Prosthetics and Orthotics International最新文献

{"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}

{"title":"Weight-bearing asymmetry during sit-to-stand after major lower-limb amputation: A systematic review and meta-analysis.","authors":"Tanguy Le Corre, Hélène Bisseriex, Christelle Pons, Olivier Rémy-Néris","doi":"10.1097/PXR.0000000000000354","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000354","url":null,"abstract":"<p><p>Weight-bearing asymmetry during sit-to-stand (STS) can cause musculoskeletal problems in people with major lower-limb amputation. Does weight-bearing asymmetry differ between individuals with major lower-limb amputation and individuals without amputation? We conducted a systematic review and meta-analysis. We searched PubMed, Cochrane Library, Web of Science, and HAL up to June 2022 using keywords and inclusion/exclusion criteria. Article quality was assessed. Data for population, intervention, weight-bearing asymmetry, and biomechanical analysis were reported. Standardized mean differences (SMDs) were calculated from the outcomes when possible. We included 11 studies (102 people with amputation). Weight-bearing asymmetry was greater in people with amputation than those without amputation (SMD = 1.72 [1.30-2.14] p < 0.00001). It was greater for individuals with transtibial amputation (TTA) and with transfemoral amputation (TFA) than for those without amputation (SMD = 1.20 [0.76-1.65] p < 0.00001 and SMD = 5.32 [4.15-6.50] p < 0.00001, respectively). STS performance time was longer for people with amputation (SMD = 0.52 [0.23-0.81] p = 0.0004) than those without amputation. Trunk motion differed in those with amputation, and lower-limb kinematics differed considerably, especially for people with TFA. Weight-bearing is more asymmetric in people with amputation than in people without amputation. The differences in weight-bearing asymmetry and kinematics during STS between people with TTA and TFA suggest that different strategies are required to improve weight-bearing symmetry: improvements in active prosthetic knees in TFA and rehabilitation focused on weight-bearing in TTA.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141599","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":"Letter to the editor regarding \"Comparison of two different orthoses used in the treatment of lateral epicondylitis\".","authors":"Xinjie Wang, Xiaowei Zhao","doi":"10.1097/PXR.0000000000000380","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000380","url":null,"abstract":"","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141596","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":"Orthotic treatment for unstable hip joints in children with congenital insensitivity to pain with anhidrosis: A case series with follow-up until skeletal maturity.","authors":"Nobuhiko Haga, Keita Okada, Hiroshi Tanaka, Sayaka Fujiwara, Masaya Kubota","doi":"10.1097/PXR.0000000000000382","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000382","url":null,"abstract":"<p><p>Congenital insensitivity to pain with anhidrosis is an extremely rare disorder characterized by congenital generalized loss of pain and thermal sensation, decreased sweating, intellectual disability, and self-mutilating behavior. Skeletal complications can develop even after minor trauma or an unknown cause, and management is difficult and sometimes unsuccessful, leading to the development of Charcot joints. We report 3 patients whose hip instability was treated with a hip action brace (HAB) that allowed for free abduction but prevented adduction. In 2 patients, metal attachments were added to bilateral joint units to prevent the patient's hip joints from flexing over 90 degrees. The HAB was well tolerated by all patients, and no adverse effects, such as pressure ulcers, occurred during this treatment. Of the 6 hips with instability, 1 remained dislocated, and 5 were stabilized after several years of HAB application. However, 3 joints in 2 patients aged between 14 and 16 years were subluxated or dislocated, leading to joint destruction. The follow-up period from the application of HAB until the most recent visit ranged from 10 to 13 years, and all patients reached skeletal maturity. Our experience suggests that HAB treatment is effective in reducing hip instability and maintaining stability for at least several years in children with congenital insensitivity to pain with anhidrosis.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141597","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 orthosis management on joint instability in knee joint disease: A systematic review.","authors":"Kenji Murata, Takuma Sakakida, Sora Kawabata, Moeka Yokoyama, Yuri Morishita, Shunsuke Kita, Keisuke Kubota, Takuma Kano, Takuma Kojima, Hidenobu Terada, Chiharu Takasu, Naohiko Kanemura","doi":"10.1097/PXR.0000000000000289","DOIUrl":"10.1097/PXR.0000000000000289","url":null,"abstract":"<p><strong>Introduction: </strong>Joint instability is a common finding of clinical importance in patients with knee disease. This literature review aimed to examine the evidence regarding the effect of orthosis management on joint instability in knee joint disease.</p><p><strong>Methods: </strong>The detailed protocol for this study was published in the International Prospective Register of Systematic Reviews in the field of health and social welfare (CRD 42022335360). A literature search was conducted on May 2023, using the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Physiotherapy Evidence Database (PEDro), and Institute of Electrical and Electronics Engineers (IEEE) Xplore. A secondary search was manually conducted using Google Scholar to address publication bias. Each database search strategy was described, and the search was conducted by independent reviewers.</p><p><strong>Results: </strong>A total of 281 studies were retrieved, 11 articles were included in the systematic review. Of the 11 articles selected, the number of included diseases was 2 for osteoarthritis, 7 for anterior cruciate ligament injuries, and 3 for posterior cruciate ligament injuries. In result, orthosis management may improve self-reported instability and functional assessment in patients with osteoarthritis, anterior cruciate ligament injury, and posterior cruciate ligament injury. However, an objective evaluation of anatomical instability did not indicate an improvement in joint instability.</p><p><strong>Conclusion: </strong>The effects of orthosis management on knee instability might improve physical function and self-reported instability.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"400-411"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233147","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 content comparison of 4 commonly used adult upper limb amputee outcome measurements with application of the refinements of International Classification of Functioning, Disability, and Health linking rules.","authors":"Hatice Gül, Senem Demirdel, Tezel Yıldırım Şahan, Bahar Anaforoğlu Külünkoğlu, Sevilay Seda Baş, Senay Çerezci Duygu, Murat Ali Çınar, Hilal Keklicek, Kezban Bayramlar","doi":"10.1097/PXR.0000000000000283","DOIUrl":"10.1097/PXR.0000000000000283","url":null,"abstract":"<p><strong>Introduction: </strong>The application of the refinements of linking rules to the outcome measurement methods provides an opportunity to obtain information concerning what the available instruments actually measure and how the instrument measures certain outcomes. The purpose of the study was to analyze the content of 4 commonly used upper limb amputee scales using the refined International Classification of Functioning, Disability, and Health (ICF) linking rules.</p><p><strong>Methods: </strong>The Upper Extremity Functional Status module of the Orthotics and Prosthetics User Survey (OPUS-UEFS), Trinity Amputation and Prosthesis Experience Scales, Southampton Hand Assessment Procedure (SHAP), and Quick Disability of the Arm, Shoulder, and Hand were analyzed by 2 health professionals for a content comparison based on ICF categories. The Kappa statistic was used to calculate the degree of agreement between 2 professionals.</p><p><strong>Results: </strong>The scale questions were linked with 43 different ICF codes in this study. Trinity Amputation and Prosthesis Experience Scale addresses all ICF domains. All items of SHAP and most items of OPUS-UEFS were linked to the activity-participation domain. Quick Disability of the Arm, Shoulder, and Hand items were linked with activity-participation and body function domains. The perspectives of OPUS-UEFS and SHAP are descriptive. The perspectives of Quick Disability of the Arm, Shoulder, and Hand were descriptive and appraisal. The perspectives of Trinity Amputation and Prosthesis Experience Scale subscales were descriptive, appraisal, and needs or dependency. Estimated kappa values ranged from 0.44 to 0.91 for ICF codes.</p><p><strong>Conclusions: </strong>Most concepts in the scales were frequently linked to the activity-participation domain. We think that the results of this study will be a useful guide to clinicians and researchers in selecting relevant and appropriate outcome measurements for upper limb amputee rehabilitation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"448-454"},"PeriodicalIF":0.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10245516","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}