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 efficiency. The influence on hybrid systems of functional electrical stimulation (FES) of the gluteal muscles, where the primary function is to maintain abduction, also showed reductions in overall energy cost, reductions in upper limb effort, or both. Examination of the effect of increasing lateral rigidity of a purely mechanical orthosis by 10% showed that significant energy cost reductions were achieved (30% reduction in Physiological Cost Index) for patients with thoracic lesions experienced in reciprocal walking. A review of FES research suggested that for the modern healthcare sector the cost effectiveness of purely mechanical systems make them an attractive means of routinely providing the functional and therapeutic benefits of walking for high level paraplegic patients. In the prevailing climate of strict budgetry control a case is made for concentrating more research resources on improving still further walking efficiency, and resolving the outstanding problems of functionality and cosmesis in such systems for reciprocal walking.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Stallard J,Major REdoi
10.3109/03093649509080352subject
Has Abstractpub_date
1995-08-01 00:00:00pages
108-14issue
2eissn
0309-3646issn
1746-1553journal_volume
19pub_type
杂志文章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: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
更新日期:2013-02-01 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::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: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:BACKGROUND:Flexor tendon repair in the hand remains challenging in avoiding tendon rupture and adhesion formation. Post-operative mobilization has been shown to be critical in regaining functional range of motion. OBJECTIVES:The objective of this study is 2-fold: to assess the influence of wrist position on maximum gr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615605395
更新日期:2017-02-01 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::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::This paper reports a study of 66 upper limb amputees in County Funen, Denmark who were visited in their homes by the author. The purpose of this study was to evaluate for the same period of time the social and economic outcome for a population of upper limb amputees compared with the normal population. The number of a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164304
更新日期:1992-04-01 00:00:00
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
更新日期:2008-06-01 00:00:00
abstract::In order to reduce the need for repeated changes of socket due to postoperative atrophy and resorption of oedema simple temporary limbs are required to delay the casting of individual sockets until the stump is more mature. A randomized study of 95 below-knee amputees was performed with a re-usable temporary one-size ...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.3109/03093648309166980
更新日期:1983-08-01 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 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
更新日期:2015-04-01 00:00:00
abstract::Myoelectric prostheses are generally not provided in the United Kingdom for children before the age of 3 1/2 years. Following the introduction of a smaller sized electric hand in the United Kingdom in 1993 the authors decided to introduce electrically powered hands for a group of congenital upper limb deficient childr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649809164477
更新日期:1998-08-01 00:00:00
abstract::Interface pressures and shear stresses at different sagittal plane angular alignment settings were measured on 3 trans-tibial amputee subjects ambulating with patellar-tendon-bearing total contact prostheses. Substantial socket-shank angular alignment modifications in the sagittal plane had minimal effect on stance ph...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071607
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. OBJECTIVES:We hypothesized t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613490440
更新日期:2014-06-01 00:00:00
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: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:BACKGROUND:Knee osteoarthritis has commonly been associated with a symptom of pain resulting in an inter-limb weight-bearing asymmetry during functional tasks. Patellar tendon strap is one of the non-pharmacologic interventions to alleviate knee pain. OBJECTIVES:To investigate the immediate effect of a patellar tendon...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615612251
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Conventional prosthetic devices fail to restore the function and characteristic movement quality of the upper limb. The DEKA Arm is a new, advanced prosthesis featuring a compound, powered wrist and multiple grip configurations. OBJECTIVES:The purpose of this study was to determine if the DEKA Arm improved ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616631348
更新日期:2017-02-01 00:00:00
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
更新日期:1992-08-01 00:00:00
abstract::This review presents an analytical and comparative survey of upper limb prosthesis acceptance and abandonment as documented over the past 25 years, detailing areas of consumer dissatisfaction and ongoing technological advancements. English-language articles were identified in a search of Ovid, PubMed, and ISI Web of S...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640600994581
更新日期:2007-09-01 00:00:00
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
更新日期:2009-06-01 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::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::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::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::An anterior bending posture of the trunk during walking is often seen among the elderly commonly due to weakened thoraco-lumbar and gluteal muscles. For the management of this debilitating condition, the authors have developed a modified design of thoraco-lumbosacral orthosis (TLSO). Incorporated in this device are po...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509078233
更新日期:1995-04-01 00:00:00
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 p...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648209166575
更新日期:1982-12-01 00:00:00
abstract::The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164653
更新日期:1991-08-01 00:00:00