736 results match your criteria Lower Limb Prosthetics

Sex, Age, and Other Barriers for Prosthetics Referral Following Amputation and the Impact on Survival.

J Vasc Surg 2021 May 31. Epub 2021 May 31.

Texas Vascular Associates, Plano, TX; Baylor University Medical Center, Dallas, TX.

Background: Despite advances in peripheral vascular disease treatment, lower extremity amputation continues to be necessary in a significant number of patients. Up to 80% of amputees are not referred for prosthetic fitting. The factors contributing to referral decisions have not been adequately investigated, nor has the impact of prosthetic referral on survival. Read More

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Comparison of patient-reported and functional outcomes following transition from mechanical to microprocessor knee in the low-activity user with a unilateral transfemoral amputation.

Prosthet Orthot Int 2021 Jun;45(3):198-204

WestMARC, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.

Background: The Scottish Specialist Prosthetics Service has provided microprocessor knees (MPKs) through the National Health Service since 2014, predominantly to high-activity transfemoral amputations (TFAs). Benefits of MPKs to the lower-activity TFA are less established in the literature.

Objectives: This study aimed to compare patient-reported and functional measures in low-activity TFAs transitioning from a mechanical knee to a MPK. Read More

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Performance-based balance tests, combined with the number of falls recalled in the past year, predicts the incidence of future falls in established unilateral transtibial prosthesis users.

PM R 2021 May 5. Epub 2021 May 5.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, 98195.

Introduction: Falls are common and consequential events for lower limb prosthesis (LLP) users. Currently, there are no models based on prospective falls data that clinicians can use to predict the incidence of future falls in LLP users. Assessing who is at risk for falls, and thus most likely to need and benefit from intervention, remains a challenge. Read More

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Pattern of upper limb amputation associated with lower limb amputation: the UK military experience from Iraq and Afghanistan.

BMJ Mil Health 2021 Apr 29. Epub 2021 Apr 29.

Academic Department for Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.

Introduction: The conflicts in Iraq and Afghanistan resulted in large numbers of personnel sustaining extremity injuries. In the context of polytrauma, partial hand amputation is often unrecorded. The aim of this work was to quantify the burden of upper limb (UL) amputation at any level occurring concurrently with a major (ankle and proximal) lower limb (LL) amputation. Read More

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A Scoping Review of Physical Activity in People With Lower-Limb Loss: 10,000 Steps Per Day?

Phys Ther 2021 Apr 28. Epub 2021 Apr 28.

Program in Physical Therapy, Columbia University Vagelos College of Physicians and Surgeons, New York, NY 10032.

Objective: After amputation, people with lower-limb loss (PLL) face challenges to regain their previous physical activity level. Assessing the scope of evidence regarding physical activity in PLL can identify sources of evidence and gaps within the literature that can influence amputation-related research, outcome assessment choices, and wellness activities. The purpose of this scoping review was to map the evidence regarding steps per day as a physical activity measure for PLL. Read More

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The client satisfaction with device: a Rasch validation of the Arabic version in patients with upper and lower limb amputation.

Health Qual Life Outcomes 2021 Apr 27;19(1):134. Epub 2021 Apr 27.

Physical and Rehabilitation Medicine Unit, Scientific Institute of Tradate, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, Varese, Italy.

Background: The Client Satisfaction with Devices (CSD) module of the Orthotics and Prosthetics Users' Survey is an extensively used questionnaire that measures patients' satisfaction with orthosis and prosthesis. However, the validated version for Arabic speakers (CSD-Ar) is only applicable for orthosis users.

Objectives: The aim of this study was to evaluate the psychometric proprieties of the CSD-Ar for prosthetics users. Read More

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Paediatric flat foot and foot dimension in Central Anatolia.

BMC Pediatr 2021 04 27;21(1):200. Epub 2021 Apr 27.

Department of Anesthesiology and Reanimation, Faculty of Medicine, Ankara University, Ankara, Turkey.

Background: Information on the foot structures of Central Anatolian children is limited. Foot structures of children aged 6-10 years were shown to be different according to sex and increasing age.

Objective: This study aimed to compare the foot anthropometric values by age and sex and collect the foot anthropometric data to reveal the relationship between pes planus and pes cavus in the arches of children according to age. Read More

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Validation and revision of the questionnaire to explore human factors and their technical potential for lower limb prosthetics.

Prosthet Orthot Int 2021 Feb;45(1):6-11

1Work and Engineering Psychology Research Group, Department of Human Sciences, Technische Universität Darmstadt, Darmstadt, Germany 2Elastic Lightweight Robotics, Department of Electrical Engineering and Information Technology, Robotics Research Institute, Technische Universität Dortmund, Dortmund, Germany 3Institute for Mechatronic Systems, Department of Mechanical Engineering, Technische Universität Darmstadt, Darmstadt, Germany.

Background: A variety of instruments exist to measure human factors for lower limb amputation and prosthesis research. Yet, there is no valid or reliable tool available that focuses on technical potentials.

Objective: This study aimed to validate and revise the Questionnaire to Explore Human Factors and their Technical Potential. Read More

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February 2021

Quantifying Step Count and Oxygen Consumption with Portable Technology during the 2-Min Walk Test in People with Lower Limb Amputation.

Sensors (Basel) 2021 Mar 16;21(6). Epub 2021 Mar 16.

Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Step counts and oxygen consumption have yet to be reported during the 2-min walk test (2MWT) test in persons with lower-limb amputations (LLA). The purpose of this study was to determine step counts and oxygen consumption during the 2MWT in LLA. Thirty-five men and women walked for two minutes as quickly as possible while wearing activity monitors (ActiGraph Link on the wrist (LW) and ankle (LA), Garmin vivofit3 on the wrist (VW) and ankle (VA), and a modus StepWatch on the ankle (SA), and a portable oxygen analyzer. Read More

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Selecting, Administering, and Interpreting Outcome Measures among Adults with Lower-Limb Loss: An Update for Clinicians.

Curr Phys Med Rehabil Rep 2020 Sep 3;8(3):92-109. Epub 2020 Aug 3.

Delaware Limb Loss Studies, Department of Physical Therapy, University of Delaware, Newark, Delaware, USA.

Purpose Of Review: To summarize outcome measurement research among adults with lower-limb loss (LLL) for clinicians.

Recent Findings: Houghton Scale, Prosthetic Evaluation Questionnaire-mobility subscale (PEQ-m), Prosthetic Limb Users Survey of Mobility (PLUS-M™), Activities-Specific Balance Confidence Scale (ABC), Amputee Mobility Predictor (AMP), Comprehensive High-Level Activity Mobility Predictor, Four Square Step Test (FSST), Narrowing Beam Walking Test (NBWT), L Test, 10 Meter Walk Test (10MWT), and 6 Minute Walk Test (6MWT) are appropriate for evaluating individual patient changes post-LLL. Post-LLL, Socket Comfort Score, Patient-Specific Functional Scale, Patient-Reported Outcomes Measurement Information System 29-Item Profile, Timed Up and Go, and 2 Minute Walk Test may be more appropriate for evaluating groups. Read More

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September 2020

Biomechanics of Single Stair Climb With Implications for Inverted Pendulum Modeling.

J Biomech Eng 2021 Aug;143(8)

Shiley School of Engineering, University of Portland, 5000 N. Willamette Boulevard, Portland, OR 97203.

Step-by-step (SBS) stair navigation is used by those with movement limitations or lower-limb prosthetics and by humanoid robots. Knowledge of biomechanical parameters for SBS gait, however, is limited. Inverted pendulum (IP) models used to assess dynamic stability have not been applied to SBS gait. Read More

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STEPFORWARD study: a randomised controlled feasibility trial of a self-aligning prosthetic ankle-foot for older patients with vascular-related amputations.

BMJ Open 2021 03 18;11(3):e045195. Epub 2021 Mar 18.

York Trials Unit, Department of Health Sciences, University of York, York, UK.

Objectives: To determine the feasibility of conducting a full-scale randomised controlled trial (RCT) of the effectiveness and cost-effectiveness of a self-aligning prosthetic ankle-foot compared with a standard prosthetic ankle-foot.

Design: Multicentre parallel group feasibility RCT.

Setting: Five prosthetics centres in England recruiting from July 2018 to August 2019. Read More

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The influence of powered prostheses on user perspectives, metabolics, and activity: a randomized crossover trial.

J Neuroeng Rehabil 2021 03 16;18(1):49. Epub 2021 Mar 16.

School of Kinesiology, University of Michigan, 401 Washtenaw Avenue, Ann Arbor, MI, 48109-2214, USA.

Background: Powered prosthetic ankles provide battery-powered mechanical push-off, with the aim of reducing the metabolic demands of walking for people with transtibial amputations. The efficacy of powered ankles has been shown in active, high functioning individuals with transtibial amputation, but is less clear in other populations. Additionally, it is unclear how use of a powered prosthesis influences everyday physical activity and mobility. Read More

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Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?

Diabetes Res Clin Pract 2021 Mar 10;175:108733. Epub 2021 Mar 10.

Program in Physical Therapy and Department of Radiology, Washington University School of Medicine in St Louis, St. Louis, MO 63108, USA. Electronic address:

Physical activity is an essential part of general health and diabetes management. However, recommending weight-bearing physical activity for people with plantar diabetic foot ulcers is controversial, even when gold standard offloading devices are used, as it is commonly thought to delay healing. We aimed to narratively review relevant studies investigating the relationship between plantar diabetic foot ulcer healing and weight-bearing activity, plantar pressure and device adherence. Read More

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Cost Analyses of Prosthetic Devices: A Systematic Review.

Arch Phys Med Rehabil 2021 Mar 9. Epub 2021 Mar 9.

Department of Orthopaedic Surgery, Institute for Global Orthopaedics and Traumatology, University of California, San Francisco, San Francisco, CA. Electronic address:

Objective: To synthesize extant literature on the cost-effectiveness of prosthetic interventions and explore applicability to low- and middle-income country (LMIC) settings.

Data Sources: A systematic literature review using subject headings including "prosthetics," "amputation," and "cost analysis" was performed with PubMed, Embase, and Web of Science search engines, yielding 1194 articles. An additional 22 articles were identified via backward citation searching for 1144 total after duplicate removal. Read More

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Effects of Handrail and Cane Support on Energy Cost of Walking in People With Different Levels and Causes of Lower Limb Amputation.

Arch Phys Med Rehabil 2021 Mar 5. Epub 2021 Mar 5.

Amsterdam Movement Science, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Objective: The energy cost of walking with a lower limb prosthesis is higher than able-bodied walking and depends on both cause and level of amputation. This increase might partly be related to problems with balance control. In this study we investigated to what extent energy cost can be reduced by providing support through a handrail or cane and how this depends on level and cause of amputation. Read More

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Fitting transtibial and transfemoral prostheses in persons with a severe flexion contracture: problems and solutions - a systematic review.

Disabil Rehabil 2021 Mar 8:1-11. Epub 2021 Mar 8.

Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Purpose: In persons with a hip or knee flexion contracture ≥25°, fitting a prosthesis is said to be difficult. This systematic review aims to assess the evidence for fitting of a prosthesis in persons with a severe contracture (≥25°) after a lower limb amputation.

Method: PubMed, Embase, Scopus, CINAHL, and Orthotics & Prosthetics Virtual Library databases were searched from inception to December 2019, using database specific search terms related to amputation, prosthesis, and contracture. Read More

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Georgian Med News 2021 Jan(310):11-18

Higher State Educational Establishment of Ukraine "Uzhhorod National University", Uzhhorod, Ukraine.

Objective - to improve the results of treatment of patients with chronic ischemia of the lower extremities based on optimization of the technique of operations on the deep femoral artery. During 6 years (from 2014 to the end of 2019), 150 patients were initially operated on for obliterating atherosclerosis of the femoropopliteal-tibial segment of the lower extremities in the department of vascular surgery of the Andrey Novak Regional Clinical Hospital, the clinical base of the Uzhgorod National University. In the presence of "short" stenoses, preference should be given to open endarterectomy with an autovenous and / or autoarterial patch. Read More

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January 2021

Incidence of lower limb amputation in Central Australia.

Aust Health Rev 2021 Jun;45(3):361-367

Prosthetics/Orthotics Department, Alice Springs Hospital, 6 Gap Road, Alice Springs, NT 0870, Australia. Email:

Objective The aims of this study were to review the demographic details of those who have undergone lower limb amputation (LLA) surgery in Central Australia and determine the region-specific age-adjusted incidence rate of LLA. Methods A retrospective audit of service users who underwent LLA in a Central Australian hospital from 2012 to 2017 was undertaken. Demographic, operative and postoperative outcomes data were collected. Read More

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Amputation Rehabilitation and Prosthetics Curricula in Physical Therapist Professional Education Programs.

J Allied Health 2021 ;50(1):29-37

Dep. of Physical Therapy, California State University, Sacramento, 6000 J Street-Folsom Hall M6020, Sacramento, CA 95819, USA. Tel 916-278-5445.

Introduction: Curricular guidelines do not exist currently for content related to amputation rehabilitation and prosthetics in entry-level physical therapy education programs. Documents exist to provide context, but before guidelines can be written, the current content of entry-level physical therapist professional education programs must be known.

Methods: Faculty members teaching amputation rehabilitation and prosthetics at 225 accredited physical therapist education programs in the United States were recruited via e-mail. Read More

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January 2021

Material properties and application of biomechanical principles provide significant motion control performance in experimental ankle foot orthosis-footwear combination.

Clin Biomech (Bristol, Avon) 2021 02 30;82:105285. Epub 2021 Jan 30.

School of Integrated Health Sciences, University of Nevada Las Vegas, Las Vegas, NV 89154, USA.

Background: This study, the first of its kind, originated with the need for a brace (an ankle foot orthosis), to constrain ankle plantarflexion and dorsiflexion within a motion threshold of <5°. A conventional thermoplastic, solid brace failed during a quasi-static loading study, informing the investigation and development of an experimental carbon composite brace, maximizing stiffness and proximity of shank and foot cylindrical shells to provide the required degree of control.

Methods: Two experiments were conducted: a quasi-static loading study, using cadaveric limbs (n = 2), and a gait study with healthy subjects (n = 14). Read More

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February 2021

Health Outcomes Used to Determine Facets of Health-related Quality of Life for Post-9/11 Veterans Using Assistive Technology for A Combat-related Mobility Impairment: A Literature Review.

Mil Med 2021 Feb 4. Epub 2021 Feb 4.

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.

Introduction: Novel rehabilitation methods, including distribution and adoption of assistive technology for lower extremity impairments, are becoming crucial to ensure positive quality of life in all individuals. The quality of life of post-9/11 combat veterans is not well understood, in comparison to research on other populations. The following essay describes a review on health outcomes used to determine health-related quality of life (HR-QoL) among combat-injured service members who require mobility-related assistive technology. Read More

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February 2021

The feasibility and validity of a wearable sensor system to assess the stability of high-functioning lower-limb prosthesis users.

J Prosthet Orthot 2020 Aug;Online first

Northwestern University Prosthetics-Orthotics Center, Chicago, Illinois.

Introduction: Lower-limb prosthesis users (LLPUs) experience increased fall risk due to gait and balance impairments. Clinical outcome measures are useful for measuring balance impairment and fall risk screening but suffer from limited resolution and ceiling effects. Recent advances in wearable sensors that can measure different components of gait stability may address these limitations. Read More

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A Biomimetic Adapter for Passive Self-alignment of Prosthetic Feet.

Mil Med 2021 01;186(Suppl 1):665-673

Ability Prosthetics & Orthotics, Mechanicsburg, PA 17050, USA.

Introduction: Dynamic alignment of lower limb prostheses is subjective and time-consuming. Compensatory gait strategies caused by prosthesis misalignment can negatively affect lower limb amputees who cannot access a certified prosthetist for alignment adjustments. The objective of this study is to evaluate a novel six-degrees-of-freedom passive transtibial prosthetic adapter that self-aligns during various phases of gait. Read More

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January 2021

Kinesiotaping Techniques to Alter Static Load in Patients With Foot Pronation.

J Chiropr Med 2020 Sep 10;19(3):175-180. Epub 2020 Sep 10.

Faculty of Health Science, Prosthetics-Orthotics Department, University of Ankara, Ankara, Turkey.

Objective: This study aimed to assess the effect of kinesio tape (KT) application on foot pronation using the laser postural alignment system.

Methods: Twenty participants (10 females and 10 males, mean age 19.7 ± 1. Read More

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September 2020

Wireless sensors for continuous, multimodal measurements at the skin interface with lower limb prostheses.

Sci Transl Med 2020 12;12(574)

Querrey Simpson Institute for Bioelectronics, Northwestern University, Chicago, IL 60611, USA.

Precise form-fitting of prosthetic sockets is important for the comfort and well-being of persons with limb amputations. Capabilities for continuous monitoring of pressure and temperature at the skin-prosthesis interface can be valuable in the fitting process and in monitoring for the development of dangerous regions of increased pressure and temperature as limb volume changes during daily activities. Conventional pressure transducers and temperature sensors cannot provide comfortable, irritation-free measurements because of their relatively rigid construction and requirements for wired interfaces to external data acquisition hardware. Read More

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December 2020

Ground reaction force complexity in hallux valgus.

Clin Biomech (Bristol, Avon) 2021 01 17;81:105229. Epub 2020 Nov 17.

Foot and Ankle Department, Milad Hospital, Tehran, Iran.

Background: Investigating the complexity of movement systems can be insightful in clinical decision making. The study conducted to evaluate whether complexity of ground reaction force is affected by hallux valgus grades and footwear or foot side conditions.

Methods: A sample of 120 females including 30 participants in each group of healthy and mild, moderate, and severe hallux valgus were recruited in this case-control study. Read More

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January 2021

Barriers to accessing and providing rehabilitation after a lower limb amputation in Sierra Leone - a multidisciplinary patient and service provider perspective.

Disabil Rehabil 2020 Dec 1:1-8. Epub 2020 Dec 1.

Leeds Institute of Medical Research, University of Leeds, Leeds, UK.

Purpose: The primary aim was to explore the perceived barriers that lower limb amputees and service providers face when accessing or providing rehabilitation services. The secondary aim was to describe the lower limb amputations performed in public hospitals in the Western Area of Sierra Leone in 2018.

Materials And Methods: A mixed methodology was employed, involving the collection of amputation data from surgical logbooks and interviews with amputees ( = 10) and group discussion and interviews with service providers ( = 11). Read More

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December 2020

Sex-specific Differences in Multisite Pain Presentation among Adults with Lower-Limb Loss.

Pain Pract 2021 Apr 12;21(4):419-427. Epub 2020 Dec 12.

Department of Physical Therapy, University of Delaware, Newark, Delaware, U.S.A.

Objectives: Multisite pain remains significantly understudied following lower-limb loss (LLL), especially among females. This study aimed to explore sex-specific differences in the presentation of multisite pain post LLL. Hypotheses were multisite pain would be more prevalent among females post LLL as compared with males, and female sex would be significantly associated with multisite pain prevalence. Read More

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[The necessity for treatment paths for lower limb prosthetics : All that glitters is not gold!]

Orthopade 2021 Jan;50(1):44-50

PohligGmbH, Waldhoferstraße 98, 69123, Heidelberg, Deutschland.

Background: Frequently occurring problems in the fitting of leg prostheses are either, for a prosthetic fitting, insufficiently resilient leg stumps or insufficiently adapted prostheses. For this reason, there has been a demand at the political level to establish treatment pathways and a quality standard for the care of people after leg amputations.

Question: How can a joint, interdisciplinary approach to the provision of aids be developed? Does interdisciplinary care of amputees lead to an improvement in the quality of care?

Material And Method: A compendium "Quality standard in the field of lower extremity prostheses" was compiled and presented at the OT World in Leipzig in 2018. Read More

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January 2021