2,437 results match your criteria Spinal Orthotics


Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review.

Medicina (Kaunas) 2022 May 24;58(6). Epub 2022 May 24.

Faculty of Sports Sciences, Department of Physiotherapy, Universidad Europea de Madrid, 28670 Madrid, Spain.

Osteoporotic hyperkyphosis is associated with adverse outcomes, such as fatigue, back pain, or reduced back extensor strength, with a negative impact on functionality and quality of life. The purpose of this review is to assess the effectiveness of spinal orthosis on these adverse effects. A systematic review following the PRISMA guidelines was performed. Read More

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The Kinematic and Kinetic Responses of the Trunk and Lower Extremity Joints during Walking with and without the Spinal Orthosis.

Int J Environ Res Public Health 2022 06 6;19(11). Epub 2022 Jun 6.

College of Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, China.

Spinal orthoses are an effective option for restoring the spine to its original position and controlling poor posture. However, the effects of poor posture and spinal orthoses on the kinematics and kinetics of trunk and lower extremity joints remain unclear. A six-camera Vicon motion capture system and two AMTI force plates were employed to collect gait parameters, including joint angle (spine, thorax, hip, knee, and ankle), range of motion (ROM), and ground reaction forces (GRFs). Read More

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Genetic variants associated with the occurrence and progression of adolescent idiopathic scoliosis: a systematic review protocol.

Syst Rev 2022 06 9;11(1):118. Epub 2022 Jun 9.

Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Background: Adolescent idiopathic scoliosis (AIS) is a structural lateral spinal curvature of ≥ 10° with rotation. Approximately 2-3% of children in most populations are affected with AIS, and this condition is responsible for approximately $1.1 billion in surgical costs to the US healthcare system. Read More

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Foundational ingredients of robotic gait training for people with incomplete spinal cord injury during inpatient rehabilitation (FIRST): A randomized controlled trial protocol.

PLoS One 2022 10;17(5):e0267013. Epub 2022 May 10.

Baylor Scott & White Institute for Rehabilitation, Dallas, Texas, United States of America.

Introduction: As technological advances allow the use of robotic exoskeleton devices with gait training, there is a critical need to establish a robotic gait training (RGT) program to meet the needs of people with spinal cord injury (SCI) during inpatient rehabilitation. The purposes of this study are to prospectively examine the efficacy of a stakeholder informed RGT program compared to usual care gait training (UC) during inpatient rehabilitation in people with incomplete SCI and compare the intensity of RGT and UC gait training during inpatient rehabilitation.

Study Design: 128 patients with incomplete SCI admitted to our inpatient rehabilitation facility will be screened for eligibility and randomized to either the RGT or UC group. Read More

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Compliance with Long-Term Use of Orthoses Following Spinal Cord Injury.

Neurol India 2022 Mar-Apr;70(2):618-622

Department of Physical Medicine and Rehabilitation, Başkent University Medical School Hospital, Ankara, Turkey.

Background: Prescription of orthoses and assistive devices that facilitate physical function is a major component of the rehabilitation process in spinal cord injury (SCI).

Objective: To evaluate the long-term use of orthoses prescribed during inpatient rehabilitation in people with SCI and investigate the factors related to discarding the device.

Materials And Methods: Medical records of 202 SCI patients who were included in an inpatient rehabilitation program of a tertiary research hospital were reviewed retrospectively. Read More

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Combined Chiropractic and Podiatric Treatment for Chronic Low Back Pain Concomitant With a Unilateral Pronated Foot: Protocol for a Multicenter Pilot Randomized Controlled Trial.

J Chiropr Med 2021 Dec 6;20(4):177-182. Epub 2022 Apr 6.

Department of Podiatry, University of Seville, Seville, Andalucia, Spain.

Objective: The purpose of this article is to describe a protocol to examine the feasibility of combining podiatric orthotic treatment with multimodal chiropractic treatment to treat chronic low back pain (CLBP) in those with a functional short leg on the same side as a unilateral pronated foot.

Methods: This is a protocol for a multicenter feasibility 2-arm parallel randomized controlled trial. One hundred and thirty-two adults with CLBP and a functional short leg on the same side as a unilateral pronated foot are to be recruited in Melbourne, Australia, and Madrid and Seville, Spain. Read More

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December 2021

Effect of a semi-rigid backpack type thoracolumbar orthosis on thoracic kyphosis angle and muscle performance in older adults with hyperkyphosis: a randomized controlled trial.

Disabil Rehabil 2022 Apr 22:1-10. Epub 2022 Apr 22.

Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

Purpose: To investigate the effect of a semi-rigid backpack type thoracolumbar orthosis (TLO) on thoracic kyphosis angle (TKA) and potentially contributing factors of hyperkyphosis, including position sense and back muscle strength and endurance.

Method: This randomized, controlled trial was conducted on 48 older adults with hyperkyphosis, randomly allocated to an experimental or control group. The experimental group wore a semi-rigid TLO for 3 consecutive months. Read More

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The first case report of multiple thoracic vertebrae fractures caused by a low-voltage electric shock.

Eur J Med Res 2022 Apr 4;27(1):52. Epub 2022 Apr 4.

Department of Surgery, Silesian Hospital in Opava, Olomoucká 470/86, 746 01, Opava, Czech Republic.

Background: This paper describes a unique case-the first case of multiple fractures of the thoracic vertebrae caused by a low-voltage electric shock.

Case Presentation: A 22-year-old male patient was diagnosed with compression fractures of Th2-Th6 caused by a muscle spasm resulting from an electric shock. The patient was treated conservatively using a cervico-thoracic support corset. Read More

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Supine correction index as a predictor for brace outcome in adolescent idiopathic scoliosis.

Bone Joint J 2022 Apr;104-B(4):495-503

Department of Orthopaedics and Traumatology, University of Hong Kong, Hong Kong, China.

Aims: The aim of this study was to assess the ability of morphological spinal parameters to predict the outcome of bracing in patients with adolescent idiopathic scoliosis (AIS) and to establish a novel supine correction index (SCI) for guiding bracing treatment.

Methods: Patients with AIS to be treated by bracing were prospectively recruited between December 2016 and 2018, and were followed until brace removal. In all, 207 patients with a mean age at recruitment of 12. Read More

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Do Inflammatory Cytokines Affect Patient Outcomes After ACDF?

Clin Spine Surg 2022 05 30;35(4):137-143. Epub 2022 Mar 30.

Department of Orthopaedic Surgery, Rothman Institute.

Study Design: Prospective cohort study.

Objective: The aim was to determine the relationship between serum inflammatory mediators, preoperative cervical spine disease severity, and clinical outcomes after anterior cervical discectomy and fusion (ACDF).

Summary Of Background Data: Given the role of the inflammatory cascade in spinal degenerative disease, it has been hypothesized that inflammatory markers may serve as a predictor of patient outcomes after surgery. Read More

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[Topical issues of rehabilitation of patients with osteoporotic vertebral fractures].

Authors:
L A Marchenkova

Vopr Kurortol Fizioter Lech Fiz Kult 2022 ;99(1):69-79

National Medical Research Center of Rehabilitation and Balneology of Ministry of Health of Russian Federation, Moscow, Russia.

The literature review analyzed 20 Russian and 69 foreign publications on the rehabilitation of elderly patients with osteoporotic vertebral fractures. The article deals in detail with the prevalence, medical and social significance of pathological osteoporotic fractures, including vertebral deformities. The data confirming the importance of osteoporosis for physical and rehabilitation medicine specialists are presented. Read More

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The classification of scoliosis braces developed by SOSORT with SRS, ISPO, and POSNA and approved by ESPRM.

Eur Spine J 2022 04 21;31(4):980-989. Epub 2022 Feb 21.

Scoliosis Physiotherapy and Posture Centre Ottawa, Ottawa, ON, Canada.

Purpose: Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the generalization of scientific results is either impossible or misleading. Read More

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Altered mechanotransduction in adolescent idiopathic scoliosis osteoblasts: an exploratory in vitro study.

Sci Rep 2022 02 3;12(1):1846. Epub 2022 Feb 3.

Viscogliosi Laboratory in Molecular Genetics of Musculoskeletal Diseases, Saint-Justine University Hospital Research Center, room 2.17.027, 3175 Cote-Ste-Catherine Road, Montreal, QC, H3T 1C5, Canada.

Adolescent idiopathic scoliosis (AIS) is the most prevalent pediatric spinal deformity. We previously demonstrated elongated cilia and an altered molecular mechanosensory response in AIS osteoblasts. The purpose of this exploratory study was to characterize the mechanosensory defect occurring in AIS osteoblasts. Read More

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February 2022

The Italian Spine Youth Quality of Life questionnaire: reliability and validity of the Persian version in adolescents with spinal deformities.

Spine Deform 2022 Jul 28;10(4):775-782. Epub 2022 Jan 28.

Iran-Helal Institute of Applied Science and Technology, Tehran, Iran.

Purpose: To assess the reliability and validity of the Persian version of the Italian Spine Youth Quality of Life (P-ISYQOL) questionnaire.

Methods: Forward/backward translations and cultural adaption processes of the ISYQOL questionnaire into Persian were conducted by an expert committee. We recruited 178 adolescents with idiopathic scoliosis (AIS) and Scheuermann's kyphosis (SK) and 103 age-matched adolescents with no spinal deformity. Read More

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Benefits and harms of non-surgical and non-pharmacological management of osteoporotic vertebral fractures: A systematic review and meta-analysis.

Braz J Phys Ther 2022 Jan-Feb;26(1):100383. Epub 2022 Jan 10.

Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Victoria, Australia; Allied Health Clinical Research Office, Eastern Health, Victoria, Australia.

Background: Osteoporotic vertebral fractures affect a large number of older adults OBJECTIVES: Systematically review evidence of the benefits and harms of non-surgical and non-pharmacological management of people with osteoporotic vertebral fractures compared with standard care (control); and evaluate the benefits and harms of non-surgical and non-pharmacological management of people with osteoporotic vertebral fractures compared with an alternative non-pharmacological, non-invasive intervention.

Design: Systematic review and meta-analysis of randomized controlled trials. Five electronic databases (CINAHL, EMBASE, MEDLINE, PUBMED, and COCHRANE) were searched. Read More

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Infantile onset ascending hereditary spastic paralysis.

BMJ Case Rep 2022 Jan 17;15(1). Epub 2022 Jan 17.

Paediatric Department, Midland Regional Hospital Mullingar, Mullingar, Ireland.

A 3½-year-old girl, presented with delayed motor development and increased tone in lower limbs along with tight tendoachilles, toe walking and bilateral clonus. There were normal antenatal and perinatal period, however, after birth there was twitching of her lower limbs. Examination showed lower limb spasticity. Read More

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January 2022

Coronal deformity angular ratio as a predictive factor for in-brace curve correction and long-term outcome of brace treatment in adolescents with idiopathic scoliosis.

Spine Deform 2022 05 16;10(3):543-551. Epub 2022 Jan 16.

Division of Orthopaedic Surgery, University of Ottawa, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.

Purpose: To investigate the relationship between coronal deformity angular ratio (C-DAR) and in-brace correction (IBC) and their role in predicting the long-term bracing outcome in adolescents with idiopathic scoliosis (AIS).

Methods: In this retrospective multicenter study, the patient's sex, age, primary curve Cobb angle (at initiation of brace treatment, best in-brace, before spinal fusion, and final follow-up), curve pattern, duration of brace treatment, brace type, and C-DAR at initiation of bracing were recorded. The C-DAR values were classified as < 5, 5 ≤ to ≤ 6, and > 6. Read More

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Effects of Dynamic Overground Body Weight Support Training During Inpatient Rehabilitation After Traumatic Spinal Cord Injury: A Retrospective Case Series.

Am J Phys Med Rehabil 2022 02;101(2):196-200

From the Department of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, Kentucky (ESP, JL, LS); Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky (PMW); and College of Medicine, University of Kentucky, Lexington, Kentucky (EH).

Abstract: Rehabilitation strategies after traumatic spinal cord injury aim to maximize functional recovery by applying principles of neuroplasticity via task-specific, repetitive training. Rehabilitation of patients with traumatic spinal cord injury poses unique challenges, including bilateral limb involvement, autonomic dysfunction, loss of proprioception, and potentially spinal precautions/bracing. The purpose of this retrospective case series was to determine whether use of dynamic body weight support would yield greater improvement in functional recovery compared with standard of care in adults with traumatic spinal cord injury. Read More

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February 2022

Non-Invasive Analysis of Motor Unit Activation During Simultaneous and Continuous Wrist Movements.

IEEE J Biomed Health Inform 2022 05 5;26(5):2106-2115. Epub 2022 May 5.

Surface electromyography (EMG) signals have shown promising applications in human-machine interfacing (HMI) systems such as orthotics, prosthetics, and exoskeletons. Nevertheless, existing myoelectric control methods, generally based on time-domain or frequency-domain features, could not directly interpret neural commands. EMG decomposition techniques have become a prevailing solution to decode the motor neuron discharges from the spinal cord, whereas only single degree-of-freedom (DoF) movements are primarily involved in the current neural-based interfaces, resulting in limited intuitiveness and functionality. Read More

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Upper Extremity Functional Improvements in Persons with SCI Resulted from Daily Utilization of Myoelectric Powered Wearable Orthotics.

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:4949-4952

Spinal cord injury (SCI) is a medically complex and life-disrupting condition. It is estimated that 17,700 new traumatic SCI cases are reported each year in the United States. Approximately half of those cases, involves paralysis, sensory loss, and impaired motor control in the upper extremity (UE) and lower extremities. Read More

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November 2021

The Rehabilitation Effects of Myoelectric Powered Wearable Orthotics on Improving Upper Extremity Function in Persons with SCI.

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:4944-4948

Upper extremity (UE) weakness and/or paralysis following spinal cord injury (SCI) can lead to a limited capacity to perform activities of daily living (ADL). Such disability significantly reduces an individual's level of independence. Further, restoration of UE motor function in people with SCI remains a high priority in rehabilitation and the field of assistive technology. Read More

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November 2021

An effect of spinal and ankle-foot orthoses on gait of spastic diplegic child: A case report.

Technol Health Care 2022 ;30(1):271-281

Biomedical Engineering Institute, Bialystok University of Technology, Bialystok, Poland.

Background: In children with spastic cerebral palsy (CP), the most common motor dysfunction is pathological gait.

Objective: To evaluate the effectiveness of measures for an individual CP case.

Methods: The case of one spastic diplegia child has been analyzed. Read More

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January 2022

Is nighttime bracing effective in the treatment of adolescent idiopathic scoliosis? A meta-analysis and systematic review based on scoliosis research society guidelines.

Spine Deform 2022 03 21;10(2):247-256. Epub 2021 Oct 21.

Gillette Children's Specialty Healthcare, 200 University Ave East, 490105, St. Paul, MN, 55101, USA.

Purpose: Standard treatment for skeletally immature adolescents with moderate Adolescent Idiopathic Scoliosis (AIS) is a full-time spinal orthosis. However, adherence to full-time wear (≥ 18 h/day) is often challenging for these patients. Nighttime bracing is an alternative option that may improve patient adherence and/or satisfaction. Read More

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Effectiveness and Safety of Inelastic Versus Elastic Lumbosacral Orthoses on Low Back Pain Prevention in Healthy Nurses: A Randomized Controlled Trial.

Spine (Phila Pa 1976) 2022 May 5;47(9):656-665. Epub 2021 Oct 5.

Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Central South University, Changsha, PR China.

Study Design: A randomized controlled trial.

Objective: To evaluate the effects of inelastic and elastic lumbosacral orthoses (LSOs) on the prevention of low back pain (LBP) in healthy nurses.

Summary Of Background Data: Over 80% of people experience LBP during their lifetime. Read More

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Validation of inertial measurement units for the assessment of trunk control in subjects with spinal cord injury.

J Spinal Cord Med 2021 Oct 6:1-10. Epub 2021 Oct 6.

Research Division, Human Motion Analysis Laboratory and Rehabilitation Engineering Department, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

Background: Trunk control (TC) constitutes one of the main objectives in the rehabilitation of people with a spinal cord injury (SCI), but there are few clinically validated tests to assess it. Accelerometers have been proposed as sensitive and suitable procedures to assess TC.

Objective: : To evaluate test-retest reliability, construct and criterion validity of accelerometer parameters to assess TC in people with SCI. Read More

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October 2021

Scoliosis: An Overview.

Radiol Technol 2021 Sep;93(1):55-72

Brittney L Mesiti, R.T.(R), is lead radiologic technologist for Cleveland Clinic Martin South Hospital in Stuart, Florida. She also is technical laboratory specialist for Indian River State College, where she graduated summa cum laude in radiography.

Scoliosis, a condition in which the spine develops abnormal curvature and rotation, typically is diagnosed before adulthood. Scoliosis can be caused by another medical condition or can be idiopathic. Medical imaging is essential in diagnosing and grading the severity of this disorder. Read More

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September 2021

Influence of Footwear on Posture and Comfort in Elite Rugby Players.

Int J Sports Med 2022 Mar 24;43(3):269-277. Epub 2021 Sep 24.

Aix-Marseille I University, IFSTTAR, LBA UMR T24, Marseille.

Influence of footwear on posture in athletes is poorly documented despite its potential impact on biomechanics and injury risk. The aim of this study was to investigate effects of different footwear geometries on comfort and posture on a cohort of 48 elite rugby players. Spine posture was characterized by photogrammetry, while center of pressure was measured by means of a force platform. Read More

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Assessment of reliability and validity of the adapted Persian version of the Spinal Appearance Questionnaire in adolescents with idiopathic scoliosis.

Spine Deform 2022 03 17;10(2):317-326. Epub 2021 Sep 17.

Department of Rehabilitation, Faculty of Allied Medicine, Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, Kerman, Iran.

Purpose: This study investigates the reliability and validity of the adapted Persian version of the Spinal Appearance Questionnaire (P-SAQ).

Methods: The stages of cross-cultural adaptation were conducted according to an internationally accepted guidelines. Reliability of the P-SAQ was measured by evaluating internal consistency and test-retest reproducibility using Cronbach's α and intraclass correlation coefficient (ICC). Read More

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