Evaluation of introducing the team approach to the care of the amputee: the Dulwich study.

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-ordinator, visiting prosthetist and medical officer from the local Artificial Limb and Appliance Centre (ALAC), and finally trained surgeons were studied. During the final phases of the study, the effects of changing team staff were monitored. The results have shown that only when the full Team Approach is adopted are the best results achieved, but that, once this approach is established, staff changes can be made without serious reductions in effectiveness. The study has shown that the team can reduce in-patient stay by 20 days; reduce the need for post-discharge physiotherapy by 94%; increase the proportion of patients discharged with a prosthesis more than fivefold and increase the effectiveness of long term rehabilitation threefold.

journal_name

Prosthet Orthot Int

authors

Ham R,Regan JM,Roberts VC

doi

10.3109/03093648709079376

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

25-30

issue

1

eissn

0309-3646

issn

1746-1553

journal_volume

11

pub_type

杂志文章
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    authors: Haverkate L,Smit G,Plettenburg DH

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  • Biomechanical differences between experienced and inexperienced wheelchair users during sport.

    abstract:BACKGROUND:During functional wheelchair movement there are several types of stroke pattern that a manual wheelchair user (MWCU) can utilize in order to propel. OBJECTIVES:To examine the biomechanical differences between disabled (WCU) and able-bodied (NWCU) children whilst taking part in functional activities at the C...

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    authors: Starrs P,Chohan A,Fewtrell D,Richards J,Selfe J

    更新日期:2012-09-01 00:00:00

  • The use of flexible polyurethane foam in orthotics.

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    doi:10.3109/03093648409145359

    authors: Taylor AG

    更新日期:1984-08-01 00:00:00

  • A novel technique for fabricating an ear prosthesis in a patient with congenital ear deformity.

    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...

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    authors: Mardani MA,Aminian G,Tabatabaian F,Arazpour M,Hutchins SW,Head JS

    更新日期:2013-08-01 00:00:00

  • Comparison of gait between healthy participants and persons with spinal cord injury when using the advanced reciprocating gait orthosis.

    abstract:BACKGROUND:The advanced reciprocating gait orthosis (ARGO) has a rigid structure which provides restricted movement at the hip, knee, and ankle joints and incorporates a pelvic section with an extended section in the lumbar region. Healthy subjects, when walking with an RGO in situ, could feasibly demonstrate the level...

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    pub_type: 杂志文章

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    authors: Arazpour M,Joghtaei M,Bahramizadeh M,Ahmadi Bani M,Hutchins SW,Curran S,Mousavi ME,Sharifi G,Mardani MA

    更新日期:2016-04-01 00:00:00

  • Effect of prosthetic ankle units on the gait of persons with bilateral trans-femoral amputations.

    abstract::In able-bodied individuals, the ankle joint functions to provide shock absorption, aid in foot clearance during the swing phase, and provides a rocker mechanism during stance phase to facilitate forward progression of the body. Prosthetic ankles currently used by persons with lower limb amputations provide considerabl...

    journal_title:Prosthetics and orthotics international

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    doi:10.1080/02699200701847244

    authors: McNealy LL,Gard SA

    更新日期:2008-03-01 00:00:00

  • Effectiveness of prosthetic rehabilitation of children with limb deficiencies present at birth.

    abstract::This study was performed to investigate the efficacy of prosthetic rehabilitation in children with congenital malformations, also to determine whether there were any factors related to family history and pregnancy which could have affected the formation of such deficiencies. Twenty-five (25) limb deficient children we...

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    pub_type: 杂志文章

    doi:10.3109/03093649909071624

    authors: Sener G,Yiğiter K,Bayar K,Erbahçeci F

    更新日期:1999-08-01 00:00:00

  • Gastrocnemius operating length with ankle foot orthoses in cerebral palsy.

    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

    authors: Choi H,Wren TAL,Steele KM

    更新日期:2017-06-01 00:00:00

  • A method for performance comparison of polycentric knees and its application to the design of a knee for developing countries.

    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...

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    pub_type: 杂志文章

    doi:10.1177/0309364616652017

    authors: Anand TS,Sujatha S

    更新日期:2017-08-01 00:00:00

  • A study of 200 cases of congenital limb deficiencies.

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    doi:10.3109/03093649409164402

    authors: Jain SK

    更新日期:1994-12-01 00:00:00

  • Comparison of CAD-CAM and hand made sockets for PTB prostheses.

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    doi:10.3109/03093648909079405

    authors: Köhler P,Lindh L,Netz P

    更新日期:1989-04-01 00:00:00

  • Selection of an above or below-ankle orthosis for individuals with neuropathic partial foot amputation: a pilot study.

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    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0309364612437005

    authors: Spaulding SE,Chen T,Chou LS

    更新日期:2012-06-01 00:00:00

  • Continuous passive motion in hand rehabilitation.

    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

    authors: Dent JA

    更新日期:1993-08-01 00:00:00

  • A field evaluation of arm prostheses for unilateral amputees.

    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

    authors: van Lunteren A,van Lunteren-Gerritsen GH,Stassen HG,Zuithoff MJ

    更新日期:1983-12-01 00:00:00

  • The effect of knee brace misalignment on the anterior cruciate ligament: An experimental study.

    abstract:BACKGROUND:Protective knee braces are used for rehabilitation or prevention. Due to poor patient compliance or slippage, the brace might be misaligned with the knee axis. OBJECTIVES:Does a misaligned knee brace stress the anterior cruciate ligament? STUDY DESIGN:It is an experimental study. METHODS:A strain sensor w...

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    doi:10.1177/0309364618824443

    authors: Hacker SP,Schall F,Ignatius A,Dürselen L

    更新日期:2019-06-01 00:00:00

  • Principal structural testing of trans-tibial prosthetic assemblies: specimen preparation.

    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

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    doi:10.1080/03093640008726554

    authors: Neo LD,Lee PV,Goh JC

    更新日期:2000-12-01 00:00:00

  • The Prosthetist Role Expectations Scale: Development and initial validation of a scale for clinical settings.

    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

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    doi:10.1177/0309364617698519

    authors: Mackenzie RL,Morris ME,Murphy G,Hodge MC

    更新日期:2018-04-01 00:00:00

  • Threshold concepts in prosthetics.

    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...

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    pub_type: 杂志文章

    doi:10.1177/0309364616679317

    authors: Hill S

    更新日期:2017-12-01 00:00:00

  • Custom skiing and trekking adaptations for a trans-tibial and trans-radial quadrilateral amputee.

    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

    authors: Farley R,Mitchell F,Griffiths M

    更新日期:2004-04-01 00:00:00

  • Melorheostosis--an unusual cause of amputation.

    abstract::A 24-year-old female developed, in infancy, progressive right upper and lower limb muscle and soft tissue contractures and had a diagnosis of melorheostosis made on X-ray and pathological specimens. At the age of 11 years she began to have pain in the right hip and lower limb and this later became the dominant feature...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/17461550500066808

    authors: Graham LE,Parke RC

    更新日期:2005-04-01 00:00:00

  • Heel lifting as a conservative therapy for osteoarthritis of the hip: based on the rationale of Pauwels' intertrochanteric osteotomy.

    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

    authors: Ohsawa S,Ueno R

    更新日期:1997-08-01 00:00:00

  • Nordic clinical guidelines for orthotic treatment of osteoarthritis of the knee: A systematic review using the AGREE II instrument.

    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 ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364619857854

    authors: Jarl G,Hellstrand Tang U,Nordén E,Johannesson A,Rusaw DF

    更新日期:2019-10-01 00:00:00

  • The mobile arm support.

    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

    authors: Radulovic R,Piera JB,Cassagne B,Grossiord A,Boruchowitsch G

    更新日期:1980-08-01 00:00:00

  • The short -term effects of an exercise programme as an adjunct to an orthosis in neuromuscular scoliosis.

    abstract::The purpose of this study was to investigate the effects of a 4 week physiotherapy programme on patients who were given a spinal orthosis for neuromuscular scoliosis. This study was planned as a single group pre- and post-intervention repeated measures design. All patients were given a polyethylene spinal orthosis wit...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640409167759

    authors: Bayar B,Uygur F,Bayar K,Bek N,Yakut Y

    更新日期:2004-12-01 00:00:00

  • Technical note--test instructions for the technical testing of mono-functional myoelectrically-controlled prosthetic hands. A proposal.

    abstract::To get an acceptable standard of prostheses and orthoses in Sweden, the Swedish Institute for the Handicapped is testing this group of aids. One important part of the work is to draw up test instructions. In response to a request from the Swedish Institute for the Handicapped, the Laboratory of Rehabilitation Engineer...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648209167739

    authors: Ingvarsson B,Karlsson I,Ottosson LG,Thyberg M

    更新日期:1982-04-01 00:00:00

  • The use of a direct manufacturing prosthetic socket system in a rural community in South Africa: A pilot study and lessons for future research.

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    pub_type: 杂志文章

    doi:10.1177/0309364616683982

    authors: Ennion L,Johannesson A,Rhoda A

    更新日期:2017-10-01 00:00:00

  • Biomechanical improvements following foot strike biofeedback training for a patient using a passive dynamic ankle-foot orthosis during running.

    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...

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    pub_type: 杂志文章

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    更新日期:2019-08-01 00:00:00

  • Preliminary experiences with modified SACH feet manufactured and used in a tropical developing world setting.

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    doi:10.3109/03093649909071641

    authors: Jensen JS,Heim S

    更新日期:1999-12-01 00:00:00

  • A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics.

    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...

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    doi:10.1177/0309364617729925

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  • CIR Casting System for making transtibial sockets.

    abstract::This paper describes a new casting system for transtibial socket fabrication. Like the earlier CIR Sand Casting System, the CIR Casting System is based on the 'dilatancy' principle that is similar to the packaging process for coffee beans by which loose beans become a solid mass when a vacuum is applied. The main diff...

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    更新日期:2009-03-01 00:00:00