Prosthetics and Orthotics International最新文献

{"title":"Effects of high-profile crossover feet on gait biomechanics in 2 individuals with Syme amputation.","authors":"Conrad Slater, Brian J Hafner, Sara J Morgan","doi":"10.1097/PXR.0000000000000295","DOIUrl":"10.1097/PXR.0000000000000295","url":null,"abstract":"<p><strong>Background: </strong>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 restrictions and may promote a more physiologic gait pattern.</p><p><strong>Objectives: </strong>To compare level-ground gait biomechanics and patient-reported outcomes between crossover and traditional energy-storing feet in people with Syme amputation.</p><p><strong>Study design: </strong>Within-participant pilot study.</p><p><strong>Methods: </strong>Both participants were fit with energy-storing and crossover feet and were randomized to the order they used the feet. Participants used each foot for 2 weeks before assessment. Step length symmetry, prosthetic ankle range of motion, prosthetic-side energy return, and peak sound-side loading were determined from motion capture data obtained in a laboratory. Mobility and balance confidence were measured using standardized patient-reported outcome measures. Foot preference was assessed with an ad hoc survey.</p><p><strong>Results: </strong>Two participants with Syme amputations completed the study. Prosthetic ankle peak dorsiflexion and push-off power increased with the crossover foot compared with the energy-storing foot for both participants. Both participants reported an overall preference of the crossover foot. Changes in patient-reported outcomes did not exceed published minimum detectable change values.</p><p><strong>Conclusion: </strong>Crossover feet increased prosthetic ankle range of motion and energy return compared with traditional energy-storing feet in this pilot investigation of 2 participants. Crossover feet seem to promote physiologic gait and may be a promising alternative to traditional low-profile feet for people with Syme amputation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"510-518"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global trends and current status of amputation: Bibliometrics and visual analysis of publications from 1999 to 2021.","authors":"Ze Liu, Min Wang, Qi Liu, Biling Huang, Yuanyuan Teng, Mingliu Li, Shuqin Peng, Hongbin Guo, Jieyu Liang, Yi Zhang","doi":"10.1097/PXR.0000000000000271","DOIUrl":"10.1097/PXR.0000000000000271","url":null,"abstract":"<p><strong>Objective: </strong>To generalize the research status, hotspots, and development trends of amputation-related research.</p><p><strong>Methods: </strong>The data from 1999 to 2021 were collected from the Web of Science core collection database, and analyzed through bibliometrics software (CiteSpace and VOSviewer) for the dual-map overlay of journals, top 25 references with the strongest citation bursts, top 25 keywords with the strongest citation bursts, and timeline of keywords.</p><p><strong>Results: </strong>A total of 8,588 literature studies were involved in this study. The United States ranks the first in terms of H-index, total number of publications, and total citations. US Department of Veterans Affairs, Veterans Health Administration, and University of Washington are the major contributors to amputation. Prosthetics and Orthotics International , Archives of Physical Medicine and Rehabilitation , and Journal of Rehabilitation Research and Development are the main publication channels for articles related to amputation. Geertzen JHB, Czerniecki J, and Dijkstra PU are major contributors to amputation. In addition, research on limb salvage treatment and surgical methods for amputation will become a hotspot in the future.</p><p><strong>Conclusion: </strong>The total number of publications for amputation has generally increased from 1999 to 2021. Our study is beneficial for scientists to specify the research hotspot and development direction of amputation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"603-615"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10416056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of different taping techniques on transtibial amputation walking parameters: A case report.","authors":"Yasin Ekinci, Fatih Erbahçeci, Tülin Düger","doi":"10.1097/PXR.0000000000000317","DOIUrl":"10.1097/PXR.0000000000000317","url":null,"abstract":"<p><p>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 with knee extension limitation. Two different kinesiological taping methods (Kinesio Tape and Dynamic Tape) were applied to the transtibial patient with knee extension limitation. Walking performance of patients was assessed with The Biodex Gait Trainer 2. Gait parameters without tape were as follows: average walking speed 0.38 m/s, average step cycle 0.48 cyl/s, average left step length 50 cm, average right step length 43 cm, coefficient of variation 9% at the left, and coefficient of variation 9% at the right. After applying Kinesio Tape and Dynamic Tape, these values were measured as follows: average walking speed 0.50.56 m/s, average step cycle 0.51.56 cyl/s, average left step length 61-60 cm, average right step length 53-54 cm, coefficient of variation 6%-5% at the left, and coefficient of variation 6%-4% at the right side. Dynamic Tape and Kinesio Tape both had positive effects on active joint motion and walking parameters. Regarding walking speed and step length, Dynamic Tape was found to be more effective than Kinesio Tape. Taping methods applied to amputees have positive effects on range of motion, which in return causes improvements on walking parameters.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"528-532"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of postoperative early rehabilitation programs after dysvascular-related amputations.","authors":"Christopher K Wong, Jennifer Rosati, Kaitlynne Forbes, Shanshan Feng, Aine Donohue, Akinpelumi Beckley","doi":"10.1097/PXR.0000000000000361","DOIUrl":"10.1097/PXR.0000000000000361","url":null,"abstract":"<p><strong>Background: </strong>After amputation, people face challenges including wound healing and decreased functional mobility. Early mobilization in acute hospital care has proved safe, improved function, and sped discharge. Still, loss of a leg complicates standing and early mobilization after amputation. Approaches to early mobilization and rehabilitation after amputation surgery have not been widely studied.</p><p><strong>Objectives: </strong>To map the evidence regarding early postoperative mobilization after dysvascular amputation. Specific aims included identifying research designs and populations, describing rehabilitation approaches, and identifying gaps within the literature.</p><p><strong>Study design: </strong>Scoping review following PRISMA-Sc guidelines.</p><p><strong>Methods: </strong>The a priori scoping review methodology conducted in June 2022 with English language and 20-year limits used the OVID Medline, OVID Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane databases, and Journal of Prosthetics and Orthotics archive. Reviewer pairs used Covidence software to screen for inclusion (subjects with major lower limb dysvascular amputations, seen immediately postoperatively for hospital-based rehabilitation) with decisions by concurrence. Data for best practice scoping reviews were synthesized for analysis.</p><p><strong>Results: </strong>Two hundred ninety-six citations were screened, 13 full texts reviewed, and 8 articles included: 2 cohort studies, 3 case-control studies, 2 single-group interventional studies, and 1 case study. There were no randomized control trials or prospective comparison group trials.</p><p><strong>Conclusions: </strong>Few studies were identified regarding acute rehabilitation after major lower extremity amputation. The limited evidence in this review suggested that early mobilization in the days after amputation was safe with or without use of temporary prostheses, although further research is certainly warranted.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"558-564"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experimental and numerical analyses of alternate materials for performance enhancement of Jaipur foot.","authors":"Harlal Singh Mali, Shamsher Singh, Smitkumar Savasni","doi":"10.1097/PXR.0000000000000306","DOIUrl":"10.1097/PXR.0000000000000306","url":null,"abstract":"<p><strong>Background: </strong>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 research because minimal efforts have been made to investigate the scope of improvement of the Jaipur foot, particularly with new materials.</p><p><strong>Objective: </strong>This article focuses on numerical and experimental analyses of various materials for the performance enhancements of the Jaipur foot.</p><p><strong>Methods: </strong>Contemporary materials are used in finite element analysis to filter the most suitable alternate material for microcellular rubber. The performance of the Jaipur foot fabricated with alternate material is compared with the conventional Jaipur foot through compression testing simulating gait cycle conditions.</p><p><strong>Results: </strong>The EVA foot showed 1-3 mm higher deformation than the MCR foot during the dorsiflexion or heel strike phases, which indicates an appropriate shock absorption and energy storage capacity in heel striking conditions. In forefoot strike phase or plantarflexion, the EVA foot and MCR foot showed identical behavior in deformations. Replacing the MCR with EVA also resulted in reduced weight of the Jaipur foot by 23%.</p><p><strong>Conclusions: </strong>The weight reduction can help the amputee to expend less energy, thereby improving patient comfort and walking patterns and hence a more natural performance similar to a regular human foot.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"497-502"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of bracing combined with exercise-based treatment of adolescent idiopathic scoliosis: Assessing the synergistic benefits: A systematic review","authors":"Deniz Aktan-Ilgaz, Hande Sahiner, Leyla Eraslan, Ceren Gursen, Hande Guney-Deniz","doi":"10.1097/pxr.0000000000000362","DOIUrl":"https://doi.org/10.1097/pxr.0000000000000362","url":null,"abstract":"The purpose of this study was to evaluate evidence on the effectiveness of combined bracing and exercise on adolescent idiopathic scoliosis (AIS). From inception to April 28, 2022, PubMed and Web of Science searched for randomized clinical and nonrandomized prospective studies reporting Cobb angle (CA), angle of trunk rotation (ATR), quality of life (QoL), and pulmonary function (PF) in AIS patients treated with exercise and braces (10 years-skeletal maturity). Two authors analyzed and extracted data for this review. The PEDro scale was used to assess the risk of bias (RoB). Therapy protocols and basic data have been collected. Each CA, ATR, QoL, and PF study’s evidence and strength were also included. A total of 12 studies with 714 patients with AIS were included. Five studies used a control group with exercises and 7 with braces. The results showed that exercise-brace can decrease CA and ATR and increase QoL and PF with AIS; however, the strength of conclusion for all outcomes was moderate. In this review, 4 studies were categorized as low RoB, 3 as moderate RoB, and 5 as high RoB. Level of evidence analysis revealed that 12 studies were classified as level of evidence B. The current studies do not sufficiently support the effects of exercise and brace therapy on CA, ATR, QoL, and PF in patients with AIS.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":"11 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Working with partial hand prostheses: An investigation into experiences of clinicians","authors":"Kirsty Carlyle, Arjan Buis, Maggie Donovan-Hall, Sarah Day","doi":"10.1097/pxr.0000000000000371","DOIUrl":"https://doi.org/10.1097/pxr.0000000000000371","url":null,"abstract":"Background: Individuals living with partial hand absence often face challenges in performing everyday tasks and fully participating in society. Prosthetic devices offer a range of benefits, including improved functionality or cosmesis. However, partial hand devices can be rejected by users. In addition, there is a lack of evidence that establishes methods or factors influencing the clinical prescription of prosthetics specifically designed for this population. Objectives: The objectives of the investigation were to gain understanding of who is prescribing partial hand prosthetics and the factors which influence device selection. Study Design: A 36-item anonymous online survey was designed on Qualtrics and distributed to clinicians. The survey contained multiple-choice, Likert-type, closed, and open-ended questions. Methods: Quantitative and qualitative analyses were performed on Qualtrics and Microsoft Excel. Results: Thirty-seven clinicians from various occupations participated. The majority agreed that outcome measures are useful for assessing partial hand prosthetics but suggested room for improvement. Although clinicians use various outcome measurement tools, there is a lack of tools specifically tailored to this population. Factors such as existing function, occupation, and hobbies were identified as important when selecting prosthetic devices for users. Funding influenced the range of partial hand devices available for prescription. Conclusions: The prescription process involves multiple stakeholders. Various factors, including funding and user satisfaction, must be considered in the decision-making process. There is a lack of specific outcome measures recommended for evaluating prosthetics in this population. However, providing loaner units before final prescription yields positive outcomes.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":"117 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of self-management for amputee rehabilitation using technology and peer support for improving walking and confidence in individuals with lower limb loss","authors":"Elham Esfandiari, William C. Miller, W. Ben Mortenson, Sheena King, Heather Underwood, Maureen C. Ashe","doi":"10.1097/pxr.0000000000000368","DOIUrl":"https://doi.org/10.1097/pxr.0000000000000368","url":null,"abstract":"Background: Individuals with lower limb loss (LLL) require self-management education for amputation adaptation. eHealth technologies, like online platforms, widen access to educational resources. We developed an online self-management program for individuals with LLL called Self-Management for Amputee Rehabilitation using Technology (SMART). Objective: To assess the feasibility of SMART for improving walking capacity and confidence for adults with recent LLL. Study Design: A single-group pre-post intervention design. Methods: We recruited community-dwelling adults, with unilateral, transtibial, or transfemoral amputation. Self-management for amputee rehabilitation using technology included 6 weekly online educational modules, for example, pain management, diet, and sock management, and 6 weekly online meetings with a peer mentor to discuss goal setting and action planning. Outcomes were assessed at baseline (before SMART) and after 6 weeks using SMART. Feasibility indicators included process (retention rate), resource (duration of training sessions), management (participant processing), and treatment issues (effect size). The primary clinical outcome was walking capacity measured using Timed Up and Go, and secondary outcome was walking confidence measured using the Ambulatory Self-Confidence Questionnaire. Results: Twelve participants were recruited. The median (range) age was 56.0 (26–79) years. The retention rate was 100%. All participants were trained in less than 15 min. Four participants had an enrollment delay of more than 10 days. Two participants reported noninjurious falls because of amputation comorbidities and increased activity. The effect sizes for walking capacity and confidence were 0.51 and 0.86, respectively. Conclusions: Only small intervention and protocol refinements are required to SMART. These will be incorporated for a future multisite randomized controlled trial. SMART is an eHealth education program for people with LLL. Self-management for amputee rehabilitation using technology with peer support is a feasible intervention. However, adjustments to the study protocol and intervention safety are necessary before proceeding with the evaluation of SMART in a larger study.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":"201 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of spinal stabilization exercises on functional exercise capacity in individuals with transtibial amputation: A randomized trial","authors":"Senay Çerezci-Duygu, Fatih Erbahçeci, Neslihan Durutürk, Oya Ümit-Yemişçi","doi":"10.1097/pxr.0000000000000381","DOIUrl":"https://doi.org/10.1097/pxr.0000000000000381","url":null,"abstract":"Background: Optimization of mobility activities with spinal stabilization exercises and reducing spinal loads in individuals with transtibial amputation are recommended by researchers; however, the effect of spinal stabilization exercises on functional exercise capacity has not been investigated. Objective: This study aims to investigate the effect of spinal stabilisation exercises on functional exercise capacity in individuals with transtibial amputation. Study Design: Randomized controlled trial with concealed allocation, assessor blinding. Methods: Eighteen individuals with transtibial amputation were included. Conventional physiotherapy program was applied to individuals in control group, and spinal stabilization exercise training was applied to individuals in intervention group together with conventional physiotherapy program for 8 weeks. The primary outcome was maximal oxygen uptake during 6-Minute Stepper Test. The secondary outcomes were maximal energy expenditure, step count and fatigue during 6-Minute Stepper Test, perceived mobility level with prosthesis, and stabilization strength of deep spinal muscles. Results: In the within-group comparisons, the change in the functional exercise capacity, step count, and stabilization strength of deep spinal muscles were found to be statistically significant in both groups. In the between-group comparison, the changes in the functional exercise capacity, perceived mobility level, and stabilization strength of deep spinal muscles were found to be significant in favor of the group in which spinal stabilization exercises were applied. Conclusions: Along with improvement in proximal control of movement, improvements were observed in some parameters that are indicative of physical capacity. Considering the described developments, exercise programs focused on spinal stabilization in individuals with amputation are becoming a serious alternative in clinical practice.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":"47 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review and evaluation of open-source transtibial amputation musculoskeletal models for female populations","authors":"Tess M. R. Carswell, Misha Hasan, Joshua W. Giles","doi":"10.1097/pxr.0000000000000372","DOIUrl":"https://doi.org/10.1097/pxr.0000000000000372","url":null,"abstract":"Musculoskeletal modeling is often used to study people with transtibial amputations. Females in this population are of particular interest as they are underrepresented in research, experience unique challenges, and demonstrate gait biomechanics distinct from males. Because generic models often neglect innate variations between populations, it is important to determine whether data used to develop a model are representative of the population studied. The objective of this study was to review and analyze existing transtibial amputation musculoskeletal models, establish a database from the information compiled, and use the database to select the model most relevant for studying female populations. A scoping search was performed and a database was created based on data detailing the eligible models. Models were evaluated through a weighted decision process based on criteria of their representation of females with transtibial amputations, prosthetic functionality, development transparency, overall functionality, and experimental validation methods. The scoping review identified 3 studies, Willson et al., LaPrè et al., and Miller and Esposito. A database detailing these models was established. The Willson model scored highest on all criteria except overall functionality, where the LaPrè model outscored it. Based on the established weightings, the Willson model was classed most appropriate for the stated goals. The created database can be used by other researchers to guide their own modeling studies, irrespective of the population of focus. Of the 3, the Willson model was found most relevant for studying females with transtibial amputations. This model will be used in future work investigating and addressing challenges of females with transtibial amputations.","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":"14 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}