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 defining the clinical P&O process. The aim was to use International Classification of Functioning, Disability and Health to facilitate development of such a model. Proposed model: A model, the Prosthetic and Orthotic Process (POP) model, is proposed. The Prosthetic and Orthotic Process model is based on the concepts of the International Classification of Functioning, Disability and Health and comprises four steps in a cycle: (1) Assessment, including the medical history and physical examination of the patient. (2) Goals, specified on four levels including those related to participation, activity, body functions and structures and technical requirements of the device. (3) Intervention, in which the appropriate course of action is determined based on the specified goal and evidence-based practice. (4) Evaluation of outcomes, where the outcomes are assessed and compared to the corresponding goals. After the evaluation of goal fulfilment, the first cycle in the process is complete, and a broad evaluation is now made including overriding questions about the patient's satisfaction with the outcomes and the process. This evaluation will determine if the process should be ended or if another cycle in the process should be initiated. CONCLUSION:The Prosthetic and Orthotic Process model can provide a common understanding of the P&O process. Concepts of International Classification of Functioning, Disability and Health have been incorporated into the model to facilitate communication with other rehabilitation professionals and encourage a holistic and patient-centred approach in clinical practice. Clinical relevance The Prosthetic and Orthotic Process model can support the implementation of International Classification of Functioning, Disability and Health in P&O practice, thereby providing a common understanding of the P&O process and a common language to facilitate communication with other rehabilitation professionals.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Jarl G,Ramstrand Ndoi
10.1177/0309364617729925subject
Has Abstractpub_date
2018-10-01 00:00:00pages
468-475issue
5eissn
0309-3646issn
1746-1553journal_volume
42pub_type
杂志文章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: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:AIM:Finger and partial finger amputations are commonly due to traumatic injuries; digit loss may also be attributed to congenital malformations and disease. Finger prostheses are difficult to fabricate as they demand both aesthetic and function. When dealing with these types of prostheses, the only method of gaining su...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614528203
更新日期:2015-08-01 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: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: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::This paper discusses the place of rotational moulding in the provision of prosthetic shanks and shank sections. It covers the selection of thermoplastic material, the moulding conditions and their automation in a machine process, and the development of a suitable range of moulds. Also covered is the question of interf...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648509164822
更新日期:1985-04-01 00:00:00
abstract:BACKGROUND:Relatively little is known about spine during gait compared to movement analysis of the lower extremities. The trunk is often regarded and analysed as a single rigid segment and there is a paucity of information on inter-segmental movement within the spine and its relationship to pelvis and lower limbs. OBJ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615579319
更新日期:2016-10-01 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: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::Foot complications in diabetes can be decreased by preventive measures. The authors evaluated the current diabetic foot screening and prevention programme of the diabetes outpatient clinic of their university hospital, by assessing the presence of risk factors for the development of foot disorders and the preventive m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640108726586
更新日期:2001-08-01 00:00:00
abstract::Falling represents a health risk for lower limb amputees fitted with an osseointegrated fixation mainly because of the potential damage to the fixation. The purpose of this study was to characterize a real forward fall that occurred inadvertently to a transfemoral amputee fitted with an osseointegrated fixation while ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640903585024
更新日期:2010-03-01 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 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::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::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::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 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::An analysis of 200 patients with congenital limb deficiency who attended the Artificial Limb Centre, Pune from January 1984 to April 1990 is presented. This group is representative of the congenital limb deficient population of the country. The commonest deficiencies were transverse phalangeal total/partial deficiency...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649409164402
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:Reduced-stiffness components are often prescribed in lower-limb prostheses, but their efficacy in augmenting shock absorption has been inconclusive. OBJECTIVES:To perform a systematic variation of longitudinal prosthetic stiffness over a wide range of values and to evaluate its effect on shock absorption du...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616640945
更新日期:2017-04-01 00:00:00
abstract::A simple alignment apparatus and the method of transferring the offset test load to the prosthetic assembly through an aligned mandrel for the principal structural tests in accordance with ISO 10328 is presented. The new alignment apparatus was used to prepare test specimens consisting of traditional laminated prosthe...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640008726554
更新日期:2000-12-01 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: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::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::One of the most important problems for the bilateral upper limb deficient patient is the inability to manage toileting activities. Dependence in this area precludes schooling or work. This paper surveys available clothing types and adaptations to facilitate doffing and donning clothing and devices for genital cleansin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648009103112
更新日期:1980-04-01 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: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: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::A Reference Library of socket shapes for an Above-Knee Computer Aided Socket Design (CASD) System has been created. This library forms part of a more general CASD System (Dean & Saunders, 1985; Novicov & Foort, 1982). It consists of a matrix of reference shapes representing above-knee socket characteristics and is bas...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648909079421
更新日期:1989-12-01 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