocnemius is commonly stiff in cerebral palsy. Understanding whether orthoses stretch or shorten this muscle during daily life m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616665731
更新日期:2017-06-01 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:BACKGROUND:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES:The objective of this study was to test and explore the clients' perspectives with the application...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616683982
更新日期:2017-10-01 00:00:00
abstract::Wheelchair prescription is complex with thousands of choices and options. Theoretically, a higher quality or innovative wheelchair that is appropriately matched to the user and their unique needs will increase participation. It is well accepted that there is an alarmingly high incidence of carpal tunnel syndrome, and ...
journal_title:Prosthetics and orthotics international
pub_type: 历史文章,杂志文章
doi:10.1080/03093640903082126
更新日期:2009-09-01 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: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::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:Until recently, no study had compared the quality of life of persons with transfemoral amputation treated with osseointegration to socket prosthesis users. OBJECTIVES:Comparison of quality of life in two types of prostheses users: a cohort of patients with osseointegration and patients equipped with a socke...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620948649
更新日期:2020-08-25 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:In 2003, the British Society of Rehabilitation Medicine (BSRM) published guidelines on amputee and prosthetic rehabilitation, including those with congenital limb deficiency. OBJECTIVES:The aim of the study was to evaluate the service provided by the Regional Disablement Service (RDS) to children with conge...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611427070
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:The role of the prosthetist has changed substantially over the past century. In the transition from 'limb-maker' to 'clinician', the expectations of prosthetics professionals have also changed. OBJECTIVES:To develop and test a new scale capable of assessing and comparing current expectations of the roles of...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617698519
更新日期:2018-04-01 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::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:Polycentric knees for transfemoral prostheses have a variety of geometries, but a survey of literature shows that there are few ways of comparing their performance. OBJECTIVES:Our objective was to present a method for performance comparison of polycentric knee geometries and design a new geometry. STUDY DE...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616652017
更新日期:2017-08-01 00:00:00
abstract::Initial analyses from a survey of people with unilateral upper limb congenital absence registered with the Cambridge Disablement Services Centre (DSC) indicated differences related to laterality and gender. A postal survey of all DSCs in the UK was conducted and support for these findings was provided from the analysi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649809164487
更新日期:1998-12-01 00:00:00
abstract::The Locomotor Capability Index (LCI) is widely used for assessing goals and achievements of patients receiving prostheses. The Stanmore-Kingston Splat method for graphical display of the results has previously been described and is based on four levels of achievement for each of the 14 tasks in the index. Recently a m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640903214083
更新日期:2009-12-01 00:00:00
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. M...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612447094
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND::Orthotic treatment for adolescent idiopathic scoliosis is a mainstay in nonoperative treatment to prevent progressive spinal deformity. OBJECTIVE::To determine the effectiveness of the Providence orthosis in the treatment of adolescent idiopathic scoliosis. STUDY DESIGN::Retrospective review. METHODS::Pa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618792727
更新日期:2019-04-01 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: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: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::The Mobile Arm Support, conceived and researched by Dr. Radulovic, is intended for the use of patients whose arm is afflicted. The support consists of a supporting harness, an articulated splint on which the arm is fixed and a pneumatic system of elevation that counterbalances the weight of the arm. Its originality li...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648009164573
更新日期:1980-08-01 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