Canadian Prosthetics Orthotics Journal最新文献

{"title":"Detecting Changes in Comfort, Pain, and Mobility Over Clinical Milestones for Individuals With Lower Limb Loss.","authors":"B M Pousett, C C Harasym, M S Rapaport, T Richardson, J Spellen, D W Moe, W C Miller","doi":"10.33137/cpoj.v7i1.43890","DOIUrl":"10.33137/cpoj.v7i1.43890","url":null,"abstract":"<p><strong>Background: </strong>Functional mobility, comfort and the absence of pain are key goals of prosthetic treatment. Outcome measures (OMs) evaluate the impact of treatment and normative and minimal detectable change (MDC) values are key to interpreting these scores and measuring treatment outcomes.</p><p><strong>Objectives: </strong>This study seeks to 1) present practice-based normative values of four commonly used OMs at four prosthetic milestones and 2) explore the MDC of the measures over the treatment period.</p><p><strong>Methodology: </strong>A chart review was conducted of OMs collected with individuals with lower limb loss between January 1, 2015, and December 31, 2023. This included data for individuals with unilateral transtibial (TT), transfemoral (TF) and rotationplasty (RP) amputations and bilateral transtibial amputation (BTT). OMs included the Socket Comfort Score (SCS), Pain Scale (PS), 2 Minute Walk Test (2MWT), and Prosthetic Limb Users Survey of Mobility (PLUS-M). Data were collected at four milestone time points: (1) Baseline and (2) Discharge from Rehabilitation for those in initial prosthetic rehabilitation, and (3) Initial Evaluation and (4) Definitive Delivery for those receiving a replacement socket. Normative values and MDC values were calculated.</p><p><strong>Findings: </strong>Data from 30 individuals undergoing in-patient rehabilitation and 74 individuals receiving a replacement socket were included. Practice-based normative data were different for each level of amputation and milestone and had the following ranges: SCS: 5.7 - 9.1, PS: 0.8 - 3.7, 2MWT: 68.4 - 146.3 m and PLUS-M: 38.9 - 57.3. MDC values also varied based on time in treatment (Rehabilitation: SCS = 2.5, PS = 1.6, 2MWT = 32.6, PLUS-M = 8.8; Replacement Socket: SCS = 3.1, PS = 2.6, 2MWT = 38.9, PLUS-M = 4.0). All measures had a statistically significant change over the intervention, however, no average scores changed by greater than the MDC.</p><p><strong>Conclusions: </strong>The normative data and MDC scores demonstrate the PS & PLUS-M are useful measures of pain and mobility at all points within treatment. The 2MWT is indicated for individuals in rehabilitation, while the SCS is indicated for those receiving a replacement socket, as both effectively measure treatment goals that are particularly important for each phase of rehabilitation. This provides clinicians with practice-based evidence that enables them to interpret OM scores, a critical part of the decision-making process along the treatment journey.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"43890"},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a Yoga Intervention in an Inpatient Limb Loss Rehabilitation Program.","authors":"A L Mayo, B Cheung, J Li, S Jean, A Vijayakumar, S L Hitzig, R Simpson","doi":"10.33137/cpoj.v7i1.43896","DOIUrl":"10.33137/cpoj.v7i1.43896","url":null,"abstract":"<p><strong>Background: </strong>Limb loss is a life-changing event, which may be associated with limited mobility, pain, and low mood. Yoga interventions have been found to be beneficial for improving emotional wellness and pain in other patient populations. The benefits of including yoga in limb loss rehabilitation have not been well studied.</p><p><strong>Objective: </strong>The purpose of this study was to determine if an adaptive yoga program would be suitable for individuals with newly acquired limb loss in a rehabilitation program.</p><p><strong>Methodology: </strong>A yoga video was co-designed by rehabilitation clinicians and a limb loss patient partner certified in yoga instruction. Surveys were used to collect patients' socio-demographics and previous yoga experience. Participants completed a therapist guided group yoga video session, and then given online access to practice independently. Post-yoga participation surveys and qualitative interviews were conducted with patients to determine acceptance and feasibility of the yoga intervention.</p><p><strong>Findings: </strong>Twenty-four participants with lower limb amputation(s) were approached to participate. The majority of participants (63%) had dysvascular-related amputations. Nineteen out of 24 recruited patients (79%) completed the yoga video session and the pre-yoga survey. Sixteen out of 19 participants completed the post-yoga survey, and eight also completed a qualitative interview. Five had previously undertaken yoga but rated themselves as novices. All participants felt that yoga was beneficial, easy to complete, and should be included in rehabilitation. Participants found yoga to be relaxing and some noted reduction in pain. Most preferred to do yoga in a group. Five out of eight patients (63%) interviewed continued to do the yoga video independently in hospital and post-discharge. Challenges with the yoga intervention included lack of a quiet yoga space, and dedicated time given other appointments/priorities.</p><p><strong>Conclusion: </strong>Yoga was widely accepted by the inpatient limb loss population. Yoga may complement traditional limb loss rehabilitation by providing patients a relaxing experience; however, further research is needed.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"43896"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invisible Struggles: Exploring Challenges Faced by Women With Amputation in India.","authors":"J Alam, A Joshi, N Mir, N Chawla, S Sagar","doi":"10.33137/cpoj.v7i1.44002","DOIUrl":"10.33137/cpoj.v7i1.44002","url":null,"abstract":"<p><p>Women in India, particularly those with amputation, face significant challenges, including but not limited to, unequal prosthetic access and satisfaction, societal discrimination, and the physical and emotional consequences of amputation. These challenges are further exacerbated by gender biases towards access to education and socioeconomic factors, which increases their vulnerability to unemployment and mental health issues. This article emphasizes the urgent need for affordable and customizable prosthetic options tailored to the unique needs of women with amputation, particularly those from low-income backgrounds who often face neglect. Thus, addressing these disparities would significantly enhance their overall well-being and independence.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"44002"},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Factors for Prescription and Validation of Actuated Upper Limb Devices: a Cross-sectional Survey of Allied Health Professionals.","authors":"A Galbert, A Buis","doi":"10.33137/cpoj.v7i1.43790","DOIUrl":"10.33137/cpoj.v7i1.43790","url":null,"abstract":"<p><strong>Background: </strong>Actuated devices can be beneficial for individuals with upper limb muscle weakness, offering extra force and grip. Utilising this type of assistive device can facilitate daily activities, thereby enhancing independence and overall quality of life. The development of actuated assistive devices has been growing, and current literature shows promise in their clinical use. However, they are not yet medically recommended by global guidelines and councils. Studies have suggested why assistive devices have barriers to access, but actuated devices have not been a focus in these discussions.</p><p><strong>Objectives: </strong>To address this issue, a survey was conducted among professionals who prescribe and assess upper limb assistive devices. The survey aimed to gather their opinions and quantify the factors that might contribute to the limited use of actuated devices in the field.</p><p><strong>Methodology: </strong>A web-based cross-sectional study was designed using Qualtrics, contained 25 items and was conducted between October 2023 and January 2024. The survey was piloted, validated, and ethically approved. Results were statistically analysed, and open questions underwent thematic analysis.</p><p><strong>Findings: </strong>87 Allied Health Professionals (AHPs) contributed to the survey, with a completion rate of 69% (60/87). Survey respondents predominately worked from the USA (72%). The survey revealed that 66% of respondents felt they did not have sufficient access to assistive devices and 58% indicated that outcome measures could be improved. They also noted that actuated devices needed to better meet user-centric needs. Barriers to prescribing these devices included a lack of awareness, experience and standardised prescription methods. In addition, the limited time with patients made decision-making and validation of an actuated device difficult.</p><p><strong>Conclusion: </strong>AHP's have experience prescribing assistive devices but do not have access, knowledge, or clinical methods to assess the use of actuated devices. Future designs for actuated devices should focus on wearability, comfort, user satisfaction, safety and ease of use.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"43790"},"PeriodicalIF":0.0,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of Three Types of Therapeutic Offloading Diabetic Shoes With Custom Made Insole on Plantar Pressure Distribution in Severe Diabetic Charcot Foot.","authors":"M Nouman, R Apiputhanayut, T Narungsri, S Tipchatyotin, T Dissaneewate","doi":"10.33137/cpoj.v7i1.41780","DOIUrl":"10.33137/cpoj.v7i1.41780","url":null,"abstract":"<p><strong>Background: </strong>Charcot foot deformity, a severe complication of diabetes, involves neuropathy and abnormal peak plantar pressure in the midfoot and forefoot. However, orthotic interventions and shoe modifications are used to address the sequelae of Charcot neuroarthropathy, offering different approaches to managing abnormal peak plantar pressure.</p><p><strong>Objective: </strong>To compare the effects of three types of therapeutic offloading diabetic shoes; prefabricated, relasting, and double rocker-modified shoes on peak plantar pressure in the midfoot and forefoot of nonulcerated chronic Charcot foot during walking.</p><p><strong>Methodology: </strong>A repeated measure design involved 15 participants (40% males and 60% females) with a mean age of 60.73 years (SD=10.50), with Charcot neuropathy. Participants were provided with three types of shoes; prefabricated, relasting, and double rocker-modified shoes, each equipped with the same custom-made insole (CMI). Plantar pressure was recorded while walking on level ground, focusing on the forefoot, midfoot, and hindfoot. The study also investigated additional variables affecting plantar pressure distribution, including the pressure-time integral and contact area.</p><p><strong>Findings: </strong>The type of shoe had distinct effects on the distribution of plantar pressure. The double rocker-modified shoe particularly impacted forefoot pressure during the terminal stance phase of the gait cycle. Peak plantar pressure at the forefoot increased by 5.37% with double rocker-modified shoes compared to relasting shoes. Both double rocker-modified and prefabricated shoes reduced midfoot peak plantar pressure by 8.73% and 11.97%, respectively. Similar trends were observed at the hindfoot, with reductions in peak plantar pressure. However, there were no significant differences in regional peak plantar pressure between the types of shoes except for the central forefoot (F (1.61, 22.5) = 5.69, p = 0.014).</p><p><strong>Conclusion: </strong>There were no significant differences in the effectiveness of prefabricated, relasting, and double rocker-modified shoes in reducing and redistributing peak plantar pressure in high-risk areas of chronic Charcot foot.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"41780"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Temporary Training Prosthesis for People With Transtibial Amputation: a Technical Note.","authors":"H Gholizadeh, N Baddour, N Dudek, E D Lemaire","doi":"10.33137/cpoj.v7i1.43034","DOIUrl":"10.33137/cpoj.v7i1.43034","url":null,"abstract":"<p><strong>Background: </strong>While waiting to receive a prosthesis, individuals with amputations could benefit from using a temporary training prosthesis to expedite the rehabilitation process and prepare them for subsequent walking with their prosthesis.</p><p><strong>Objectives: </strong>To design and build a temporary training prosthesis for people with a transtibial amputation.</p><p><strong>Methodology: </strong>Various temporary training prostheses were designed and simulated using SolidWorks software, followed by fabricating and testing multiple prototypes. Initial tests were conducted on five able bodied subjects without amputation to evaluate comfort, ensure the prototype functioned as intended, and to refine the design. The final prototype design had no weight-bearing on the residual limb end and required the person to wear a shrinker or silicone liner.</p><p><strong>Findings: </strong>SolidWorks simulations showed that the device could tolerate up to 200 kg load. Subjective feedback indicated that body weight is primarily supported by the thigh section, while partially utilizing the patellar tendon and tibial flares. The thigh section can be shifted 5 cm up or down and 2.5 cm to the front or back from the knee joint center (to enhance knee stability or function). Additionally, the thigh angle can be adjusted to 0, 5, 10, or 15 degrees to accommodate hip flexion contracture. The shank section width is adjustable and can be shifted up or down based on the residual limb shape. All five able-bodied participants successfully walked with the non-amputee version of the temporary prosthesis prototype and the device withstood walking, sitting, and standing loads.</p><p><strong>Conclusion: </strong>An adjustable temporary training prosthesis was successfully designed, and pilot tested by five able-bodied individuals. Future testing will involve five experienced prosthetic users before conducting trials with individuals with a new transtibial amputation.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"43034"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' Burden Using Microprocessor-stance-and-swing-control Knee-ankle-foot Orthoses and Outcomes Compared to Those With Prior Traditional Knee-ankle-foot-orthosis.","authors":"B Brüggenjürgen, L Eilers, S Seidinger, A Kannenberg, C Stukenborg-Colsman","doi":"10.33137/cpoj.v7i1.42799","DOIUrl":"10.33137/cpoj.v7i1.42799","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patients with neuromuscular knee instability who are fitted with orthotic devices experience issues such as pain, falls, mobility limitations, and restricted participation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To analyze the burden of disease in patients using a microprocessor-stance-and-swing-control orthosis (MP-SSCO) and, if they had a previous orthosis, to compare their outcomes to those with previous use of a traditional knee-ankle-foot-orthosis (KAFO) under real-world conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;A structured cross-sectional survey was conducted in six orthotic and prosthetic clinics in Germany. Individuals who had been using an MP-SSCO (C-Brace) for at least six months, answered an internet-based survey to rate their current and recall previous device outcomes and experience. The questionnaire was self-developed based on established questionnaire design principles and pretested. Patients' well-being dimensions were analyzed with Likert scales. Experiences with current and previous orthotic devices were compared. Falls were analyzed both with and without outliers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;21 individuals who had used a MP-SSCO for an average duration of two years participated. Fourteen patients had prior experience with a traditional KAFO orthosis. Among them, 78.6% recalled experiencing falls, with a combined annual frequency of 67.9 (SD=167.0, Median=12.0) events. After excluding the two outliers (624 and 182 falls), a mean of 12.1 falls per patient per year was reported (range: 0 to 54, SD=15.9, Median=8.5). With the MP-SSCO, only 42.7% reported falls with an annual frequency of 5.3 (SD=17.0, Median=0.0) falls (p&lt;0.01). After excluding outliers for MP-SSCO users, the average number of falls was 0.5 per year (range 0 to 3, SD=0.9, Median=0.0). This value was significantly lower compared to the previous orthosis (p&lt;0.01). With their previous KAFO, 57.1% of the participants reported being able to walk downstairs, 14.3% to descend stairs with reciprocal gait, and 42.9% to vary their walking speeds. In contrast, 90.5% of MP-SSCO users reported being capable of descending stairs, 81.0% reported to descend stairs with reciprocal gait (p&lt;0.01), and 76.2% claimed they had the ability to walk with varying speeds (p=0.03). Additionally, 71.4% of the respondents experienced an improvement in their engagement in activities with the MP-SSCO. 50.0% reported pain with the previous orthosis, compared to 38.1% with the MP-SSCO. Pain intensity was higher for the previous orthosis use (3.8) compared to MP-SSCO use (2.8) on a 1-5 scale (p=0.06). 93.3% of the participants regarded the MP-SSCO as superior, noting an enhanced quality of life (QoL) compared to the previous orthosis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Advanced orthotic technology may positively impact outcomes such as fall frequency, activities of daily living, fear of falling and pain. However, in this study, results from the previous ortho","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"7 1","pages":"42799"},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COMPARISON OF BODY COMPOSITION METHODS FOR ESTIMATING BODY FAT PERCENTAGE IN LOWER LIMB PROSTHESIS USERS","authors":"John Smith, Gary Guerra, T. Brock Symons, Eun Hye Kwon, Eun-Jung Yoon","doi":"10.33137/cpoj.v6i1.41605","DOIUrl":"https://doi.org/10.33137/cpoj.v6i1.41605","url":null,"abstract":"BACKGROUND: There is a dearth of literature evaluating the accuracy of Air Displacement Plethysmography (ADP) compared to Dual-energy X-ray Absorptiometry (DXA) for assessing body composition in individuals with lower limb amputations. Validity of ADP in persons with lower limb amputations must be established. OBJECTIVE: The objective of this study was to compare body composition in persons with lower limb amputations using the BOD POD® and DXA. METHODOLOGY: Body composition was performed on eleven lower limb prosthesis users (age 53.2±14.3 years, weight 81.9±22.3kg) using ADP and DXA with and without prosthesis. FINDINGS: Repeated measures ANOVA indicated no significant difference in body composition among and between trials, F(3,8)= 3.36, p= 0.075. There were no significant differences in Body Fat (BF) percentage with and without prostheses on the BOD POD (28.5±15.7% and 33.7±12.1%, respectively) nor the DXA (32.9±10.6% and 32.0±9.9%, respectively). Association between the BOD POD and DXA were greatest when prostheses were not worn compared to when they were worn. Bland-Altman plots indicate agreement between BOD POD® and DXA was greatest while wearing the prosthesis. CONCLUSION: This study is a first to compare total body fat percent between the BOD POD® and DXA in lower limb prosthesis users. BOD POD® report valid indices of BF%. Future work will utilize the BOD POD® in intervention studies for monitoring body composition changes across the continuum of rehabilitation. Layman's Abstract Measurement of body composition is helpful in understanding the health of persons with lower limb prosthesis. The gold standard method of body composition assessment is through Dual-energy X-ray Absorptiometry (DXA). This method can be costly and is less economical than Air Displacement Plethysmography (ADP). The aim of this research was to explore the accuracy of the ADP using a BOD POD® instrument in lower limb prosthesis wearers. Body composition measurements using the BOD POD® and DXA were administered. Assessments were performed while wearing and not wearing the prosthesis. Results indicate that no differences between the two body composition assessment methods either with or without prosthesis. The less costly ADP technology may be utilized for body composition in lower limb prosthesis users. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/41605/32165 How To Cite: Smith JD, Guerra G, Symons TB, Kwon EH, Yoon EJ. Comparison of body composition methods for estimating body fat percentage in lower limb prosthesis users. Canadian Prosthetics &amp; Orthotics Journal. 2023; Volume 6, Issue 1, No.2. https://doi.org/10.33137/cpoj.v6i1.41605 Corresponding Author: Gary Guerra, PhD Department of Exercise and Sport Science, St. Mary’s University, San Antonio, Texas, USA.E-Mail: gguerra5@stmarytx.eduORCID ID: https://orcid.org/0000-0002-0161-4616","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"81 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135091924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE NEPALI VERSION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY SHORT-FORM (PLUS-M™/NEPALI-12SF) IN LOWER LIMB PROSTHESIS USERS","authors":"Amit Ratna Bajracharya, Sirirat Seng-iad, Kazuhiko Sasaki, Gary Guerra","doi":"10.33137/cpoj.v6i1.41310","DOIUrl":"https://doi.org/10.33137/cpoj.v6i1.41310","url":null,"abstract":"BACKGROUND: Objective mobility measurement of Nepali prosthesis users is lacking. OBJECTIVE: The objective of this study was to cross-culturally adapt, translate and evaluate construct validity of the Prosthetic Limb Users Survey of Mobility (PLUS-M™/Nepali-12 Short Form (SF)) instrument in lower limb prosthesis users residing in Nepal. METHODOLOGY: Two forward translations, review and reconciliation, back translation, expert review, developer review to create the PLUS-M™/Nepali-12SF. Psychometric testing for internal consistency, test-retest reliability and construct validity against the Two-Minute Walk Test (2MWT) and Amputee Mobility Predictor with Prosthesis (AMPPRO) were performed on sixty-six lower limb prosthesis users. FINDINGS: The majority of populations were with transtibial amputation 45 (68%), with transfemoral amputation 15 (23%), with knee disarticulation 5 (7.5%) and with syme’s amputation 1 (1.5%). The most common cause of amputation among the population was trauma and the least was tumor. Chronbach’s alpha for the PLUS-M™/Nepali-12SF was 0.90, mean T-Score was 52.90, test-retest intraclass correlation coefficient (ICC) was 0.94 (95% confidence interval 0.90-0.96). Construct validity with the 2MWT was good (r = 0.62, p< 0.001) and moderately positive with the AMPPRO (r = 0.57, p< 0.001). CONCLUSION: Our research evidenced that the PLUS-M™/Nepali -12SF had excellent reproducibility. The significance of this work is that it may allow for the measurement of mobility in austere locations of Nepal. Layman's Abstract In this research, the authors performed a cross-cultural translation and validation of a Prosthetic Limb Users Survey of Mobility (PLUS-MTM). Understanding mobility of lower limb prosthesis user is important for understanding effect of prosthetic limb treatment. One simple and valid way to measure this is to administer a short survey. The PLUS-MTM survey was designed for lower limb prosthesis users whom can walk independently without assistance; however, a Nepali version did not exist. Translation of the PLUS-MTM occurred and Nepali lower limb prosthesis users were provided the survey. Moreover, survey scores were compared with users performances on a walking performance test called the Two-Minute Walk Test (2MWT) and Amputee Mobility Predictor with Prosthesis (AMPPRO). After comparison, it was found that the PLUS-MTM survey was more appropriate with Nepali culture, with good association between of PLUS-MTM with 2MWT, and AMPPRO scores. Meaning, if users scored high on the mobility survey they were also likely to score high on the walking test. The PLUS-MTM can now be confidently used in Nepal to track mobility of independent lower limb prosthesis users who can walk without other person’s assistance. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/41310/31816 How To Cite: Bajracharya AR, Seng-iad S, Sasaki K, Guerra G. Cross-cultural adaptation and validation of the Nepali version of the Prost","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135519649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor Regarding: Evolving Business Models in Orthotics by Schneider, N.","authors":"C Pardy, S Scott, J Barnert, C Reimer","doi":"10.33137/cpoj.v5i2.38313","DOIUrl":"10.33137/cpoj.v5i2.38313","url":null,"abstract":"<p><p>The purpose of this letter is to continue the dialogue regarding the paper \"Evolving business models in Orthotics\" in the Canadian Prosthetics & Orthotics Journal Volume 4, Issue2, No.3, 2021. In it we present the perspective of the current Alberta Association of Orthotists and Prosthetists (AAOP) and provide additional context and information on historical events. Finally, we provide additional clarity on how costing is approached in the Province of Alberta (Canada) and the purported inequity in compensation between the two disciplines.</p>","PeriodicalId":32763,"journal":{"name":"Canadian Prosthetics Orthotics Journal","volume":"5 2","pages":"38313"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}