Measurement of maximal end-weight-bearing in lower limb amputees.

Abstract:

:Modern sockets for lower limb amputees utilize total contact and distribute some weight on the stump end. Its tolerance to bear weight varies but is better after joint disarticulation, however, systematic measures have been missing. Different levels, indications, shapes etc. were analysed with 102 measurements in 69 patients. The maximal-end-weight-bearing of the stump measured on a scale was much lower after transmedullar amputations than after disarticulations. Men had a mean tolerance more than 15 kg but women less than 10 kg. There was a positive correlation to body weight. Diabetics tolerated significantly more end-bearing and patients with phantom pain more than patients with stump pain. Within each category of stumps the range of maximal end-weight-bearing was large. Among all below-knee amputees the tolerance was between 2 to 55 kg or 3 to 79 per cent of body weight. Pointed stumps statistically tolerated about as much as rounded ones and the variability of contact surface was not measured as its sensitivity to pain must be unevenly distributed. It is concluded that this simplified method is helpful to analyse pain and to modify end-weight-bearing more individually.

journal_name

Prosthet Orthot Int

authors

Persson BM,Liedberg E

doi

10.3109/03093648209166575

subject

Has Abstract

pub_date

1982-12-01 00:00:00

pages

147-51

issue

3

eissn

0309-3646

issn

1746-1553

journal_volume

6

pub_type

杂志文章
  • Psoriasis and the effect of prosthetic fitting.

    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

    authors: Heim M,Warshavski M,Siev-Ner I

    更新日期:2003-04-01 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...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364612467344

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

    更新日期:2013-08-01 00:00:00

  • A study of 200 cases of congenital limb deficiencies.

    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

    authors: Jain SK

    更新日期:1994-12-01 00:00:00

  • Residual limb fluid volume change and volume accommodation: Relationships to activity and self-report outcomes in people with trans-tibial amputation.

    abstract:BACKGROUND:Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. OBJECTIVES:To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation....

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364617752983

    authors: Sanders JE,Youngblood RT,Hafner BJ,Ciol MA,Allyn KJ,Gardner D,Cagle JC,Redd CB,Dietrich CR

    更新日期:2018-08-01 00:00:00

  • Multichannel functional electrical stimulation--facts and expectations.

    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

    authors: Vodovnik L,Grobelnik S

    更新日期:1977-04-01 00:00:00

  • Management of proximal femoral focal deficiency with limited resources in Haiti.

    abstract:BACKGROUND:Individuals with proximal femoral focal deficiency (PFFD) present with a shortened femur. This report highlights the process used to determine prosthetic candidacy, a novel use of the International Committee of the Red Cross (ICRC) prosthetic materials, and subsequent rehabilitation when treating in rural Ha...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364612447095

    authors: Lamberg EM,Collins CK,Hanks JE,Alaniz MB

    更新日期:2013-02-01 00:00:00

  • Pedorthic management of the diabetic foot.

    abstract:BACKGROUND:Conservative pedorthic management of the diabetic foot has been shown to be an effective method to prevent ulcers, amputations, and re-amputations. This article exhibits why and how pedorthics plays such an important role via modalities such as footwear, shoe modifications, custom foot orthoses, and partial ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364614535233

    authors: Janisse D,Janisse E

    更新日期:2015-02-01 00:00:00

  • Evaluation of a novel powered hip orthosis for walking by a spinal cord injury patient: a single case study.

    abstract:BACKGROUND:The aim of this case study was to identify the effect of a powered hip orthosis on the kinematics and temporal-spatial parameters of walking by a patient with spinal cord injury (SCI). CASE DESCRIPTION AND METHODS:Two orthoses were evaluated while worn by an incomplete SCI subject with a T-8level of injury....

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364611431482

    authors: Arazpour M,Chitsazan A,Hutchins SW,Ghomshe FT,Mousavi ME,Takamjani EE,Aminian G,Rahgozar M,Bani MA

    更新日期:2012-03-01 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

    pub_type: 杂志文章

    doi:10.1080/02699200701847244

    authors: McNealy LL,Gard SA

    更新日期:2008-03-01 00:00:00

  • Manufacturing custom-contoured wheelchair seating: A state-of-the-art review.

    abstract:BACKGROUND:Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seati...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364619836028

    authors: Nace S,Tiernan J,Ní Annaidh A

    更新日期:2019-08-01 00:00:00

  • The influence of orthosis stiffness on paraplegic ambulation and its implications for functional electrical stimulation (FES) walking systems.

    abstract::This study examines the evidence which supports the importance of maintaining relative abduction for effective reciprocal walking in high level paraplegic patients. In comparisons of orthoses, where this can only be achieved mechanically, those with higher lateral rigidity consistently showed greater levels of walking...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649509080352

    authors: Stallard J,Major RE

    更新日期:1995-08-01 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...

    journal_title:Prosthetics and orthotics international

    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

  • Importance of neurological evaluation before reverse shoulder arthroplasty in patients with previous poliomyelitis.

    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

    authors: Castoldi F,Lollino N,Caranzano F,Assom M

    更新日期:2009-06-01 00:00:00

  • The i-LIMB hand and the DMC plus hand compared: a case report.

    abstract::The i-LIMB hand is a novel upper limb myoelectric prosthetic hand with several joints in the fingers and thumb. This study aimed to determine whether this new device had more functionality than a more conventional myoelectric prosthetic hand with only a single joint between the thumb and two fingers. Therefore, a 45-y...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093641003767207

    authors: Otr OV,Reinders-Messelink HA,Bongers RM,Bouwsema H,Van Der Sluis CK

    更新日期:2010-06-01 00:00:00

  • Contact force ratio: a new parameter to assess foot arch function.

    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

    authors: Leung AK,Cheng JC,Zhang M,Fan Y,Dong X

    更新日期:2004-08-01 00:00:00

  • Validity of the Comprehensive High-Level Activity Mobility Predictor in a heterogeneous population with lower extremity amputations.

    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

    authors: Anton A,Legault Z,Dudek N

    更新日期:2020-04-01 00:00:00

  • Mathematical modelling and field trials of an inexpensive endoskeletal above-knee prosthesis.

    abstract::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649209164323

    authors: Mohan D,Sethi PK,Ravi R

    更新日期:1992-08-01 00:00:00

  • Integration of surface electromyographic sensors with the transfemoral amputee socket: a comparison of four differing configurations.

    abstract:BACKGROUND AND AIM:In recent years, there has been an increased interest in recording high-quality electromyographic signals from within the sockets of lower-limb amputees. However, successful recording presents major challenges to both researchers and clinicians. This article details and compares four prototypical int...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364613516484

    authors: Hefferman GM,Zhang F,Nunnery MJ,Huang H

    更新日期:2015-04-01 00:00:00

  • Pushchairs.

    abstract::Pushchairs for adults are used by two distinct groups: the high dependency users who cannot walk or use a self-propelling chair and the occasional users who may be able to walk indoors but are unable to walk significant distances outdoors. In the past, both disparate groups were provided with similar wheelchairs descr...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649109164274

    authors: van Ross E

    更新日期:1991-04-01 00:00:00

  • Laterality, gender and age differences in estimated frequency and actual registration of people with congenital upper limb absences.

    abstract::Initial analyses from a survey of people with unilateral upper limb congenital absence registered with the Cambridge Disablement Services Centre (DSC) indicated differences related to laterality and gender. A postal survey of all DSCs in the UK was conducted and support for these findings was provided from the analysi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649809164487

    authors: Fraser CM

    更新日期:1998-12-01 00:00:00

  • Mandible reconstruction: History, state of the art and persistent problems.

    abstract:BACKGROUND:Mandibular reconstruction has been experiencing an amazing evolution. Several different approaches are used to reconstruct this bone and therefore have a fundamental role in the recovery of oral functions. OBJECTIVES:This review aims to highlight the persistent problems associated with the approaches identi...

    journal_title:Prosthetics and orthotics international

    pub_type: 历史文章,杂志文章,评审

    doi:10.1177/0309364613520032

    authors: Ferreira JJ,Zagalo CM,Oliveira ML,Correia AM,Reis AR

    更新日期:2015-06-01 00:00:00

  • The effect of floor reaction ankle foot orthosis on postural control in children with spastic cerebral palsy.

    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

    authors: Bahramizadeh M,Mousavi ME,Rassafiani M,Aminian G,Ebrahimi I,Karimlou M,Toole GO

    更新日期:2012-03-01 00:00:00

  • Changes in the corticospinal tract after wearing prosthesis in bilateral transtibial amputation.

    abstract:BACKGROUND:After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging. Case Description and Methods: A 78-year-old man had a transtibi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364616684216

    authors: Lee SY,Kang SH,Kim DK,Seo KM,Ro HJ,Kim JK

    更新日期:2017-10-01 00:00:00

  • Contact dermatitis to cobalt chloride with an unusual mechanism.

    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

    authors: Arslan S,Aksan S,Ucar R,Caliskaner AZ

    更新日期:2015-10-01 00:00:00

  • A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy.

    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

    authors: Bill M,McIntosh R,Myers P

    更新日期:2001-12-01 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

  • An adjustable shoulder abduction orthosis for the post-operative management of tendon transfers: A preliminary study.

    abstract::Transfer of Musculus Latissimus dorsi/M. Teres major to the rotator cuff with or without M. Subscapularis/M. Pectoralis release is a widely used procedure for restoring shoulder abduction and external rotation in squeal of obstetric brachial plexus palsy. After the operation a shoulder abduction orthosis in maximal ex...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640802015755

    authors: Erel S,Simşek IE,Ayhan C,Bek N,Yakut Y,Uygur F

    更新日期:2008-06-01 00:00:00

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

    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

    authors: Jensen JS,Heim S

    更新日期:1999-12-01 00:00:00

  • The Locomotor Capability Index in diagram form: the Stanmore-Kingston Splat.

    abstract::The Stanmore-Kingston Splat is a graphical display of the goals and achievements of amputee rehabilitation patients using the Locomotor Capability Index. The chart is in a radial polygram form with the sectors coloured and shaded. Three scores can be shown: The patient's capability at delivery of the prosthesis, the g...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640600818863

    authors: Geake T,Hanspal R,Wertheim D,Fulton J

    更新日期:2006-12-01 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.

    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

    authors: Ennion L,Johannesson A,Rhoda A

    更新日期:2017-10-01 00:00:00