Abstract:
BACKGROUND:High-quality clinical practice guidelines are necessary for effective use of resources both at an individual patient- and national-level. Nordic clinical practice guidelines recommendations for orthotic treatment of knee osteoarthritis vary and little is known about their quality. OBJECTIVES:The aim of the study was to critically evaluate the quality of clinical practice guidelines in orthotic management of knee osteoarthritis in the Nordic countries. STUDY DESIGN:Systematic review. METHODS:Four national clinical practice guidelines for treatment of knee osteoarthritis were assessed for methodological rigour and transparency by four independent assessors using the AGREE II instrument. Summary domain scores and inter-rater agreement (Kendall's W) were calculated. RESULTS:Domain scores indicate that many guidelines have not sufficiently addressed stakeholder involvement (average score: 55%), applicability (20%) and editorial independence (33%) in the development process. Inter-rater agreement for assessors indicated 'good' agreement for clinical practice guidelines from Finland, Norway and Sweden (W = 0.653, p < 0.001; W = 0.512, p = 0.003 and W = 0.532, p = 0.002, respectively) and 'strong' agreement for the clinical practice guideline from Denmark (W = 0.800, p < 0.001). CONCLUSION:Quality of clinical practice guidelines for orthotic treatment of knee osteoarthritis in the Nordic region is variable. Future guideline development should focus on improving methodology by involving relevant stakeholders (e.g. certified prosthetist/orthotists (CPOs)), specifying conflicts of interest and providing guidance for implementation. CLINICAL RELEVANCE:The current review suggests that, for the Nordic region, there are areas of improvement which can be addressed, which ensure clinical practice guidelines are developed under stringent conditions and based on sound methods. These improvements would ensure knee osteoarthritis patients are receiving orthotic interventions based on appropriate guidance from published guidelines.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Jarl G,Hellstrand Tang U,Nordén E,Johannesson A,Rusaw DFdoi
10.1177/0309364619857854subject
Has Abstractpub_date
2019-10-01 00:00:00pages
556-563issue
5eissn
0309-3646issn
1746-1553journal_volume
43pub_type
杂志文章abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640108726609
更新日期:2001-12-01 00:00:00
abstract::The objective of this study was to develop guidelines for the prescription of ankle-foot, knee, wrist-hand and elbow orthoses for patients with neurological disorders. The study is part of a more comprehensive study focusing on the development of clinical guidelines for the prescription of these orthoses in a wider pa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640500533232
更新日期:2006-04-01 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::Ten years after the ISPO consensus conference on amputation surgery, a search of relevant publications in the Rehabilitation-prosthetics-literature over the years 1990-2000 was performed. The main key-words in this research were: "lower limb, amputation, human and rehabilitation". One hundred and four (104) articles w...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640108726563
更新日期:2001-04-01 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::The effect of one years general use on the performance of four shock attenuating insoles is reported. Testing was carried out using the JP Biomechanics Shock Meter on twelve volunteers on a timed oval course at eight intervals during the year. The results show that two of the insoles perform well (Viscolas and PPT) al...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649009080322
更新日期:1990-08-01 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::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640309167979
更新日期:2003-04-01 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 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::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::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::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::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:A non-articulated plantarflexion resist ankle foot orthosis (AFO), commonly known as a posterior leaf spring AFO, is indicated for patients with motor impairment to the dorsiflexors. The AFO is often custom molded to a patient's lower limb anatomy and fabricated from polypropylene. There are no established g...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364610394477
更新日期:2011-03-01 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: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 biome...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619851935
更新日期:2019-08-01 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 AND OBJECTIVE:Lower extremity amputee outcome measures assess basic mobility. The Comprehensive High-Level Activity Mobility Predictor was developed to assess high-level mobility. Validity evidence was collected in military men with traumatic lower extremity amputations. This study examines its validity in a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619887559
更新日期:2020-04-01 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::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: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: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::Prediction of in-orthosis curvature at pre-orthosis stage is valuable for the treatment planning for adolescent idiopathic scoliosis, while the position of spinal curvature assessment that is effective for this prediction is still unknown. OBJECTIVES::To compare the spinal curvatures in different body posi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618798172
更新日期:2019-04-01 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: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::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::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: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:In principle, lower limb bone-anchored prostheses could alleviate expenditure associated with typical socket manufacturing and residuum treatments due to socket-suspended prostheses. OBJECTIVE:This study reports (a) the incremental costs and (b) heath gain as well as (c) cost-effectiveness of bone-anchored ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617740239
更新日期:2018-06-01 00:00:00