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: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: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
更新日期:2015-02-01 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::Foot complications in diabetes can be decreased by preventive measures. The authors evaluated the current diabetic foot screening and prevention programme of the diabetes outpatient clinic of their university hospital, by assessing the presence of risk factors for the development of foot disorders and the preventive m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640108726586
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Good suspension lessens the pistoning (vertical displacement) of the residual limb inside the prosthetic socket. Several methods are used for measuring the pistoning. STUDY DESIGN:Clinical trial. OBJECTIVES:To introduce and evaluate a new simple method for measuring the pistoning between the soft liner and...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1177/0309364611423130
更新日期:2011-12-01 00:00:00
abstract::Silicone rubbers and casting tapes individually have previously been used in the manufacture of sockets (Swanson, 1972; Sweitzer, 1973; Ruder, 1977; Graves, 1980; Aqualite, 1982). The authors believe that the present combination of these materials to manufacture a directly moulded socket with a complete silicone rubbe...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648509164717
更新日期:1985-08-01 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::Telehealth has the potential to be a valuable tool for technical and clinical support of computer controlled prosthetic devices. This pilot study examined the use of Internet-based, desktop video conferencing for remote configuration of the Otto Bock C-Leg. Laboratory tests involved connecting two computers running Mi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640208726638
更新日期:2002-08-01 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: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: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::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
更新日期:2006-12-01 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
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 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 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::A cheap and fast method of providing long term accommodating insoles is described. Room temperature vulcanizing (RTV) silicone rubber is used, with suitable coverings, to provide pain relief and support for feet and ankles. The combination of physical properties of the finished item provides a useful balance between s...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648409145347
更新日期:1984-04-01 00:00:00
abstract::In Europe, bespoke orthopaedic shoes are usually sent for a trial fitting in order to check the fit and indicate any modifications required before final finishing. The use of shell shoes at the fit assessment stage, rather than the traditional alternative of partially or fully finished shoes, can offer service advanta...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509168002
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND AND AIM:Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses. TECHNIQUE:...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616677653
更新日期:2017-06-01 00:00:00
abstract::Gains in stump volume have been documented in trans-tibial amputees while walking in custom made under-sized, total surface-bearing, vacuum-assisted sockets (Board et al., 2001). These gains raised doubts as to whether the sockets were truly under-sized and concerns that using an over-sized socket with vacuum-assist c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726666
更新日期:2003-08-01 00:00:00
abstract::A CAD (computer aided design) analysis software package (CADVIEW) was designed for use with prosthetic and orthotic CAD CAM (computer aided design/computer aided manufacture) systems. Using the Microsoft Windows 3.1 environment, CADVIEW provides a series of anatomical shape viewing and analysis tools. These tools incl...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649409164393
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analy...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616628341
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Prosthetic foot prescription guidelines lack scientific evidence and are concurrent with an amputee's concurrent with an amputee's Medicare Functional Classification Level (K-Level) and categorization of prosthetic feet. OBJECTIVE:To evaluate the influence of gait training and four categories of prosthetic ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612473501
更新日期:2013-10-01 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::This paper reviews and summarizes the evidence for important observations of normal and pathological gait and presents an approach to rehabilitation and orthotic management, which is based on the significance of shank and thigh kinematics for standing and gait. It discusses normal gait biomechanics, challenging some t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.3109/03093646.2010.485597
更新日期:2010-09-01 00:00:00
abstract::Terminal overgrowth in transverse deficiencies and in amputations, particularly of the humerus and tibia necessitate serial trimming procedures or re-amputation. Capping using an autogenous bone graft or a titanium and polyethylene endoprosthetic cap provides a satisfactory way of avoiding these re-amputations and all...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164641
更新日期:1991-08-01 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: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::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::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