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 Intjournal_title
Prosthetics and orthotics internationalauthors
Ham R,Regan JM,Roberts VCdoi
10.3109/03093648709079376subject
Has Abstractpub_date
1987-04-01 00:00:00pages
25-30issue
1eissn
0309-3646issn
1746-1553journal_volume
11pub_type
杂志文章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: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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612448807
更新日期:2012-09-01 00:00:00
abstract::The casting of flexible polyurethane foam into a wide range of customised shapes has been found to offer a relatively straightforward solution to a number of problems associated with providing support for the physically handicapped. This note describes the techniques used for the production of such supports and report...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648409145359
更新日期:1984-08-01 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: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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615592699
更新日期:2016-04-01 00:00:00
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
pub_type: 杂志文章
doi:10.1080/02699200701847244
更新日期:2008-03-01 00:00:00
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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071624
更新日期:1999-08-01 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: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::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::The aim of the present study was to compare sockets for below-knee (BK) prostheses made by Computer Aided Design-Computer Aided Manufacture (CAD-CAM) to those made by hand. The patients in the study were provided with two prostheses each, which apart from the sockets, were identical. One socket was made by the CAD-CAM...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648909079405
更新日期:1989-04-01 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::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::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: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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618824443
更新日期:2019-06-01 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: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: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::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::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
更新日期:2005-04-01 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: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
更新日期:2019-10-01 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::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
更新日期:2004-12-01 00:00:00
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
更新日期:1982-04-01 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: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::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: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::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...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802446703
更新日期:2009-03-01 00:00:00