2,161 results match your criteria Spinal Orthotics


Effect of exercise on static balance and Cobb angle during the weaning phase of brace management in idiopathic scoliosis and hyperkyphosis: A preliminary study.

J Back Musculoskelet Rehabil 2018 Dec 27. Epub 2018 Dec 27.

Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Exercises are usually prescribed in association with orthotic intervention for management of idiopathic scoliosis, however the role of these exercises on the efficacy of brace and/or balance is not clear yet.

Objectives: To investigate the role of exercise (the Blount and Moe protocol) on static balance and Cobb angle changes in adolescents with spinal deformities during weaning from brace.

Methods: Seventeen brace users were allocated into 3 groups (good, moderate, and weak), according to their exercise quality and quantity Static balance was evaluated on 4 conditions (standing on a platform/foam; with/without brace) using a force platform. Read More

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http://dx.doi.org/10.3233/BMR-181128DOI Listing
December 2018
7 Reads

The effect of orthotic interventions on balance performance in adolescent idiopathic scoliosis: A systematic literature review.

Assist Technol 2019 Jan 2:1-8. Epub 2019 Jan 2.

e Department of Neurosurgery , Lorestan University of Medical Sciences , Khoramabad , Iran.

Background: Spinal bracing is one form of conservative treatment used in the treatment of adolescent idiopathic scoliosis (AIS).

Aim: The aim of this review was therefore to evaluate the effect of brace treatment on balance in subjects with AIS.

Method: The search strategy was based on the Population Intervention Comparison Outcome (PICO). Read More

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https://www.tandfonline.com/doi/full/10.1080/10400435.2018.1
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http://dx.doi.org/10.1080/10400435.2018.1539419DOI Listing
January 2019
6 Reads

Association of low back load with low back pain during static standing.

PLoS One 2018 18;13(12):e0208877. Epub 2018 Dec 18.

Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

Background: Although poor standing posture is a known cause of low back pain, the mechanisms involved are unclear. The aim of this study was to clarify the kinetic and posture angle features of standing posture that might influence low back pain.

Methods: Sixty-seven young men were enrolled in this cross-sectional case-control study and were categorized according to whether they did or did not have low back pain. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208877PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298701PMC
December 2018
2 Reads

Examining the Effects of a Powered Exoskeleton on Quality of Life and Secondary Impairments in People Living With Spinal Cord Injury.

Top Spinal Cord Inj Rehabil 2018 7;24(4):336-342. Epub 2018 Aug 7.

Rusk Rehabilitation, NYU Langone Health, New York, New York.

Secondary impairments associated with spinal cord injury (SCI) limit one's independent functionality and negatively impact quality of life (QoL). The purpose of this study was to explore changes in secondary health conditions that may result from using a powered exoskeleton as well as their potential impact on QoL. Forty-five participants presenting with SCI ranging from T3-L2 were included in this study. Read More

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http://dx.doi.org/10.1310/sci17-00055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241230PMC
December 2018
16 Reads

Tracking Kinematic and Kinetic Measures of Sit to Stand using an Instrumented Spine Orthosis.

Conf Proc IEEE Eng Med Biol Soc 2018 07;2018:1-5

Age related spinal deformity is becoming an increasingly prevalent problem, resulting in decreased quality of life. While spinal deformity can be corrected via surgical intervention, a large number of people with spinal fusions require follow-up surgery due to further degeneration. The identification of changes to a subjects kinematics and kinetics post-surgery are limited by a lack of methods to collect patient specific motion data over the course of surgical recovery. Read More

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http://dx.doi.org/10.1109/EMBC.2018.8512526DOI Listing
July 2018
9 Reads

Coordinated activities of trunk and upper extremity muscles during walker-assisted paraplegic gait: A synergy study.

Hum Mov Sci 2018 Dec 30;62:184-193. Epub 2018 Oct 30.

Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran. Electronic address:

Individuals with spinal cord injury (SCI) at lower thoracic levels might walk independently with the aid of mechanical orthoses and walker by using their unimpaired trunk and upper extremity muscles (TUEM). The required motor skills and the associated subtasks of the paraplegic locomotion, however, have not been well understood yet. The purpose of this study was to investigate the coordination of the TUEM activities throughout the paraplegic gait cycle using synergy analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01679457183036
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http://dx.doi.org/10.1016/j.humov.2018.10.002DOI Listing
December 2018
9 Reads

Effects of Two Different Hip-Knee-Ankle-Foot Orthoses on Postural Stability in Subjects with Spinal Cord Injury: A Pilot Study.

Asian Spine J 2019 Feb 18;13(1):96-102. Epub 2018 Oct 18.

Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Study Design: Pilot study.

Purpose: Evaluation of two different hip-knee-ankle-foot orthoses (HKAFOs; medial linkage reciprocating gait orthosis [MLRGO] and isocentric reciprocating gait orthosis [IRGO]) using gait and postural stability analysis in four subjects with spinal cord injury (SCI).

Overview Of Literature: To the best of our knowledge, no study has evaluated postural stability in subjects with SCI when using MLRGO and IRGO. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
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http://dx.doi.org/10.31616/asj.2017.0283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365790PMC
February 2019
6 Reads

The effects of a posterior superior iliac spine support device on upper trunk acceleration during gait in individuals with flat lumbar back posture.

Technol Health Care 2018 ;26(5):873-878

Background: The orientation of the pelvis is of particular importance to the sagittal curve of the spine and has geometric relationships with the top of the spine and lumbar lordosis. Changes in spinal shape or disruptions of sagittal balance in the spine, such as a flattened lumbar spine, have significant negative effects.

Objective: The aim of this study was to investigate the effects of the posterior superior iliac spine support device (PSD) on upper trunk acceleration during gait in individuals with flat lumbar back posture. Read More

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http://www.medra.org/servlet/aliasResolver?alias=iospress&am
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http://dx.doi.org/10.3233/THC-181466DOI Listing
February 2019
2 Reads

Kinesio taping improves pain and function in patients with knee osteoarthritis: A meta-analysis of randomized controlled trials.

Int J Surg 2018 Nov 28;59:27-35. Epub 2018 Sep 28.

Department of Spinal Surgery, Ganzhou People's Hospital, Jiang Xi, China.

Objective: To perform a meta-analysis from randomized controlled trials (RCTs) to evaluate the efficacy of Kinesio Taping in reducing pain and increasing knee function in patients with knee osteoarthritis (OA).

Methods: The electronic databases include PubMed, Embase, web of science and the Cochrane Library up to August 2018. Studies searched were considered eligible if they met the criteria as follows: Population: patients with knee OA; Intervention: intervention groups received Kinesio Taping for the treatment of knee OA; Comparisons: Control group received sham taping; 3) Outcomes: visual analog scale (VAS), McMaster Universities Arthritis Index (WOMAC) scale, range of motion and muscle strength; Study design: RCTs. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.09.015DOI Listing
November 2018
17 Reads

Economic value of orthotic and prosthetic services among medicare beneficiaries: a claims-based retrospective cohort study, 2011-2014.

J Neuroeng Rehabil 2018 Sep 5;15(Suppl 1):55. Epub 2018 Sep 5.

Dobson DaVanzo & Associates, LLC, 450 Maple Avenue East, Suite 303, Vienna, VA, 22180, USA.

Background: There are few studies of the economic value of orthotic and prosthetic services. A prior cohort study of orthotic and prosthetic Medicare beneficiaries based on Medicare Parts A and B claims from 2007 to 2010 concluded that patients who received timely orthotic or prosthetic care had comparable or lower total health care costs than a comparison group of untreated patients. This follow-up study reports on a parallel analysis based on Medicare claims from 2011 to 2014 and includes Part D in addition to Parts A and B services and expenditures. Read More

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http://dx.doi.org/10.1186/s12984-018-0406-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157184PMC
September 2018
5 Reads

Efficacy of Corrective Surgery for Gait and Energy Expenditure in Patients with Scoliosis: A Literature Review.

Asian Spine J 2018 Oct 10;12(5):951-965. Epub 2018 Sep 10.

Department of Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

The aim of this literature review was to evaluate selected original papers that measured gait parameters and energy expenditure in idiopathic scoliosis (IS) treated with surgical intervention. IS is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. Consequently, IS can modify human gait. Read More

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http://dx.doi.org/10.31616/asj.2018.12.5.951DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147879PMC
October 2018
5 Reads

Significance of recumbent curvature in prediction of in-orthosis correction for adolescent idiopathic scoliosis.

Prosthet Orthot Int 2018 Sep 7:309364618798172. Epub 2018 Sep 7.

1 Department of Biomedical Engineering, The Hong Kong Polytechnic University,Hung Hom, Kowloon, Hong Kong.

Background: Prediction of in-orthosis curvature at pre-orthosis stage is valuable for the treatment planning for adolescent idiopathic scoliosis, while the position of spinal curvature assessment that is effective for this prediction is still unknown.

Objectives: To compare the spinal curvatures in different body positions for predicting the spinal curvature rendered by orthosis.

Study Design: A prospective cohort study. Read More

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http://dx.doi.org/10.1177/0309364618798172DOI Listing
September 2018
2 Reads

Mechanical Testing of a Novel Fastening Device to Improve Scoliosis Bracing Biomechanics for Treating Adolescent Idiopathic Scoliosis.

Appl Bionics Biomech 2018 12;2018:7813960. Epub 2018 Aug 12.

BioRobotics Laboratory, Department of Orthopaedic Surgery and Biomedical Engineering, The University of Tennessee Health Science Center, Memphis, TN, USA.

Velcro fastening straps are commonly used to secure a scoliosis brace around the upper body and apply corrective forces to the spine. However, strap loosening and tension loss have been reported that reduce spinal correction and treatment efficacy. A novel fastening device, or controlled tension unit (CTU), was designed to overcome these limitations. Read More

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https://www.hindawi.com/journals/abb/2018/7813960/
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http://dx.doi.org/10.1155/2018/7813960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109578PMC
August 2018
7 Reads

Surgical vs. non-surgical management of displaced type-2 odontoid fractures in patients aged 75 years and older: study protocol for a randomised controlled trial.

Trials 2018 Aug 22;19(1):452. Epub 2018 Aug 22.

Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.

Background: Displaced odontoid fractures in the elderly are treated non-surgically with a cervical collar or surgically with C1-C2 fusion. Due to the paucity of evidence, the treatment decision is often left to the discretion of the expert surgeon.

Methods: The Uppsala Study on Odontoid Fracture Treatment (USOFT) is a multicentre, open-label, randomised controlled superiority trial evaluating the clinical superiority of the surgical treatment of type-2 odontoid fractures, with a 1-year Neck Disability Index (NDI) as the primary endpoint. Read More

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https://trialsjournal.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13063-018-2690-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106890PMC
August 2018
20 Reads

Effect of the Chêneau Brace in the Natural History of Moderate Adolescent Idiopathic Scoliosis in Girls: Cohort Analysis of a Selected Homogenous Population of 100 Consecutive Skeletally Immature Patients.

Spine Deform 2018 Sep - Oct;6(5):514-522

Advanced Medical Research GmbH, Mannedorf 8708, Switzerland.

Study Design: Α series study.

Objectives: To evaluate the relationships between the effectiveness of brace in reduction of scoliosis angle, axial trunk rotation (ATR), and patients' compliance, in skeletally immature females with moderate adolescent idiopathic scoliosis (AIS), treated with Chêneau brace for a minimum of three years.

Summary Of Background Data: According to some authors, braces are ineffective, whereas others find that braces stop scoliosis progression and that the outcome has been related to patient's compliance. Read More

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http://dx.doi.org/10.1016/j.jspd.2018.01.006DOI Listing
January 2019
5 Reads

Clinical Impact of Corrective Cast Treatment for Early Onset Scoliosis: Is It a Worthwhile Treatment Option to Suppress Scoliosis Progression Before Surgical Intervention?

J Pediatr Orthop 2018 Nov/Dec;38(10):e556-e561

Department of Orthopedic Surgery, National Kobe Medical Center, Kobe, Japan.

Background: Although corrective cast (CC) has been back in use for the treatment of early onset scoliosis (EOS), no studies have reported how clinically meaningful CC was in comparison with brace-only treatment (BT) in EOS. The aim of this study was to investigate the effect of CC treatment in terms of suppression of scoliosis progression before surgery.

Methods: This study was designed to conduct a comparison of patients treated at 2 spine institutions differing in treating methods (one: mainly CC with brace, the other: BT). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001237DOI Listing
December 2018
4 Reads

Type II Fractures in Older Adults: Can They Be Treated Conservatively?: A Single-Center Experience and Review of the Literature.

World Neurosurg 2018 Oct 20;118:e938-e945. Epub 2018 Jul 20.

Division of Neurological Surgery, Azienda Universitaria Integrata di Trieste, Trieste, Trieste, Italy.

Background: Odontoid fractures are the most common acute cervical spinal fractures in the geriatric population. Their rate is increasing along with the rising age of the elderly population. Whereas conservative management with external immobilization is reported as the treatment of choice for type I and III odontoid fractures, there are no clear indications concerning the best treatment for type II fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183158
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http://dx.doi.org/10.1016/j.wneu.2018.07.105DOI Listing
October 2018
8 Reads

Evolution of Neuroprosthetic Approaches to Restoration of Upper Extremity Function in Spinal Cord Injury.

Top Spinal Cord Inj Rehabil 2018 ;24(3):252-264

MetroHealth Medical Center, Cleveland, Ohio.

Spinal cord injury (SCI) occurring at the cervical levels can result in significantly impaired arm and hand function. People with cervical-level SCI desire improved use of their arms and hands, anticipating that regained function will result in improved independence and ultimately improved quality of life. Neuroprostheses provide the most promising method for significant gain in hand and arm function for persons with cervical-level SCI. Read More

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http://dx.doi.org/10.1310/sci2403-252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037324PMC
October 2018
18 Reads

Conservative management strategies and stress level in children and adolescents with idiopathic scoliosis.

Psychiatr Pol 2018 Apr 4;52(2):355-369. Epub 2017 May 4.

Wydział Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Śląski Uniwersytet Medyczny w Katowicach.

Objectives: The objective of the study was to evaluate the stress level in children and adolescents with idiopathic scoliosis (IS) treated conservatively using the Dobosiewicz Method (DoboMed) approach in correlation with the clinical parameters and brace therapy.

Methods: The study group (SG) comprised 63 patients (54 girls), in mean age 14.7 years. Read More

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http://dx.doi.org/10.12740/PP/OnlineFirst/68744DOI Listing
April 2018
4 Reads

Corticosteroid Administration to Prevent Complications of Anterior Cervical Spine Fusion: A Systematic Review.

Global Spine J 2018 May 23;8(3):286-302. Epub 2017 Jun 23.

Tehran University of Medical Sciences, Tehran, Iran.

Study Design: Systematic review.

Objectives: Anterior cervical approach is associated with complications such as dysphagia and airway compromise. In this study, we aimed to systematically review the literature on the efficacy and safety of corticosteroid administration as a preventive measure of such complications in anterior cervical spine surgery with fusion. Read More

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http://dx.doi.org/10.1177/2192568217708776DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958478PMC
May 2018
27 Reads

Kinetic and kinematic variables affecting trunk flexion during level walking in patients with lumbar spinal stenosis.

PLoS One 2018 10;13(5):e0197228. Epub 2018 May 10.

Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, Japan.

Lumbar spinal stenosis causes cauda equina and nerve root compression, resulting in neurological symptoms. Although trunk flexion during level walking may alleviate these symptoms by enabling spinal canal decompression, some patients do not use this strategy. We aimed to identify the kinetic and kinematic variables that affect trunk flexion in patients during level walking. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0197228PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944950PMC
July 2018
2 Reads

Efficacy of Thoracolumbar Bracing in Spinal Immobilization: Precise Assessment of Gross, Intersegmental, and Segmental Spinal Motion Restriction by a 3D Kinematic System.

World Neurosurg 2018 Aug 3;116:e128-e146. Epub 2018 May 3.

Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Albert-Ludwigs University of Freiburg, Freiburg, Germany.

Background: Various diseases of the spine are treated by immobilization via orthoses, although detailed evidence on the efficiency of orthotic bracing remains elusive. The present study sought to investigate the impact of 3 different orthoses on spinal immobilization using 3-dimensional (3D) kinematic measurements.

Methods: Twelve healthy volunteers performed different motion tasks, including trunk flexion/extension and bilateral trunk bending. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.133DOI Listing
August 2018
15 Reads

Assessment of orthotic needs in Iranian veterans with ankle and foot disorders.

Mil Med Res 2018 04 20;5(1):12. Epub 2018 Apr 20.

Janbazan Medical and Engineering Research Center (JMERC), Farrokh Ave, Velenjak, Tehran, Iran.

Background: War-related traumas can lead to orthopedic and neurological disorders in victims. However, the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. Read More

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https://mmrjournal.biomedcentral.com/articles/10.1186/s40779
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http://dx.doi.org/10.1186/s40779-018-0159-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909243PMC
April 2018
6 Reads

Dexterous Control of Seven Functional Hand Movements Using Cortically-Controlled Transcutaneous Muscle Stimulation in a Person With Tetraplegia.

Front Neurosci 2018 4;12:208. Epub 2018 Apr 4.

Medical Devices and Neuromodulation Group, Battelle Memorial Institute, Columbus, OH, United States.

Individuals with tetraplegia identify restoration of hand function as a critical, unmet need to regain their independence and improve quality of life. Brain-Computer Interface (BCI)-controlled Functional Electrical Stimulation (FES) technology addresses this need by reconnecting the brain with paralyzed limbs to restore function. In this study, we quantified performance of an intuitive, cortically-controlled, transcutaneous FES system on standardized object manipulation tasks from the Grasp and Release Test (GRT). Read More

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http://dx.doi.org/10.3389/fnins.2018.00208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893794PMC
April 2018
6 Reads

Telehealth-based model of care redesign to facilitate local fitting and management of patients with a spinal fracture requiring a thoracic lumbar sacral orthosis in rural hospitals in New South Wales.

Aust J Rural Health 2018 Jun 23;26(3):181-187. Epub 2018 Mar 23.

Physiotherapy Department, John Hunter Hospital, Newcastle, New South Wales, Australia.

Objective: To develop and implement a telehealth-based model of care for spinal fractures requiring management with thoracic lumbar sacral orthoses that eliminates the need for transfer to a metropolitan tertiary referral hospital.

Design: Pre-post design observational study evaluating model of care implementation.

Setting: Rural referral hospitals in a large NSW region covering metropolitan, rural and remote hospitals. Read More

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http://dx.doi.org/10.1111/ajr.12407DOI Listing
June 2018
4 Reads

Hirayama disease.

Eur Spine J 2018 06 14;27(6):1201-1206. Epub 2018 Mar 14.

Department of Radiology, Canterbury District Health Board, Christchurch, New Zealand.

Purpose: Hirayama disease is an initially progressive disease caused by cervical neck flexion compressing the anterior horns of the lower cervical spinal cord. It is primarily seen in young males of Indian or Asian descent. With increasing dispersion of these populations this condition is increasingly being encountered internationally. Read More

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http://dx.doi.org/10.1007/s00586-018-5545-9DOI Listing
June 2018
2 Reads

Design and analysis of an original powered foot clearance creator mechanism for walking in patients with spinal cord injury.

Disabil Rehabil Assist Technol 2018 Mar 12:1-5. Epub 2018 Mar 12.

b Orthotics and Prosthetics Department , University of Social Welfare and Rehabilitation Sciences , Tehran , Islamic Republic of Iran.

Background: The aim of this study was to assess the performance of an original powered foot clearance creator (PFCC) mechanism worn in conjunction with an isocentric reciprocal gait orthosis (IRGO) and evaluate its effect on trunk compensatory movements and spatiotemporal parameters in nine healthy subjects.

Method: A PFCC motorized mechanism was designed that incorporated twin sole plates, the movements of which enabled increased toe to floor clearance during swing phase. A prototype was constructed in combination with an IRGO, and hence was re-named as an IRGO-PFCC orthosis. Read More

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http://dx.doi.org/10.1080/17483107.2018.1447610DOI Listing
March 2018
5 Reads

Impact of orthotic therapy for improving activities of daily living in individuals with spinal cord injury: a retrospective cohort study.

Spinal Cord 2018 08 7;56(8):790-795. Epub 2018 Mar 7.

Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Study Design: Retrospective cohort study.

Objective: To determine the impact of leg orthotic therapy for improving activities of daily living after spinal cord injury.

Setting: Participating acute care and rehabilitation hospitals across Japan. Read More

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http://dx.doi.org/10.1038/s41393-018-0088-9DOI Listing
August 2018
5 Reads

Assistive technologies for pain management in people with amputation: a literature review.

Mil Med Res 2018 01 23;5(1). Epub 2018 Jan 23.

Department of Occupational Therapy, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. Read More

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http://dx.doi.org/10.1186/s40779-018-0151-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778696PMC
January 2018
5 Reads

Designing instrumented walker to measure upper-extremity's efforts: A case study.

Assist Technol 2018 Feb 26:1-9. Epub 2018 Feb 26.

a Department of Mechanical Engineering , Sharif University of Technology , Tehran , Iran.

The high prevalence of shoulder pain in using walkers in patients who have spinal cord injury (SCI). Also, the limited options available to economically measure grip forces in walkers, which drove the need to create one. This article describes a method to obtain upper-extremities' forces and moments in a person with SCI by designing an appropriate instrumented walker. Read More

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http://dx.doi.org/10.1080/10400435.2018.1442892DOI Listing
February 2018
7 Reads

Effects of asymmetric loading on lateral spinal curvature in young adults with scoliosis: A preliminary study.

Prosthet Orthot Int 2018 Oct 26;42(5):554-562. Epub 2018 Feb 26.

2 The Education University of Hong Kong, Hong Kong.

Background: Usual guidelines recommend symmetric load carriage over asymmetric load carriage. Whether this recommendation is valid for subjects with asymmetric body alignment, such as those with scoliosis, remains unclear. Scoliosis is both a subject-dependent and time-variant condition. Read More

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http://dx.doi.org/10.1177/0309364618757784DOI Listing
October 2018
7 Reads

Variations in Treatment of C2 Fractures by Time, Age, and Geographic Region in the United States: An Analysis of 4818 Patients.

World Neurosurg 2018 May 21;113:e535-e541. Epub 2018 Feb 21.

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Background: The optimal form of treatment for C2 spine fractures is controversial. This investigation analyzed the variations in treatment of C2 fractures over time, by age group, and by geographic location.

Methods: The Nationwide Emergency Department Sample database was queried to identify patients 18 years and older who sustained C2 fracture without neurologic injury from 2006 to 2012. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.02.083DOI Listing
May 2018
5 Reads

Long-term effects of conservative treatment of Milwaukee brace on body image and mental health of patients with idiopathic scoliosis.

PLoS One 2018 23;13(2):e0193447. Epub 2018 Feb 23.

HCP Medical Centre, Poznan, Poland.

We aimed to provide a complex assessment of adult females with adolescent idiopathic scoliosis (AIS) after a minimum of 23 years after completed Milwaukee brace treatment. In the present study, a comparison between healthy female and AIS patients' perception of trunk disfigurement, self-image, mental health, pain level and everyday activity was made. Thirty AIS patients with a mean of 27. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193447PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825107PMC
June 2018
7 Reads

Design of a 3D-printed, open-source wrist-driven orthosis for individuals with spinal cord injury.

PLoS One 2018 22;13(2):e0193106. Epub 2018 Feb 22.

Department of Mechanical Engineering, University of Washington, Seattle, WA, United States of America.

Assistive technology, such as wrist-driven orthoses (WDOs), can be used by individuals with spinal cord injury to improve hand function. A lack of innovation and challenges in obtaining WDOs have limited their use. These orthoses can be heavy and uncomfortable for users and also time-consuming for orthotists to fabricate. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193106PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823450PMC
May 2018
9 Reads

Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study.

Prosthet Orthot Int 2018 Aug 15;42(4):410-414. Epub 2018 Feb 15.

2 IRCCS Don Gnocchi Foundation, Milan, Italy.

Background: Adult scoliosis is sometimes associated with back pain. Recently, the Peak Scoliosis Brace was designed to alleviate pain in adult patients with scoliosis.

Objectives: To test the efficacy of the Peak Scoliosis Brace in reducing pain in adult scoliosis patients. Read More

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http://journals.sagepub.com/doi/10.1177/0309364618757769
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http://dx.doi.org/10.1177/0309364618757769DOI Listing
August 2018
19 Reads

2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.

Scoliosis Spinal Disord 2018 10;13. Epub 2018 Jan 10.

3ISICO (Italian Scientific Spine Institute), Via R. Bellarmino 13/1, 20141 Milan, Italy.

Background: The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) produced its first guidelines in 2005 and renewed them in 2011. Recently published high-quality clinical trials on the effect of conservative treatment approaches (braces and exercises) for idiopathic scoliosis prompted us to update the last guidelines' version. The objective was to align the guidelines with the new scientific evidence to assure faster knowledge transfer into clinical practice of conservative treatment for idiopathic scoliosis (CTIS). Read More

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https://scoliosisjournal.biomedcentral.com/articles/10.1186/
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http://dx.doi.org/10.1186/s13013-017-0145-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5795289PMC
January 2018
76 Reads

Role and Significance of Trunk and Upper Extremity Muscles in Walker-Assisted Paraplegic Gait: A Case Study.

Top Spinal Cord Inj Rehabil 2018 12;24(1):18-27. Epub 2017 Jun 12.

Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran.

Understanding the role and significance of trunk and upper extremity muscles in paraplegic gait can help in designing more effective assistive devices for these patients and also provides valuable information for improving muscle strengthening programs. In a patient with a spinal cord injury (SCI) who could walk independently (rating scale of ambulatory capacity, 9) with the aid of bilateral ankle-foot orthosis and a walker, the kinematics, kinetics and electromyographic (EMG) activities of 16 muscles from the trunk and upper and lower extremities were recorded during gait. The onset, cessation, and duration of the EMG signal were associated with the 4 phases of each step, distinguished based on the kinematics results. Read More

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http://dx.doi.org/10.1310/sci16-00061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791920PMC
August 2018
23 Reads

Effect of spinal orthoses and postural taping on balance, gait and quality of life in older people with thoracic hyperkyphosis: protocol for a systematic review and meta-analysis.

BMJ Open 2018 01 31;8(1):e015813. Epub 2018 Jan 31.

Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Introduction: Thoracic hyperkyphosis is one of the most common spinal disorders in older people, creating impairment, postural instability, gait disorders and a reduced quality of life. The use of spinal orthoses and/or postural taping may be feasible conservative interventions, but their efficacy is uncertain. The aim of this review is therefore to investigate the effectiveness of spinal orthoses and taping on the balance and gait of older people with hyperkyphosis. Read More

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http://dx.doi.org/10.1136/bmjopen-2016-015813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829855PMC
January 2018
6 Reads

Influence of Reciprocating Link When Using an Isocentric Reciprocating Gait Orthosis (IRGO) on Walking in Patients with Spinal Cord Injury: A Pilot Study.

Top Spinal Cord Inj Rehabil 2017 4;23(3):256-262. Epub 2017 May 4.

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran.

Studies collectively imply that the reciprocal link has no effect on walking when using reciprocating gait orthoses (RGOs). There may be differences between the 2 configurations of the RGO (eg, isocentric reciprocating gait orthosis [IRGO] and IRGO without reciprocating link), but the specific benefits and problems encountered in their use must be understood. To highlight more evidence for the mechanical function of the reciprocal link in RGOs used for walking by individuals with spinal cord injury (SCI). Read More

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http://archive.scijournal.com/doi/10.1310/sci16-00016
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http://dx.doi.org/10.1310/sci16-00016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5562033PMC
August 2018
40 Reads

Effect of Orthotic Gait Training with Isocentric Reciprocating Gait Orthosis on Walking in Children with Myelomeningocele.

Top Spinal Cord Inj Rehabil 2017 ;23(2):147-154

Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Department of Neurosurgery, Tehran, Iran.

Mechanical orthoses are used to assist in standing and walking after neurological injury in children with myelomeningocele (MMC). : To evaluate the influence of orthotic gait training with an isocentric reciprocating gait orthosis (IRGO) on the kinematics and temporal-spatial parameters of walking in children with MMC. Five children with MMC were fitted with an IRGO. Read More

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http://dx.doi.org/10.1310/sci2302-147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672882PMC
August 2018
9 Reads

Is postoperative bracing after pedicle screw fixation of spine fractures necessary? Study protocol of the ORNOT study: a randomised controlled multicentre trial.

BMJ Open 2018 01 13;8(1):e019596. Epub 2018 Jan 13.

Department of Trauma Surgery, VU University Medical Center, Amsterdam, The Netherlands.

Introduction: The most common surgical treatment of traumatic spine fractures is through a posterior approach using pedicle screws and rods. Postoperative treatment protocols including the use of postoperative orthoses however differ between hospitals and surgeons. A three-point hyperextension orthosis is designed to support proper posture and unload the anterior column. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-019596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5781062PMC
January 2018
5 Reads

Proper Education on Spinal Orthotics: A Way to Minimize Associated Complications.

J Trauma Nurs 2018 Jan/Feb;25(1):45-48

Division of Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, California (Drs Elia, Huynh, and Miulli); and Western University of Health Sciences, Pomona, California (Dr Dong).

Spinal orthotic bracing is a common modality for treating nonoperative spinal fractures with risks. This study aimed to assess the effect of an intervention on critical care nurses to improve their clinical knowledge and comfort level of managing patients. A literature review was conducted regarding common complications associated with spinal orthotics. Read More

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http://dx.doi.org/10.1097/JTN.0000000000000341DOI Listing
August 2018
6 Reads

Screening for Adolescent Idiopathic Scoliosis: US Preventive Services Task Force Recommendation Statement.

JAMA 2018 01;319(2):165-172

University of Hawaii, Honolulu.

Importance: Adolescent idiopathic scoliosis, a lateral curvature of the spine of unknown cause with a Cobb angle of at least 10°, occurs in children and adolescents aged 10 to 18 years. Idiopathic scoliosis is the most common form and usually worsens during adolescence before skeletal maturity. Severe spinal curvature may be associated with adverse long-term health outcomes (eg, pulmonary disorders, disability, back pain, psychological effects, cosmetic issues, and reduced quality of life). Read More

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http://dx.doi.org/10.1001/jama.2017.19342DOI Listing
January 2018
16 Reads

Screening for Adolescent Idiopathic Scoliosis: Evidence Report and Systematic Review for the US Preventive Services Task Force.

JAMA 2018 01;319(2):173-187

Kaiser Permanente Center for Health Research, Kaiser Permanente Research Affiliates Evidence-based Practice Center, Portland, Oregon.

Importance: Adolescent idiopathic scoliosis (AIS), a spinal curvature of 10° or more, is the most common form of scoliosis, with a prevalence of 1% to 3%. Curves progress in approximately two-thirds of patients with AIS before skeletal maturity, and large curves (>50°) may be associated with adverse health outcomes.

Objective: To systematically review evidence on benefits and harms of AIS screening for the US Preventive Services Task Force (USPSTF). Read More

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http://dx.doi.org/10.1001/jama.2017.11669DOI Listing
January 2018
12 Reads

Integrated wearable and self-carrying active upper limb orthosis.

Proc Inst Mech Eng H 2018 Feb 9;232(2):172-184. Epub 2018 Jan 9.

Instituto Politécnico Nacional-UPIBI, Ciudad de México, Mexico.

The aim of this study was to develop a prototype of an orthotic system that can be used as a support tool in the rehabilitation of the upper limb. The construction of this device was motivated by the increasing number of subjects suffering from full or partial loss of the upper limb function as a consequence of spinal cord injuries, strokes, occupational syndromes and sports injuries. The majority of procedures used in upper limb rehabilitation consist of repetitive movements enforced by physiotherapists; a robotic device executing the same tasks seems to be a plausible solution if the orthosis can be programmed and controlled automatically. Read More

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http://dx.doi.org/10.1177/0954411917751001DOI Listing
February 2018
4 Reads

The effects of exercise on perception of verticality in adolescent idiopathic scoliosis.

Physiother Theory Pract 2018 Aug 8;34(8):579-588. Epub 2018 Jan 8.

c Dokuz Eylul University, School of Physical Therapy and Rehabilitation Sciences , İzmir , Turkey.

Purpose: Visual and proprioceptive cues are important for body orientation to maintain correct posture. This study investigated the effects of exercise training on subjective visual, postural, and haptic perception of verticality in patients with scoliosis.

Subjects And Methods: Thirty-two female adolescents with moderate idiopathic scoliosis were randomly allocated to "Core Stabilization Exercise (CSE)," "Body Awareness," or "Traditional Exercise (TE)" groups. Read More

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http://dx.doi.org/10.1080/09593985.2017.1423429DOI Listing
August 2018
6 Reads