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Mashup Score: 4A Survey of Clinical Practice Patterns of Physical... : JPO: Journal of Prosthetics and Orthotics - 2 month(s) ago
(2) to explore perceived gaps in knowledge to inform development of a clinical practice guideline (CPG). Methods A mixed-methods web-based survey collected quantitative and qualitative data from practicing PTs. Descriptive analysis of quantitative data and thematic content analysis of the qualitative data were completed. Results The 103 PTs were practicing clinicians with a doctoral degree and specialized board certification. A higher level of confidence with AFOs compared with FES was reported, along with increased inclusion of AFOs compared with FES for assessments and treatments. The PTs considered outcomes across the International Classification of Functioning, Disability and Health (ICF) when choosing devices, noting barriers in access and reimbursement as influential factors in clinical decision making. Fewer than 50% participated in continuing education on AFO or FES. Perceived knowledge gaps and educational needs included assessment and intervention strategies to support clinic
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Mashup Score: 0Content Validity of a Collaborative Goal-Setting Pictorial... : JPO: Journal of Prosthetics and Orthotics - 2 month(s) ago
developed previously. These tools incorporated the International Classification of Functioning, Disability, and Health (ICF) and International Organization for Standardization (ISO) clinical objectives for orthoses and were structured in an approach understandable to families. This study aimed to obtain consensus on the content validity of the Table and Pictorial Tools. Methods Seventeen experts from seven countries (orthotists, physical therapists, physicians, surgeons, and engineers) were invited. A modified Delphi technique was used to evaluate and refine the Table Tool (rounds 1 and 2) and Pictorial Tool (rounds 3 and 4). Participants rated their agreement with overall tool structure, content, and feasibility of use on a 4-point Likert scale, and provided open-ended feedback. Consensus was defined as a median score ≥3 (agree) with 75% of responses ≥3. Data were collected using REDCap. After each round, thematic analysis guided document revisions and anonymized feedback. Results Ten
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Mashup Score: 1Fabricating Sockets With Distance Sensors for Monitoring... : JPO: Journal of Prosthetics and Orthotics - 2 month(s) ago
ocket are described. The sensors are flexible, 32 mm in diameter, and less than 0.2 mm thick. Two sensor placement configurations are described, one to monitor prosthesis use and the other to monitor socket fit. Results The sensors are installed after the inner resin layer of the socket is completed. Installation of the sensors increases the fabrication time over that of a traditional laminated socket by about 6 hours. Conclusions A systematic and repeatable method for manufacturing prosthetic sockets with embedded distance sensors was developed to facilitate adoption of this technique. Clinical Relevance Dissemination of the fabrication technique to install inductive distance sensors in sockets may facilitate clinical research investigation using this new technology, ultimately improving decision making for treatment, diagnosis, and prognosis of health issues faced by people with lower-limb amputation….
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Mashup Score: 0Custom Silicone Distal Cup Designed and Fabricated Using 3D ... : JPO: Journal of Prosthetics and Orthotics - 2 month(s) ago
e inside of the prosthetic liner has intricate interior features matching the shape of the distal residual limb to prevent localized high-pressure regions. Methods High-resolution 3D optical scanning, computer-aided design (CAD), and material extrusion (MEX) process for additive manufacturing of molds are three key techniques for designing and manufacturing this custom distal cup. A three-part mold for molding the distal cup with matching features was designed by CAD and fabricated by MEX. The subject evaluated the distal cup by walking using the distal cup before wearing the prosthetic liner in the lower-limb prosthesis. Results A custom silicone distal cup was fabricated using a 3D-printed mold and evaluated using a Prosthetic User’s Survey. Based on the survey, the insert has an acceptable comfort, suspension requirement, and ease of use. Conclusions The scan by high spatial resolution Space Spider optical scanner could capture detailed features of the distal residual limb. The resu
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Mashup Score: 1Revisiting the Cephalic Index: The Origin, Purpose, and... : JPO: Journal of Prosthetics and Orthotics - 2 month(s) ago
ment, but reference values and norms are lacking for infants, especially in the first year after birth. Discussion Key publications were reviewed by the authors to provide a narrative review of the 1) origin of the cephalic index (CI), 2) adaptations of the measure over time, 3) anatomical landmarks and alignments used, 4) clinical tools, 5) necessary considerations for different ethnic, sex, and cultural influences, 6) value and limitations of CI measurements, and 7) appropriate use of the CI in the documentation of infant skull deformities. The CI calculation has remained constant since the 1840s, although the cranial shape classifications have changed many times over the years. Conclusions Used in isolation, the two-dimensional (2D) and linear nature of the CI fails to describe the magnitude of the three-dimensional (3D) head deformity. However, the CI can and should be used in conjunction with other 2D and 3D measurements to provide a more detailed description and understanding of
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Mashup Score: 0Wolters Kluwer Health - 2 month(s) ago
JavaScript Error JavaScript has been disabled on your browser. You must enable it to continue. Here’s how to enable JavaScript in the following browsers: Internet Explorer From the Tools menu, select Options Click the Content tab Select Enable JavaScript Firefox From the Tools…
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Mashup Score: 0Expert Opinions on Thermal Discomfort Related to Idiopathic ... : JPO: Journal of Prosthetics and Orthotics - 3 month(s) ago
ods Qualitative data were gathered via interviews with experts in a variety of fields. Three primary categories of discussion were established: current status of thermal discomfort experienced by patients with IS treated with TLSOs, current mitigation strategies, and obstacles to implementation of a hypothetical novel TLSO. Data were analyzed utilizing Pell Institute’s six-step method for qualitative data analysis. Results Six experts participated in this study: three spinal orthotics experts, who are orthotists currently treating IS with TLSOs; one thermal discomfort expert, who has been studying thermal discomfort for prosthetic devices; and two mechanical engineering experts, who conduct college courses on thermodynamics. Primary signs and symptoms of thermal discomfort identified by experts were heat rash, verbal complaint, and excessive sweating. Factors identified by experts as related to the occurrence of thermal discomfort fell into three categories: orthotic design, surroundin
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Mashup Score: 0Pressure Reduction Management System in... : JPO: Journal of Prosthetics and Orthotics - 3 month(s) ago
prosthetic socket. Materials and Methods This study proposed a 3D-printed socket with three built-in tiny air bladders integrated within the interface between the liner and socket and electronically managed by a pressure and volume control system. A pseudo-artificial residual limb was fabricated to mimic the transtibial residual limb. The interface pressure in the 3D-printed socket was evaluated using F-socket transducers during inflation and deflation of the air bladders in the stance phase through universal tensile machine load. Results Based on the statistical analysis, the highest significant pressure reduction (P < 0.05) was 5.71%, which was recorded at the posterior region, and 4.68% (P < 0.05) at the medial region during posterior and medial air bladders inflation, respectively. Conclusion Peak pressures were reduced at the lateral tibia condyle, tibia tuberosity, tibia crest, anterior distal end of tibia, fibula head, distal end of fibula, medial femoral condyle, lateral femur
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Mashup Score: 0A Literature Review of the Causes of Congenital Limb... : JPO: Journal of Prosthetics and Orthotics - 3 month(s) ago
compared with other conditions. Objective The aim of this study is to assess the literature surrounding the causes of CLDs and use this to suggest the area in which a potential gap in the information on the causes of CLDs lies. Study Design This study is a literature review on articles published from the year 2000 onward. Methods A search was conducted on five databases (CINAHL, Scopus, PubMed, Embase, Cochrane Library) and the ProQuest platform resulting in 18 articles to be discussed, after inclusion and exclusion criteria were applied and critical appraisals were completed. Results and Discussion The main findings could be separated into four themes including genetics, environment, drugs, and vascular. Comparisons were made among similar literature, although within some topics, this was less effective, given the specificity and reduced volume of research. Positive correlations were seen in all studies; however, the biggest underlying factor for most causes seemed to originate from a
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Mashup Score: 0Impact of a Powered Prosthetic Ankle-Foot Component on... : JPO: Journal of Prosthetics and Orthotics - 3 month(s) ago
significant unloading of the sound limb and knee joint with a powered prosthetic ankle-foot. However, despite the promising biomechanical evidence on unloading, no study has yet investigated the impact of powered prosthetic ankle-foot on musculoskeletal pain. Methods A total of 250 individuals fit with a powered prosthetic ankle-foot component were invited to participate in an institutional review board–approved cross-sectional study. Participants completed a survey, which collected typical prosthetic history information as well as Numerical Pain Rating Scales across different body regions, the Socket Comfort Score (SCS), the Activity of Daily Living domain of the Knee Injury and Osteoarthritis Outcome Score (KOOS-ADL), and the Oswestry Disability Index (ODI) for both their current and past prosthetic ankle-foot. The differences between results across the two ankle-feet were evaluated in subgroups dependent on the user’s current foot. Results A total of 57 individuals met the inclusion
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A Survey of Clinical Practice Patterns of Physical Therapists for the Use of Ankle-Foot Orthoses or Functional Electrical Stimulation Poststroke https://t.co/BC7roncbg8 https://t.co/QdcU3qsTBU