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


: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.


Prosthet Orthot Int


Stallard J,Major RE




Has Abstract


1995-08-01 00:00:00












  • The immediate effect of patellar tendon strap on weight-bearing asymmetry during squatting in patients with unilateral knee osteoarthritis: A pilot study.

    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


    authors: Demirbüken İ,Özyürek S,Angın S

    更新日期:2016-12-01 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


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

    更新日期:2017-10-01 00:00:00

  • Effect of powered gait orthosis on walking in individuals with paraplegia.

    abstract:BACKGROUND:The important purpose of a powered gait orthosis is to provide active joint movement for patients with spinal cord injury. OBJECTIVES:The aim of this study was to clarify the effect of a powered gait orthosis on the kinematics and temporal-spatial parameters in paraplegics with spinal cord injury. STUDY DE...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章


    authors: Arazpour M,Ahmadi Bani M,Kashani RV,Tabatabai Ghomshe F,Mousavi ME,Hutchins SW

    更新日期:2013-08-01 00:00:00

  • Movement quality of conventional prostheses and the DEKA Arm during everyday tasks.

    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


    authors: Cowley J,Resnik L,Wilken J,Smurr Walters L,Gates D

    更新日期:2017-02-01 00:00:00

  • Development and characterisation of electromechanical muscles for driving trans-humeral myoelectric prostheses.

    abstract::Recently, attempts have been made to construct actuators with similar behaviour to natural muscles. However the results have been inadequate for application to practical prostheses. For example, muscle wire, which has too low an efficiency to be powered by batteries and McKibben muscles which require two power supplie...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Escudero AZ,Alvarez J,Leija L

    更新日期:2002-12-01 00:00:00

  • Step count accuracy of StepWatch and FitBit One™ among individuals with a unilateral transtibial amputation.

    abstract:BACKGROUND:Step counts, obtained via activity monitors, provide insight into activity level in the free-living environment. Accuracy assessments of activity monitors are limited among individuals with lower-limb amputations. OBJECTIVES:(1) To evaluate the step count accuracy of both monitors during forward-linear and ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Arch ES,Sions JM,Horne J,Bodt BA

    更新日期:2018-10-01 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...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Jarl G,Ramstrand N

    更新日期:2018-10-01 00:00:00

  • The assessment and description of amputee activity.

    abstract::The activity achieved by a lower limb amputee is usually assessed by clinical judgement or physiological tests. The former is seldom absolute, being affected by factors such as patient age, and is expressed in categories which may not be equivalent to those used by other observers. Physiological testing provides a mea...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Day HJ

    更新日期:1981-04-01 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...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


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

    更新日期:1999-08-01 00:00:00

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

    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


    authors: Spaulding SE,Chen T,Chou LS

    更新日期:2012-06-01 00:00:00

  • Nighttime bracing with the Providence thoracolumbosacral orthosis for treatment of adolescent idiopathic scoliosis: A retrospective consecutive clinical series.

    abstract:BACKGROUND::Orthotic treatment for adolescent idiopathic scoliosis is a mainstay in nonoperative treatment to prevent progressive spinal deformity. OBJECTIVE::To determine the effectiveness of the Providence orthosis in the treatment of adolescent idiopathic scoliosis. STUDY DESIGN::Retrospective review. METHODS::Pa...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Davis L,Murphy JS,Shaw KA,Cash K,Devito DP,Schmitz ML

    更新日期:2019-04-01 00:00:00

  • The importance of being earnest about shank and thigh kinematics especially when using ankle-foot orthoses.

    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


    authors: Owen E

    更新日期:2010-09-01 00:00:00

  • Affordable passive 3D-printed prosthesis for persons with partial hand amputation.

    abstract:BACKGROUND AND AIM:Partial hand amputations are common in developing countries and have a negative impact on patients and their families' quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions i...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Alturkistani R,A K,Devasahayam S,Thomas R,Colombini EL,Cifuentes CA,Homer-Vanniasinkam S,Wurdemann HA,Moazen M

    更新日期:2020-04-01 00:00:00

  • Comparison of prosthetic outcomes between adolescent transtibial and transfemoral amputees after Sichuan earthquake using Step Activity Monitor and Prosthesis Evaluation Questionnaire.

    abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Chu CK,Wong MS

    更新日期:2016-02-01 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


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

    更新日期:2013-02-01 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...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Yoder AJ,Mazzone BN,Miltenberger RS,Farrokhi S

    更新日期:2019-08-01 00:00:00

  • The use of flexible polyurethane foam in orthotics.

    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


    authors: Taylor AG

    更新日期:1984-08-01 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


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

    更新日期:2006-12-01 00:00:00

  • A walking bout reveals altered foot thermodynamics associated with unilateral transtibial amputation among individuals with type 2 diabetes.

    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


    authors: Leister KR,Wurdeman SR

    更新日期:2020-12-07 00:00:00

  • A new directly moulded patellar-tendon-bearing socket.

    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


    authors: Boot DA,Young NJ

    更新日期:1985-08-01 00:00:00

  • Bondgraph modelling and simulation of the dynamic behaviour of above-knee prostheses.

    abstract::A mathematical model was used to investigate the dynamic behaviour of an above-knee (AK) prosthesis in the swing phase and to analyse the influence of mass and mass distribution on the maximal stump load and the required energy. The model consists of a bondgraph model of the prosthesis and a "walking" model which pred...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Van de Veen PG,Van der Tempel W,De Vreiss J

    更新日期:1987-08-01 00:00:00

  • The physical effect of lumbar spinal supports.

    abstract::A study has been performed to investigate the physical effects of lumbar spinal supports. Two groups were studied, a group of normal male subjects and a group of male low back pain patients. Five different spinal supports were investigated and their effects upon the skin temperature, spinal movements and intra-abdomin...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Grew ND,Deane G

    更新日期:1982-08-01 00:00:00

  • Long term comparison of some shock attenuating insoles.

    abstract::The effect of one years general use on the performance of four shock attenuating insoles is reported. Testing was carried out using the JP Biomechanics Shock Meter on twelve volunteers on a timed oval course at eight intervals during the year. The results show that two of the insoles perform well (Viscolas and PPT) al...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Pratt DJ

    更新日期:1990-08-01 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...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


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

    更新日期:2019-06-01 00:00:00

  • Sensory feedback add-on for upper-limb prostheses.

    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


    authors: Fallahian N,Saeedi H,Mokhtarinia H,Tabatabai Ghomshe F

    更新日期:2017-06-01 00:00:00

  • New concept of spinal orthosis for weakened back muscles.

    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


    authors: Watanabe H,Kutsuna T,Asami T,Inoue E

    更新日期:1995-04-01 00:00:00

  • The care of the limb deficient child in north Africa.

    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


    authors: Sliman N,Mrabet A,Daghfous S,Douik M

    更新日期:1991-08-01 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


    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


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

    更新日期:1983-12-01 00:00:00

  • Toileting self-care methods for bilateral high level upper limb amputees.

    abstract::One of the most important problems for the bilateral upper limb deficient patient is the inability to manage toileting activities. Dependence in this area precludes schooling or work. This paper surveys available clothing types and adaptations to facilitate doffing and donning clothing and devices for genital cleansin...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Friedmann L

    更新日期:1980-04-01 00:00:00