Abstract:
BACKGROUND AND PURPOSE:Passive dynamic ankle-foot orthoses have potential to facilitate return to running after a lower limb trauma. However, transitioning patients to new movement patterns that enhance passive dynamic ankle-foot orthoses benefits can pose a challenge. The purpose of this case study was to report biomechanical and functional outcomes for a patient utilizing a passive dynamic ankle-foot orthoses following completion of a session-based, midfoot strike run training program. CASE DESCRIPTION AND METHODS:A patient using a passive dynamic ankle-foot orthoses to run due to surgically reconstructed tibia\fibula fracture underwent eight treadmill running sessions over 2 weeks while viewing continuous visual feedback on measured foot strike. FINDINGS AND OUTCOMES:After treatment, foot strike was changed from rearfoot to midfoot on the affected limb along with an 18% increase in mechanical work ratio of the ankle-foot-brace complex. Similar improvements were retained at one and five months following treatment. CONCLUSION:This report provides preliminary evidence that biofeedback-based foot strike training can enhance ankle-foot mechanical performance of patients using a passive dynamic ankle-foot orthoses to run. CLINICAL RELEVANCE:For patients using a passive dynamic ankle-foot orthoses to run following lower limb trauma, supplementing standard rehabilitation programs with biofeedback-based footstrike training may improve biomechanical performance and running capability.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Yoder AJ,Mazzone BN,Miltenberger RS,Farrokhi Sdoi
10.1177/0309364619851935subject
Has Abstractpub_date
2019-08-01 00:00:00pages
447-452issue
4eissn
0309-3646issn
1746-1553journal_volume
43pub_type
杂志文章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: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::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: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::The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA)...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640701253952
更新日期:2007-12-01 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::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
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:Contractures of Achilles tendons and gastrocnemius muscle deteriorate the performance in daily living activities of patients with neuromuscular diseases. Ankle-foot orthoses help to prevent the progression of deformities and to obtain optimal position of the joints to support standing and walking. OBJECTIVE...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613486915
更新日期:2014-02-01 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::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::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: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::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: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::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: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: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::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: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::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: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: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::This study served as a pilot to develop the methodology for a larger number of clinical trials. Ten trans-tibial amputees compared sockets made by conventional methods with sockets made using computer aided socket design (CASD). Prosthetists, paired for experience, fitted each subject with one prosthesis using each me...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648609164519
更新日期:1986-12-01 00:00:00
abstract::Patients with osteoarthritis of the hip were treated with a conservative therapy of heel lifting. Orthoses were applied on 35 hips in 33 subjects and the cases were followed for 23 months on average. Dramatic pain relief was reported, but the time required to reduce or completely relieve pain increased according to th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649709164544
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Prosthetic alignment is usually unchanged once optimized. However, a previous study indicated that long-distance walking significantly altered gait patterns, suggesting some alignment adjustments after walking are required. This study investigated the effects of alignment changes (by inserting a heel lift) o...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612461521
更新日期:2013-08-01 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: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 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::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