Abstract:
OBJECTIVE:A recurring complication in trans-tibial prosthetic limb users is "poor socket fit" with painful residuum-socket interfaces, a consequence of excess pressure. This is due to both poor socket fit and poor socket alignment; however, the interaction of these factors has not been quantified. Through evaluation of kinetic data this study aimed to articulate an interaction uniting socket design, alignment and interface pressures. The results will help to refine future studies and will hopefully help determine whether sockets can be designed, fitted and aligned to maximize mobility whilst minimizing injurious forces. METHODS:Interface pressures were recorded throughout ambulation in one user with "optimal (reference) alignment" followed by 5 malalignments in a patellar tendon-bearing and a hydrocast socket. RESULTS:Marked differences in pressure distribution were discovered when equating the patellar tendon-bearing against the hydrocast socket and when comparing interface pressures from reference with offset alignment. Patellar tendon-bearing sockets were found to be more sensitive to alignment perturbations than hydrocast sockets. A complex interaction was found, with the most prominent finding demonstrating the requisite for attainment of optimal alignment: a translational alignment error of 10 mm can increase maximum peak pressures by 227% (mean 17.5%). CONCLUSION:Refinements for future trials are described and the necessity for future research into socket design, alignment and interface pressures has been estabilished.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Courtney A,Orendurff MS,Buis Adoi
10.2340/16501977-2075subject
Has Abstractpub_date
2016-04-01 00:00:00pages
396-401issue
4eissn
1650-1977issn
1651-2081journal_volume
48pub_type
杂志文章abstract:OBJECTIVE:To compare the effects of speed-dependent treadmill training on gait and balance performance in patients with sub-acute stroke. DESIGN:Single-blinded randomized controlled trial. SUBJECTS:A total of 26 patients with sub-acute stroke were randomly assigned to experimental (n = 13) and control (n = 13) groups...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-0838
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:To determine the prognostic value of clinical assessment and motor evoked potentials for upper limb strength and functional recovery after acute stroke, and to establish the possible use of motor evoked potentials in rehabilitation. DESIGN:A prospective study. SUBJECTS:Fifty-two patients with hemiparesis we...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0389
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:The aim of this pilot study was to examine changes in different aspects of impairment, including spasticity in the upper limbs, of hemiplegic children following botulinum toxin type A intervention. Progress was assessed using standard clinical measurements and a robotic device. DESIGN:Pre-post multiple basel...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0412
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:To evaluate sexual function amongst adult individuals with spina bifida and to register their subjective satisfaction with their sexual life and relationships. SETTING:Department for Spinal Cord Injuries, East Denmark. STUDY DESIGN AND METHODS:Cohort study. Medical record information, neurological examinati...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1863
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To investigate the long-term efficacy of neuromuscular electrical stimulation in enhancing motor recovery in the upper extremities of stroke patients. METHODS:A total of 46 patients with stroke were assigned to a neuromuscular electrical stimulation group or a control group. All patients received a standard ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-0807
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the validity of a script concordance test to assess guideline-consistent clinical reasoning by physical therapists in stroke rehabilitation, and to identify critical features of physical therapists specializing in stroke rehabilitation. METHODS:A script concordance test was developed according to...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2562
更新日期:2019-06-18 00:00:00
abstract::According to Antonovsky, the individual's sense of coherence is assumed to be crucial in coping with stressful life events. The purpose of this study was to investigate the associations between the sense of coherence of the spouses of stroke victims, the objective severity of the stroke and the spouses' perception of ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/165019702753714156
更新日期:2002-05-01 00:00:00
abstract::Recent neuroscientific evidence has revealed that the adult brain is capable of substantial plastic change in such areas as the primary somatosensory cortex that were formerly thought to be modifiable only during early experience. These findings have implications for our understanding of chronic pain. Functional reorg...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/16501960310010179
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To undertake a systematic review of the evidence for the effect of acetylcholinesterase inhibitors (AChEIs) on cognition late after moderate or severe traumatic brain injury. BACKGROUND:Cognitive impairment after traumatic brain injury has significant consequences for the individual and society. Cholinergic ...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.2340/16501977-2040
更新日期:2016-01-01 00:00:00
abstract::Refugees have often been exposed to torture in their countries of origin. A core issue is the resulting multifaceted presentation of somatic, psychological and social problems in the same individual, leading to severe activity limitations and participation restrictions. An international conference, "Rehabilitating Tor...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0426
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:To study factors related to quality of life after a hypoxic period due to cardiac arrest. DESIGN:Retrospective cohort study. SUBJECTS:Eighty-eight survivors of out-of-hospital cardiac arrest, admitted to a Dutch academic hospital between 2001 and 2006. METHODS:Patients received a set of questionnaires at h...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0547
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the influence of long-term wheelchair rugby training on the functional abilities of persons with tetraplegia over a 2-year period post-spinal cord injury. DESIGN:A prospective non-randomized controlled trial. PARTICIPANTS:Forty people with incomplete tetraplegia were exam...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0580
更新日期:2010-07-01 00:00:00
abstract::Musculoskeletal ultrasound has gained a significant place in the diagnosis and management of various musculoskeletal disorders due to its several advantages (being convenient, inexpensive, non-invasive, repeatable, providing dynamic imaging and not requiring any exposure to radiation). It has also become a valuable to...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.2340/16501977-0959
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:Camptocormia, or bent spine syndrome, is an acquired postural disease leading to lumbar kyphosis observed when the patient stands up. Classic orthoses and physiotherapy programmes provide little correction and are often poorly tolerated. The aim of this study was to evaluate the effectiveness and tolerance of...
journal_title:Journal of rehabilitation medicine
pub_type: 临床试验,杂志文章
doi:10.2340/16501977-0252
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:In the era of biologics, we evaluated the short- and long-term effects of team-rehabilitation in a warm climate in patients with arthritis and an inadequate response to physio-therapy in Sweden. METHODS:A total of 161 patients with peripheral arthritis and spondyloarthritis, 63% treated with biologics, follo...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2122
更新日期:2016-10-05 00:00:00
abstract:OBJECTIVE:To assess foot pain and its correlation with walking ability in diabetic patients. SUBJECTS:Two groups of type 2 diabetic patients (30 with symptomatic neuropathy and 30 without symptomatic neuropathy) and 30 healthy volunteers were studied. METHODS:Pain was assessed by the pain sub-scale of the Foot Functi...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970410029816
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:To examine the psychometric properties of the Northwick Park Dependency Scale (NPDS). DESIGN:Review of existing literature and psychometric analysis in relation to other standardized measures of disability in a large neurorehabilitation cohort. SETTING:A regional post-acute specialist inpatient neurorehabil...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.2340/16501977-0602
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To assess whether liver transplant recipients have a hypoactive (sedentary) lifestyle and whether the level of everyday physical activity is related to complaints of fatigue. In addition, we explored the relationship between activity level and health-related quality of life. DESIGN:Case comparison. SUBJECTS...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/16501970500338771
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:To explore perceptions of goal setting from the perspective of patients, lay carers and rehabilitation staff. DESIGN:Semi-structured interviews analysed independently by 2 researchers using content analysis. SETTING:Neurological rehabilitation inpatient unit for adults. SUBJECTS:Four samples of 10 subjects...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0147
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:This review examines acute and chronic whiplash-associated disorders to facilitate assessment, treatment and rehabilitation for further research and evidence-based practices. DESIGN:A review of the literature. RESULTS AND CONCLUSION:Whiplash-associated disorders account for a large proportion of the overall...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/16501970410030742
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Shortly after stroke, patients exhibit excessive sensitivity to visual, proprioceptive and vestibular perturbations regarding balance control. OBJECTIVE:To evaluate the stability of this perceptual behaviour after stroke and test the relationships between sensory sensitivity and balance. METHODS:Thirty sub...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1968
更新日期:2015-06-01 00:00:00
abstract::People with disability (PWD) in Indonesia are often neglected by society. Improving their life situation towards full participation in society is crucial. As a health strategy, rehabilitation can improve func-tioning, quality of life and participation in society. However, rehabilitation services in Indonesia need impr...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2330
更新日期:2018-04-18 00:00:00
abstract:OBJECTIVE:To examine the association between frailty status and incidence of disability among non-disabled older Mexican Americans. DESIGN:A 10-year prospective cohort study. SUBJECTS:A total of 1645 non-institutionalized Mexican Americans aged 67 years and older from the Hispanic Established Population for the Epide...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-0424
更新日期:2009-11-01 00:00:00
abstract:INTRODUCTION:The medical specialty of physical and rehabilitation medicine has had a proven impact on people with disabilities and on healthcare systems. Documents such as the White Book on Physical and Rehabilitation Medicine in Europe have been important in defining the scope of practice within various regions. Howev...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.2340/16501977-0367
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To investigate the clinical course of, and prognostic factors for, work-participation in patients with chronic non-specific low back pain. METHODS:A total of 1,608 patients with chronic non-specific low back pain received a multidisciplinary therapy and were evaluated at baseline and 2-, 5- and 12-month foll...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2006
更新日期:2015-10-05 00:00:00
abstract:OBJECTIVE:To investigate the effect of individualized manual physiotherapy and exercises compared with individualized exercises alone in patients with shoulder impingement syndrome. DESIGN:Randomized controlled trial. SUBJECTS:Patients with shoulder impingement of more than 4 weeks' duration. METHODS:Patients in the...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:10.2340/16501977-1142
更新日期:2013-05-01 00:00:00
abstract::To enable objective measurements of weight bearing in hip replacement patients a portable instrument set-up with an on-line registering pressure-sensitive insole was developed. Six men and 9 women, median age 58 (48-67) years, who had been operated on with a cementless or hybrid hip arthroplasty were studied. All pati...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.1080/165019701300006533
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Although the six-minute walk test (6MWT) is widely used in cardiac rehabilitation, little is known about the ventilatory strategies adopted by older patients who have recently undergone median sternotomy, in order to meet the increased metabolic demand in the 6MWT. METHODS:Using a portable gas-analyser we a...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1126
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To describe the course of social support (everyday support, support in problem situations and esteem support) from initial inpatient rehabilitation until 3 years post-stroke and to examine the cross-sectional and longitudinal relationships of social support with depressive symptoms. DESIGN:Prospective cohort...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1971
更新日期:2015-08-18 00:00:00
abstract:OBJECTIVE:To locate and trace endogenous endothelial progenitor cells (EPCs) in rabbits subjected to myocardial ischaemia and/or physiological ischaemia training. METHODS:Rabbits were randomly divided into 4 groups: a myocardial ischaemia group (subjected to myocardial ischaemia only); a physiological ischaemia traini...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-1891
更新日期:2015-01-01 00:00:00