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A scoping review of digital fabrication techniques applied to prosthetics and orthotics: Part 1 of 2—Prosthetics Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-16 Ben M. Oldfrey, Dafne Z. Morgado Ramirez, Mark Miodownik, Matthew Wassall, Nerrolyn Ramstrand, Man S. Wong, Jamie Danemayer, Alex Dickinson, Laurence Kenney, Christopher Nester, Edward Lemaire, Hossein Gholizadeth, Laura E. Diment, Margaret K. Donovan-Hall, Catherine Holloway
Background: Traditionally, the manufacture of prostheses is time-consuming and labor-intensive. One possible route to improving access and quality of these devices is the digitalizing of the fabrication process, which may reduce the burden of manual labor and bring the potential for automation that could help unblock access to assistive technologies globally. Objectives: To identify where there are
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Effect of the ischial support on muscle force estimation during transfemoral walking Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-15 Nolwenn Fougeron, Xavier Bonnet, Brieuc Panhelleux, Jean-Loïc Rose, Pierre-Yves Rohan, Hélène Pillet
Background: Transmission of loads between the prosthetic socket and the residual limb is critical for the comfort and walking ability of people with transfemoral amputation. This transmission is mainly determined by the socket tightening, muscle forces, and socket ischial support. However, numerical investigations of the amputated gait, using modeling approaches such as MusculoSkeletal (MSK) modeling
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Running-specific prosthesis' performance characterization by dynamic finite element approach Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-10 Ali Asghar Atai, Farshad Beiranvand, Sina Jalili
Introduction Composite running-specific prostheses (RSP) are widely used by athletes with lower limb amputations to simulate the spring-like behavior of biological legs. However, the effect of these devices on the biomechanics of athletes with transtibial amputations remains uncertain. Modeling method description: To address this issue, this study proposes a time-dependent finite element model that
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Sex and gender differences in upper extremity prosthesis rejection: A review of literature Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-05 Eric Henderson, Mayank Rehani, Jacqueline S. Hebert
Prosthesis rejection is a significant barrier to rehabilitation of persons with upper limb difference. Many individual factors can affect device rejection, including a person’s sex or gender. The objective of this narrative review was to explore the reported differences between the sexes and genders in upper limb prosthesis rejection. This review considered peer-reviewed, published research studies
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Letter to the editor regarding “The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials” Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-05 Fatemeh Azizi, Nastaran Maghbouli
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Efficacy of hinged and carbon fiber ankle-foot orthoses in children with unilateral spastic cerebral palsy and drop-foot gait pattern Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-05 Florian Dobler, Robin Mayr, Harald Lengnick, Peter Federolf, Nathalie Alexander
Background: In children with unilateral spastic cerebral palsy (USCP), ankle-foot orthoses (AFOs) are widely used to correct common gait deviations such as a drop-foot pattern. Most studies on this topic have investigated specific time points while omitting other parts of the gait cycle. Objectives: This study investigated the separate effects of prefabricated carbon fiber AFOs and custom-made hinged
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Effect of lateral wedge length on knee adduction moment reduction mechanics during gait Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-04-01 Yoshitaka Iwamoto, Wataru Kawakami, Ryosuke Takeuchi, Yasutaka Takeuchi, Yosuke Ishii, Masakazu Ishikawa, Nobuo Adachi, Makoto Takahashi
Lateral wedge insole (LWI) wear is a well-known conservative treatment for patients with knee osteoarthritis and is expected to decrease knee joint loading. Although the effect of LWI length on knee adduction moment (KAM) has been investigated, the biomechanical mechanism has not been fully investigated. Twelve healthy young subjects walked in the laboratory with and without 2 different lengths of
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Khmer translation and cultural adaptation of the Locomotor Capabilities Index-5 Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-27 Nerrolyn Ramstrand, Alan Maddock, Thearith Heang, Nil Ean, Sisary Kheng
Background: Mobility is a major goal of prosthetic and orthotic rehabilitation, and use of outcome measures to evaluate mobility is necessary for good clinical practice. To support the use of outcome measures worldwide, work is needed to translate relevant instruments and adapt them for use in multiple cultures. Objectives: The objective of this research was to use a standardized method to translate
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Comparison of two different orthoses used in the treatment of lateral epicondylitis Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-22 Mustafa Sarı, Demet Öztürk, Nilgün Bek
Background: Lateral epicondylitis (LE) is one of the most common causes of lateral elbow pain, and orthoses are often used in its conservative treatment. However, the number of studies examining the effectiveness of the orthoses used and their differences compared to each other is limited. Objective: To determine the effects of 2 orthoses types, wrist orthosis (WO) and counterforce brace (CB), commonly
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A scoping review on upper extremity prostheses: Satisfaction, barriers, and their implications in resource-limited countries Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-22 Lorenzo Martin L. Dizon, Carl Froilan D. Leochico, Reykjavik S. Ramirez, Reynaldo R. Rey-Matias
The rates of prosthetic abandonment are not extensively understood especially in resource-limited countries. A scoping review was conducted to examine the literature on the satisfaction with and barriers to using specifically upper limb prostheses. A systematic search of the literature identified 425 studies. After reviewing the articles using predetermined inclusion and exclusion criteria, 7 cross-sectional
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Effect of pain on activity and participation in individuals with unilateral lower-extremity amputation based on the International Classification of Functioning, Disability, and Health Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-22 Sibel Yerli, Fatih Erbahçeci, Mintaze Kerem Günel
Background: Amputation is a major life-changing event and is regarded as one of the loading causes of permanent disability. However, amputation often causes changes in painful and nonpainful sensory experiences. Pain after amputation has been shown to increase functional limitations caused by limb loss and lower quality of life. Objective: This study aimed to examine the effect of pain on activity
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Botulinum toxin therapy for management of phantom and residual limb pain following amputation: A systematic review Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-22 Courtney Frengopoulos, Ramona Neferu, Matthew Pasquali, Ricardo Viana, Tom Miller, Michael Payne
Chronic pain following amputation is debilitating. Due to its mechanisms in modulating muscle contraction and pain, botulinum toxin has been investigated as a treatment option for phantom limb pain (PLP) and residual limb pain (RLP). The objective of this study was to determine the efficacy of botulinum toxin injection in the management of PLP and RLP following major limb amputation using a systematic
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Toward subtalar joint axis–driven computer-aided design and computer-aided manufacturing foot orthoses: Reliability of a noninvasive clinical scanning protocol Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-22 Clément Potier, Kurt Claeys, Kevin Deschamps
Background: The subtalar joint axis (STJA) occupies a key role in the dynamics of the lower limb kinetic chain, and its location has a wide interindividual variability. It has been suggested that considering the STJA location when designing foot orthoses may help to apply the required mechanical dose. However, the evidence is more anecdotal than empirical. Objective: This study aimed to evaluate the
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Improved Disabilities of the Arm, Shoulder and Hand scores after myoelectric arm orthosis use at home in chronic stroke: A retrospective study Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-21 Sarah R. Chang, Nicole Hofland, Zhengyi Chen, Harry Kovelman, George F. Wittenberg, Jonathan Naft
Background: Most stroke survivors have persistent upper limb impairments after completing standard clinical care. The resulting impairments can adversely affect their quality of life and ability to complete self-care tasks and remain employed, leading to increased healthcare and societal costs. A myoelectric arm orthosis can be used effectively to support the affected weak arm and increase an individual’s
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Development and alpha testing of a patient shared decision aid for prosthesis design for new lower limb prosthesis users Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-20 Chelsey B. Anderson, Stefania Fatone, Mark M. Mañago, Laura A. Swink, Andrew J. Kittelson, Dawn M. Magnusson, Cory L. Christiansen
Background: After lower limb amputation, several prosthesis design options exist. However, prosthesis design decisions do not always reflect a prosthesis user’s needs, values, and preferences. Objective: To develop a patient decision aid (PDA) prototype for prosthetists and new prosthesis users facing prosthesis design decisions after lower limb amputation, and to assess its usability, accuracy, and
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Use of standardized outcome measures for people with lower-limb amputation: A survey of prosthetic practitioners in Canada Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-20 Brittany Mae Pousett, Bram P. W. Kok, Sara J. Morgan, Brian J. Hafner
Background: Outcome measures (OMs) are useful tools; however, clinicians may find implementing them into clinical practice challenging. Objectives: To characterize Canadian prosthetists’ use of OMs for people with lower-limb amputation, including motivations for use, comfort selecting OMs, resources available for administration, and barriers to implementation. Methods: A cross-sectional study was conducted
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Reliability and validity of the Turkish version of the Prosthesis Embodiment Scale for Lower Limb Amputees Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-20 Senem Demirdel, Ertuğrul Demirdel, Osman Söyler, Mesut Akyol
Background: Prosthetic embodiment is the perception of the prosthesis as a part of the body, and it is important for acceptance and adequate and effective use of the prosthesis. Objective: The aim of this study was to investigate the validity and reliability of the Turkish version of the Prosthesis Embodiment Scale for Lower Limb Amputees. Methods: This cross-sectional study included a total of 88
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What are relevant predictors of physical activity in older adults with lower limb loss (LLL)? Results of a retrospective analysis Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-15 Isabelle Rash, William C. Miller, Gordon Tao, Michael W. Payne
Background: People with lower limb loss (LLL) have reduced physical activity (PA). There is evidence of physical and psychosocial predictors of PA in older adults with limb loss. However, these 2 areas (physical/psychosocial) have not been evaluated in the same analysis. Objectives: To describe and identify predictors of PA in individuals with LLL. Study design: Cross-sectional study. Methods: Secondary
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The lived experience of military beneficiaries with amputations at the hip and pelvic level Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-11 Nicholas Spinuzza, Terrence R. McHugh, Jared S. Garland, William T. Roddy, Melissa A. Hewitt, Colin J. Harrington, Akshay Thaper, Josh Reini, Douglas G. Smith, Paul F. Pasquina
Background: Hip- and pelvic-level amputations are devastating injuries that drastically alter patient function and quality of life. This study examined the experience of military beneficiaries with a hip- or pelvic-level amputation to better characterize their challenges and specific needs and to optimize treatment in the future. Methods: We conducted a retrospective review of the Military Health System
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How does orthotic walker boot design influence lower limb and trunk function during gait? Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-11 Lauren Haworth, Nicole Booth, Ambreen Chohan, Graham Chapman, Jim Richards
Background: Undesirable lower limb gait deviations have previously been reported when wearing orthotic walker boots; therefore, there is a need to optimize orthotic walker boot designs to facilitate normal gait. Objective: This study explored the biomechanical effects of 2 designs of orthotic walker boot on the lower limb and trunk compared with usual footwear. Study design: A repeated measures analysis
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Effect of lateral wedge insole on medial meniscus extrusion and its association with knee osteoarthritis progression Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-03-05 Yosuke Ishii, Masakazu Ishikawa, Noboru Shimada, Makoto Takahashi, Yoshitaka Iwamoto, Shota Date, Hiroshi Kurumadani, Goki Kamei, Toru Sunagawa, Nobuo Adachi
Background: Medial meniscus extrusion (MME) is associated with knee osteoarthritis (OA) progression because of increased loading stress in the medial compartment of the knee. Using a lateral wedge insole (LWI) decreases loading stress and immediately reduces MME. Objective: To investigate whether the wearing duration of LWI affects the midterm response to MME and is associated with knee OA progression
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Four weeks of inpatient comprehensive prosthetic rehabilitation achieves contrasting results in different groups of prosthetic users Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-20 Vegar Hjermundrud, Gitte Flindt Hilding, Terje Gjøvaag
Background: This study explored how inpatient exercise rehabilitation affected prosthetic mobility, function, and ambulation in persons with lower limb loss. Methods: In this explorative prospective nonrandomized intervention study, experienced (EXP-INT, n = 20) and new prosthetic users (NEW-INT, n = 18) completed a 4-week rehabilitation intervention. A control group of experienced prosthetic users
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A disparity in prosthetic access for Ecuadorians with lower-limb amputation Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-20 Emily Lipski, William F. Waters, Sally Kenworthy, Ashley Mullen
Background: Individuals with disabilities in low- and middle-income countries face barriers to rehabilitation services, including prosthetic care. Many countries, such as Ecuador, have adapted policies toward achieving universal health care coverage. For optimal functional outcomes, understanding the physical potential of prosthetic users is critical for appropriate prosthetic services. Objective:
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Convergent construct validity of the Brazilian version of the Houghton scale Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-20 Milena Zavatini Secco, Larissa Lavoura Balbi, Maira Stéfanie de Castro Pereira, Wilker Santos Costa, Ana Regina de Souza Bavaresco Barros, Marisa de Cássia Registro Fonseca
Background: After lower limb amputations, a decrease in gait capacity, even with prostheses, is common and persistent. Functional ability involves multiple constructs; therefore, several outcome measures, such as performance tests or self-report questionnaires, should be used to evaluate people with amputation who use prostheses. Objective: To analyze the convergent construct validity of the Brazilian
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Which factors may influence medium-term quality of life of patients with lower-limb loss? A systematic review of the literature Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-12 Doriane Pelzer, Charlotte Beaudart, Aurore Thibaut, Stephen Bornheim, Jean-François Kaux
Objectives: The aim of this study was to systematically review the literature to identify factors that may influence quality of life in people with lower-limb amputation (all etiologies). Our primary focus was on identifying factors that can be modified, enabling a more concentrated integration of these aspects into the care and treatment of amputated patients. Data source: Medline (via Ovid) and Scopus
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Biomechanical effects of foot orthoses on jump landing performance: A systematic review Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-08 Abu Jor, Mingyu Hu, Mark W.P. Koh, Noelle W.K. Lau, Aliyeh Daryabor, Wing-Kai Lam, Toshiki Kobayashi
Jumping is involved in a wide range of sports and activities, and foot orthoses (FO) are suggested to enhance performance and prevent injury. The aim of this systematic review was to investigate whether using FO with different modifications affects jump landing biomechanics and improves performance in healthy individuals. The search strategy included 7 databases that identified 19 studies. The study
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In Memoriam: Willem Eisma, 1938–2023 Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-02 Jan Geertzen
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The national profile of the prosthetic and orthotic workforce in the UK: Sociodemographics and employment characteristics Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-02-02 Enza Leone, Nicola Eddison, Aoife Healy, Caroline Jackson, Bracken Pluckrose, Nachiappan Chockalingam
Background: Prosthetists and orthotists (POs) are essential members of the health care workforce and one of the United Kingdom’s (UK’s) allied health professions. There is a paucity of information on their demographics, which is essential for the development of the profession. To fill this void, this study has attempted to comprehensively explore the sociodemographics and work-related characteristics
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Complications of major lower limb amputations before prosthetic provision at a tertiary care rehabilitation facility Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-16 Huthaifa Atallah, Ahmad Zaheer Qureshi, Shah Nawaz, Tariq Wani
Background: Although postoperative complications of lower limb amputations and complications related to prosthetics are well known, complications before prosthetic fitting are less often emphasized in literature. There are no Saudi studies documenting the complications before prosthetic fitting where there is high rise in dysvascular amputation, and early prosthetic provision remains a challenge. Objectives:
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Returning to work after dysvascular lower limb amputation—A novel multivariate approach to examine relative contributions of biopsychosocial predictors Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-05 Szu-Ping Lee, Lung-Chang Chien, Hui-Ting Shih, Sabrina Ho, Sheila Clemens
Background: Returning to work is a key outcome of rehabilitation and social re-integration after lower limb amputation. It is important to understand what biopsychosocial factors contribute to returning to work after dysvascular amputation. Objective: Examining relative contributions of functional and contextual predictors of returning to work in participants with lower limb amputation due to diabetes
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Design and characterization of a variable-stiffness ankle-foot orthosis Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-05 Haochen Rong, Sepehr Ramezani, Alex Ambro, Chi Hou Lei, Hwan Choi
Background: Ankle-foot orthoses (AFOs) are a type of assistive device that can improve the walking ability of individuals with neurological disorders. Adjusting stiffness is a common way to customize settings according to individuals' impairment. Objective: This study aims to design a variable-stiffness AFO by stiffness module and characterize the AFO stiffness range to provide subject-specific settings
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Development of a proposed organizational framework for undergraduate research training in prosthetics and orthotics education Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-05 Juthamas Siriwatsopon, Manunchaya Samala, Garry Guerra, Pattaraporn Kongsatan, Pitchaya Rayothee
Background: An undergraduate research project gives prosthetic and orthotic (P&O) students the chance to acquire both foundational research knowledge and in-depth knowledge in a specific area of interest in P&O research. Undergraduates frequently enter the field of research with less experience or understanding of research instruments, presenting them with significant obstacles when conducting research
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Three-dimensional printed exoskeletons and orthoses for the upper limb—A systematic review Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-04 Joana Lima Grilo Fernandes da Silva, Sérgio Miguel Barroso Gonçalves, Hugo Humberto Plácido da Silva, Miguel Pedro Tavares da Silva
This systematic review aims to assess and summarize the current landscape in exoskeletons and orthotic solutions developed for upper limb medical assistance, which are partly or fully produced using 3-dimensional printing technologies and contain at least the elbow or the shoulder joints. The initial search was conducted on Web of Science, PubMed, and IEEEXplore, resulting in 92 papers, which were
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Effects of online education on prosthetics orthotics education during COVID-19 Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-03 Halil Hakan Uysal, Tezel Yildirim Sahan, Hilal Keklicek, Bahar Anaforoglu Kulunkoglu
Background: It is obvious that educational activities were affected globally due to the pandemic. Objective: This study was planned to examine the effects of online education on undergraduate degree (UD) and associate degree (AD) Orthotics and Prosthesis education in the COVID-19 pandemic. Study Design: A crossectional online survey. Method: The Google Forms questionnaire was delivered to students
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Spiral strapping for improving upper extremity motor functions in individuals with stroke: A randomized controlled trial Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-03 Ehab Mohamed Abd El-Kafy, Mohamad Salaheldien Alayat, Reem M. Alwhaibi, Reem M. Basuodan
Background: The rehabilitation process for the upper extremities of individuals with stroke requires therapists to use splints for supportive and corrective purposes. The aim of this study was to assess the effectiveness of spiral strapping in inhibiting spasticity and improving the upper extremity motor functions of individuals with chronic stroke. Methods: Forty Saudi individuals aged 50–60 years
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Perceptions of physical activity among individuals with limb loss: A qualitative study Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-03 Crystal MacKay, Sander L. Hitzig, Amanda L. Mayo, Michael Devlin, Steven Dilkas, Andresa Marinho-Buzelli, Leanna Lee
Objectives: Individuals with lower-limb amputations (LLA) often have deficits in balance and community walking ability. As a result, people with LLA are often sedentary. The aim of this study was to explore perceptions of physical activity from the perspective of people with LLA. Methods: A qualitative descriptive study situated within an interpretive research paradigm was conducted. Semistructured
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The effect of different taping techniques on transtibial amputation walking parameters: A case report Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-03 Yasin Ekinci, Fatih Erbahçeci, Tülin Düger
Buerger disease is a nonatherosclerotic, segmental inflammatory disease of the occlusive tract, often involving medium-sized muscular and small-diameter arteries and veins of the extremities. If medical treatment is not successful, amputation is inevitable. The aim of this study was to investigate the effect of different kinesiological taping techniques on walking parameters of transtibial amputee
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Changes in activities-specific balance confidence of active unilateral transtibial prosthesis users after provision of a self-aligning ankle foot Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2024-01-03 Fiona Davie-Smith, Lynne Powell, Nikki Porteous, Bruce Carse
Background: Self-aligning ankle feet have an increased range of motion and are marketed to improve compliance over uneven terrain and increase function and balance; however, much of the existing literature focuses on the biomechanical aspect of these prostheses as opposed to patient-reported measures. Objective: To compare activities-specific balance confidence (ABC), health-related quality of life
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Investigation of the validity and reliability of the 3-meter backward walk test in high functional level adults with lower limb amputation Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-12-12 Tezel Yıldırım Şahan, Saniye Aydoğan Arslan, Osman Söyler
Background: Backward walk training has an important place in the rehabilitation programs of lower extremity amputees. Objective: This study aimed to investigate the test-retest validity and reliability of the 3-meter backward walk test (3MBWT), minimal detectable change, and the cutoff time in high functional level adults with lower limb amputations (LLAs). Adults with LLA (n = 30) and healthy adults
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Management of severe congenital femoral deficiency: Does surgical intervention enhance prosthetic function? Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Peter Calder, Ahmed Elsheikh, George Cross, Matt Thornton, Jonathan Wright, Deborah Eastwood, Imad Sedki
Background & Objective: The purpose of this study was to evaluate prosthetic outcome in patients with severe congenital femoral deficiency and the potential benefits of surgical intervention on prosthetic fitting and gait. Methods: A retrospective review identified 26 active case records with a proximal femoral focal deficiency using a prosthesis. Validated outcome measures evaluated comfort, function
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Safety, walking ability, and satisfaction outcomes of the NEURO TRONIC stance-control knee-ankle-foot orthosis (SCKAFO): A comparative evaluation to the E-MAG active SCKAFO Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Bart Raijmakers, Merel Anne Brehm, Frans Nollet, Fieke Sophia Koopman
Background: Stance control knee-ankle-foot orthoses (SCKAFOs) ensure knee stability by locking during stance while allowing knee flexion during swing. Differences in function of the knee joints and building principles between devices may affect their effectiveness. Objective: To investigate the preliminary effectiveness of a NEURO TRONIC on safety outcomes, net energy cost (EC), and user experiences
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Soft robotics-inspired sensing system for detecting downward movement and pistoning in prosthetic sockets: A proof-of-concept study. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Adam J Yu,Run Ze Gao,Peter S Lee,Christian Mele,Doug Dittmer,Andreas Schirm,Carolyn L Ren,James Y Tung
BACKGROUND Vertical displacement of the residual limb within transtibial prosthetic socket, often known as "pistoning" or downward movement, may lead to skin breakdowns and ulcers. Downward movement is particularly difficult to self-manage for diabetic individuals living with amputation because of diminished sensation in the residual limb from peripheral neuropathy. Therefore, a customizable sensor
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Use of his prostheses by a double upper limb amputee 6 years after amputation: From aesthetic to functional considerations, a case report. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Camille Noël,Jean-Michel Viton,Laurent Bensoussan,Maëva Cotinat
BACKGROUND Few studies have been published on the prosthetic management of bilateral upper limb amputees. Of particular interest is to study how a patient's use of his upper limb protheses had evolved over a 6-year period in the aim to decrease their rejection rate. CASE DESCRIPTION AND METHODS Mr. D had undergone a bilateral upper limb amputation and had been fitted with 7 different prostheses in
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Lived experience of children and adolescents with lower-limb loss who used a prosthesis: A qualitative study. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Sara Chami,Taher Babaee,Maryam Jalali,Hassan Saeedi,Mohammad Kamali
PURPOSE Children's and adolescents' level of activity, the type of activity, and other features are special to them and can result in unique experiences with lower-limb prosthesis. The specific objective of this study was to explore the lived experience of children and adolescents with lower-limb loss (LLL) who used a prosthesis. METHODS We used a descriptive qualitative study design and in-depth,
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A systematic review of methods used to assist transtibial prosthetic alignment decision-making. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-29 Mohammad S Malaheem,Nasrul Anuar Abd Razak,Noor Azuan Abu Osman
Prosthetic alignment is a highly subjective process that is still based on clinical judgments. Thus, researchers have aimed their effort to quantify prosthetic alignment by providing an objective method that can assist and guide prosthetists in achieving transtibial (TT) prosthetic alignment. This systematic review aimed to examine the current literature on TT prosthetic alignment to scope the qualitative
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Experimental and numerical analyses of alternate materials for performance enhancement of Jaipur foot. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-27 Harlal Singh Mali,Shamsher Singh,Smitkumar Savasni
BACKGROUND The Jaipur foot is the gold standard in low-cost prosthetics, and the amputee population in low-income and middle-income countries has benefited immensely from this innovation. The ability of the Jaipur foot to mimic the behavior of a regular foot, albeit to a limited extent, has made it a popular choice among clinicians and patients. However, the immense popularity has also hindered further
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Objective and subjective evaluation of walking ability with and without the use of a passive brace for hip flexor muscles in individuals with multiple sclerosis. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-22 Valeria Prada,Erica Grange,Caterina Sgarito,Elisabetta Pedrazzoli,Giovanna Konrad,Rachele Di Giovanni,Giampaolo Brichetto,Claudio Solaro
BACKGROUND Multiple sclerosis (MS) affects the cognitive and motor domains. Muscle weakness often leads to abnormal gait. Several solutions are rising, including the use of passive exoskeletons. OBJECTIVE The purpose of this study is to evaluate the effect of a first-ever use of a passive exoskeleton on walking ability in people with MS. METHODS We recruited 50 persons with MS. All subjects were assessed
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Satisfaction survey toward an innovative orthosis for children with cerebral palsy with pes planovalgus Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-14 Lisa Viallard, Sébastien Cordillet, Julie Dohin, Odile Gaultier, Laurane Maignan, Hélène Rauscent, Isabelle Bonan
Background: Pes planovalgus (PPV) is common in children with cerebral palsy and can cause pain and gait alterations over time. Initial treatment of flexible PPV includes orthotics, despite a lack of consensus on the type of orthosis. We developed an innovative ankle-foot orthosis (RAFO). RAFO is a one-piece orthosis designed to correct both the valgus and the flat of the foot. Its conception situated
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Prosthetics and orthotics for persons with movement disabilities in India in the postpandemic milieu. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-07 Arvind Kumar Prajapati,Manoj Komath,Subhash N N
The SARS-CoV-2 disease had a severe impact on global socioeconomic growth, and its harmful effects continue with virus mutation. Over the past 3 years, the pandemic has caused isolation, mental trauma, stress, financial losses, and various health complications in individuals. Recent reports have stressed the sufferings of the physically abled population. However, we should not neglect the challenges
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Predictors of long-term pain and function in individuals who received a custom dynamic orthosis and device-centric care pathway. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-06 Jared N Williamson,Megan M Grunst,Jeffrey Lynn,Gary A Williamson,Ryan V Blanck,Jason M Wilken
INTRODUCTION Carbon fiber custom dynamic orthoses (CDOs) have been shown to effectively reduce pain and improve function in military service members with lower-limb impairment, but data are limited for civilians. OBJECTIVES To evaluate the long-term outcomes of individuals who completed a CDO-centric care pathway in a civilian clinic by comparing baseline pain, mobility, and function with outcomes
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Knee disarticulation vs. transfemoral amputation after failed transtibial amputation: Surgical outcome and prosthetic fitting in patients with peripheral vascular disease Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-01 Lina S. Sjödin, Carin C. Ottosson, Lasse J. Lapidus
Objective: Our aim was to compare transfemoral amputation (TFA) to knee disarticulation (KD) as a reamputation level after failed transtibial amputation (TTA) in patients with peripheral vascular disease and/or diabetes. Methods: We studied 152 patients undergoing reamputation, 86 TFA and 66 KD, after a failed TTA. The primary outcome was reamputation and reoperation, and secondary outcomes were
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Exploration of outcome measures for assessing orthotic intervention in upper extremity peripheral nerve injuries: 2 case reports Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-11-01 Flávia Pessoni F. Macedo, Pat McKee, Ana Carolina Grillo Semedo, Maitê Parisi, Isadora Scarpa, Paulo Roberto Pereira Santiago, Marisa de Cássia Registro Fonseca
In upper extremity peripheral nerve injuries, orthotic intervention has been used as a valuable device to restore function. However, there is lacking evidence to support it. The purpose of this study was to explore the application of body function’s outcome measures for orthotic intervention evaluation in patients with peripheral nerve injury. Two participants sustaining a peripheral nerve injury who
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A phenomenological analysis of medical tourism: Investigating the lived experience of returning to Canada after osseointegration abroad. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Christopher D Bedore,A Kirsten Woodend
BACKGROUND Travel out of country for medical care is increasing for many reasons including costs, wait-lists, and availability of procedures. Until 2018, when the surgery was offered in only 1 province, Canadians with amputation wanting osseointegration (OI) had to travel out of country for the surgery. The purpose of this study was to understand the lived experience of accessing health care in Canada
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Effects of high-profile crossover feet on gait biomechanics in 2 individuals with Syme amputation. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Conrad Slater,Brian J Hafner,Sara J Morgan
BACKGROUND Prosthetic treatment options for people with ankle disarticulation (i.e., Syme amputation) are limited. Prosthetic feet designed for people with Syme amputation are often low profile to accommodate build-height restrictions, resulting in decreased energy return during gait. High-profile crossover feet that attach to the posterior proximal aspect of the prosthetic socket can bypass these
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Prosthetic device and service satisfaction, quality of life, and functional performance in lower limb prosthesis clients. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Oluwagbemiga O DadeMatthews,Jaimie A Roper,Adan Vazquez,David M Shannon,JoEllen M Sefton
OBJECTIVE The aim of this study was to characterize the relationship between prosthetic device and service satisfaction, health-related quality of life (HRQOL), and functional movement in a diverse population of lower limb prosthesis users. METHODS An online survey was conducted on individuals with lower limb amputation between September and October 2021. Sample validated questionnaires assessing demographic
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Orthosis vs. exercise for the treatment of adult idiopathic trigger fingers: A randomized clinical trial. Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Mohammed Sh Nadar
OBJECTIVE Trigger finger is a common clinical disorder that often results in pain and functional limitations. This study aimed to determine whether joint-blocking orthosis was effective in treating adult idiopathic trigger fingers. METHODS Fifty-five participants were randomly assigned to either a hand therapy group or an orthosis group that immobilized the proximal interphalangeal joint for 6 weeks
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The effectiveness of graded motor imagery and its components on phantom limb pain in amputated patients: A systematic review Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Sandra Rierola-Fochs, Mirari Ochandorena-Acha, Jose Antonio Merchán-Baeza, Eduard Minobes-Molina
Background: Phantom limb pain (PLP) can be defined as pain in a missing part of the limb. It is reported in 50%–80% of people with amputation. Objectives: To provide an overview of the effectiveness of graded motor imagery (GMI) and the techniques which form it on PLP in amputees. Study Design: Systematic review. Methods: Two authors independently selected relevant studies, screened the articles
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Efficacy of rehabilitation after provision of ICRC lower limb prostheses in low-income and middle-income countries: A quantitative assessment from Myanmar Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-20 Stephney Weerasinghe, Alejandra Aranceta-Garza, Laura Murray
Background: Low-income and middle-income countries (LMICs) have poorly resourced health services. Lack of access to assistive devices, such as prosthetics, may limit the functional outcomes of persons with amputation and affect quality of life (QoL). Objective: The objective of this study was to assess the functional level and QoL of prosthetic users in LMICs when prescribed a prosthesis made from
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Does an alternative breast support garment provide symptomatic relief for larger breasted women with chronic non-specific back pain? Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-16 Lauren Haworth, Karen May, Jessie Janssen, James Selfe, Ambreen Chohan
Background: Nonsurgical guidelines recommend implementing a correctly fitted bra when managing back pain among larger breasted women. Achieving this is challenging with current bra solutions, sizing principles, and fitting approaches. Persistent wearing of an ill-fitting bra can cause negative health implications, including non-specific back pain. Objectives: This study investigated immediate and
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Categorization and recommendations for outcome measures for lower limb absence by an expert panel Prosthet. Orthot. Int. (IF 1.5) Pub Date : 2023-10-16 Friedbert Kohler, Gregory R. J. Halford, Martina Lukin, Brian J. Hafner, David A. Boone, Deirdre M. Desmond, Franco Franchignoni, Robert S. Gailey, Kerstin Hagberg, Matthew J. Major, Linda Resnik, Jade M. Tan
Background: Understanding the psychometric strengths and limitations of outcome measures for use with people with lower limb absence (LLA) is important for selecting measures suited to evaluating patient outcomes, answering clinical and research questions, and informing health care policy. The aim of this project was to review the current psychometric evidence on outcome measures in people with LLA