1,106 results match your criteria Upper Limb Orthotics


An accurate method of measuring shoulder sling compliance: a validation study.

BMC Musculoskelet Disord 2021 Jun 7;22(1):524. Epub 2021 Jun 7.

Department of Orthopaedics, University of Maryland School of Medicine, 100 Penn Street, Room 540D, Baltimore, Maryland, 21201, USA.

Background: The effect of postoperative shoulder sling compliance on surgical outcomes is unknown. The goal was to determine an accurate method to measure sling compliance. We compared volunteer recorded sling wear time with temperature-based sensors to monitor sling compliance. Read More

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Low cost exoskeleton manipulator using bidirectional triboelectric sensors enhanced multiple degree of freedom sensory system.

Nat Commun 2021 05 11;12(1):2692. Epub 2021 May 11.

Department of Electrical & Computer Engineering, National University of Singapore, Singapore, 117576, Singapore.

Rapid developments of robotics and virtual reality technology are raising the requirements of more advanced human-machine interfaces for achieving efficient parallel control. Exoskeleton as an assistive wearable device, usually requires a huge cost and complex data processing to track the multi-dimensional human motions. Alternatively, we propose a triboelectric bi-directional sensor as a universal and cost-effective solution to a customized exoskeleton for monitoring all of the movable joints of the human upper limbs with low power consumption. 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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Amputation Care Quality and Satisfaction With Prosthetic Limb Services: A Longitudinal Study of Veterans With Upper Limb Amputation.

Fed Pract 2021 Mar;38(3):110-120

is a Research Career Scientist at the US Department of Veterans Affairs (VA) Providence VA Medical Center (VAMC), and Professor of Health Services, Policy and Practice at Brown University in Rhode island, is a Biostatistician; and is a Program Manager in the Research Department, Providence VAMC. is an Adjunct Professor at University of Massachusetts Medical school in Worcester and Professor of Health Services Policy and Practice, Brown University. is a National Program Director at the VA Rehabilitation and Prosthetics Services, Orthotic & Prosthetic Clinical Services in Washington, DC and is Professor at the University of South Florida, Morsani College of Medicine, School of Physical Therapy & Rehabilitation Sciences in Tampa. is Deputy Director of the Extremity Trauma and Amputation Center of Excellence. is a Professor in the Department of Physical Medicine and Rehabilitation, School of Medicine at Virginia Commonwealth University and a Staff Physician, Physical Medicine and Rehabilitation Hunter Holmes McGuire VAMC in Richmond.

Purpose: This study sought to measure and identify factors associated with satisfaction with care among veterans. The metrics were colelcted for those receiving prosthetic limb care at the US Department of Veterans Affairs (VA) and US Department of Defense (DoD) care settings and at community-based care providers.

Methods: A longitudinal cohort of veterans with major upper limb amputation receiving any VA care from 2010 to 2015 were interviewed by phone twice, 1 year apart. Read More

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Overview of In-Hospital 3D Printing and Practical Applications in Hand Surgery.

Biomed Res Int 2021 26;2021:4650245. Epub 2021 Mar 26.

Hand Surgery, Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, 4410 Liestal, Switzerland.

Three-dimensional (3D) printing is spreading in hand surgery. There is an increasing number of practical applications like the training of junior hand surgeons, patient education, preoperative planning, and 3D printing of customized casts, customized surgical guides, implants, and prostheses. Some high-quality studies highlight the value for surgeons, but there is still a lack of high-level evidence for improved clinical endpoints and hence actual impact on the patient's outcome. Read More

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Design and development of a novel 3D-printed non-metallic self-locking prosthetic arm for a forequarter amputation.

Prosthet Orthot Int 2021 Feb;45(1):94-99

1Prosthetics & Orthotics Service, Foot Care & Limb Design Centre, Tan Tock Seng Hospital, Singapore 2Engineering Product Development (EPD) Pillar, Singapore University of Technology and Design, Singapore.

Background: Upper limb, in particular forequarter amputations, require highly customised devices that are often expensive and underutilised.

Objectives: The objective of this study was to design and develop a comfortable 3D-printed cosmetic forequarter prosthetic device, which was lightweight, cool to wear, had an elbow that could lock, matched the appearance of the contralateral arm and was completely free of metal for a specific user's needs.

Study Design: Device design. Read More

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February 2021

The inflatable carrot-An orthosis for fingertip wound healing in flexion contractures of the hand: A case report.

J Hand Ther 2021 Jan 15. Epub 2021 Jan 15.

Department of Burns & Plastic Surgery, Royal Preston Hospital, Lancashire Teaching Hospitals, Preston, UK.

Study Design: Case report.

Introduction: Severe flexure contractures of the hand secondary to upper limb spasticity (ULS) cause pain, palmar hyperhidrosis, ulceration, and nail plate deformities. Nonoperative management includes traditional orthotic devices that can be very painful for severe contractures and Botox injections, which provide a temporary solution. Read More

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January 2021

The Effects of Taping Combined with Wrist Stabilization Exercise on Pain, Disability, and Quality of Life in Postpartum Women with Wrist Pain: A Randomized Controlled Pilot Study.

Int J Environ Res Public Health 2021 03 30;18(7). Epub 2021 Mar 30.

Department of Physical Therapy, College of Health Science, Gachon University, Incheon 21936, Korea.

The purpose of this study was to evaluate the effects of wrist stabilization exercise combined with taping on wrist pain, disability, and quality of life in postpartum women with wrist pain. Forty-five patients with wrist pain were recruited and randomly divided into three groups: wrist stabilization exercise + taping therapy (WSE + TT) group (n = 15), wrist stabilization exercise (WSE) group (n = 15), and control group (n = 15). The WSE + TT and WSE groups performed wrist stabilization exercises for 40 min (once a day, five times a week for eight weeks), and the control group performed passive range of motion (P-ROM) exercise for the same amount of time. Read More

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Early Results of Kinesio Taping and Steroid Injections in Elbow Lateral Epicondylitis: A Randomized, Controlled Study.

Medicina (Kaunas) 2021 Mar 24;57(4). Epub 2021 Mar 24.

Department of Orthopaedics and Traumatology, Bunyan State Hospital, 38600 Bunyan/Kayseri, Turkey.

This study prospectively compares early results of Kinesio tape (KT) as an alternative method for the treatment of lateral epicondylitis with those of corticosteroid injection and the rest-and-medication group (RMG). Among the fifty patients (53 elbows), KT was applied to 20 patients (21 elbows), and corticosteroid injection (CSI) was applied to 15 patients (17 elbows). Fifteen patients were included in the RMG. Read More

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Towards automation of dynamic-gaze video analysis taking functional upper-limb tasks as a case study.

Comput Methods Programs Biomed 2021 May 7;203:106041. Epub 2021 Mar 7.

School of Electrical Engineering, Electronics and Computer Science, University of Liverpool, Liverpool L69 3BX, UK.

Background And Objective: Previous studies in motor control have yielded clear evidence that gaze behavior (where someone looks) quantifies the attention paid to perform actions. However, eliciting clinically meaningful results from the gaze data has been done manually, rendering it incredibly tedious, time-consuming, and highly subjective. This paper aims to study the feasibility of automating the coding process of the gaze data taking functional upper-limb tasks as a case study. Read More

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Effect of biomechanical footwear on upper and lower leg muscle activity in comparison with knee brace and normal walking.

J Electromyogr Kinesiol 2021 Apr 28;57:102528. Epub 2021 Jan 28.

Department of Physical Medicine and Rehabilitation, Central Finland Central Hospital, Jyväskylä, Finland; Faculty of Sport and Health Sciences, University of Jyväskylä, Finland. Electronic address:

Aim: To evaluate the activity of knee stabilizing muscles while using custom-made biomechanical footwear (BF) and to compare it when walking barefoot and with a knee brace (Unloader®).

Methods: Seventeen healthy working-aged (mean age: 29 years; standard deviation: 8 years) individuals participated. The knee brace was worn on the right knee and BF in both legs. Read More

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Use and evaluation of assistive technologies for upper limb function in tetraplegia.

J Spinal Cord Med 2021 Feb 19:1-12. Epub 2021 Feb 19.

School of Engineering, University of Aberdeen, Aberdeen, UK.

Context: More than half of all spinal cord injuries (SCI) occur at the cervical level leading to loss of upper limb function, restricted activity and reduced independence. Several technologies have been developed to assist with upper limb functions in the SCI population.

Objective: There is no clear clinical consensus on the effectiveness of the current assistive technologies for the cervical SCI population, hence this study reviews the literature in the years between 1999 and 2019. Read More

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February 2021

[Design and clinical application of a combined shoulder abduction orthosis for post-burn treatment].

Zhonghua Shao Shang Za Zhi 2021 Jan;37(1):76-78

Institute of Burns, Tongren Hospital of Wuhan University & Wuhan Third Hospital, Wuhan 430060, China.

Cicatricial contracture is likely to occur at the deep burn wound under the armpits after healing, which results in limitation of shoulder abduction and seriously affects the function of upper limbs of patients. Wearing shoulder abduction orthosis is an effective intervention method for cicatricial contracture under the armpits, but the adjustable shoulder abduction orthosis commonly used clinically at present is limited in the adjustable range, and the customized static orthosis can only maintain the corresponding angle of shoulder abduction. Besides, the above two orthosis can only have the function of unilateral extention, and they are time-consuming for patients with need of bilateral extension. Read More

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January 2021

Clinical evaluation of the revolutionizing prosthetics modular prosthetic limb system for upper extremity amputees.

Sci Rep 2021 Jan 13;11(1):954. Epub 2021 Jan 13.

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Individuals with upper extremity (UE) amputation abandon prostheses due to challenges with significant device weight-particularly among myoelectric prostheses-and limited device dexterity, durability, and reliability among both myoelectric and body-powered prostheses. The Modular Prosthetic Limb (MPL) system couples an advanced UE prosthesis with a pattern recognition paradigm for intuitive, non-invasive prosthetic control. Pattern recognition accuracy and functional assessment-Box & Blocks (BB), Jebsen-Taylor Hand Function Test (JHFT), and Assessment of Capacity for Myoelectric Control (ACMC)-scores comprised the main outcomes. Read More

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January 2021

Rare cause of unilateral upper limb weakness in a young adolescent.

BMJ Case Rep 2020 Dec 21;13(12). Epub 2020 Dec 21.

Paediatric Neurology, Case Western Reserve University Hospital, Cleveland, Ohio, USA.

Slowly progressing unilateral upper limb weakness in a previously healthy child can occur due to number of causes which requires a thorough history, physical examination followed by radiological examination, electromyography and so on. Among the various aetiologies, a rare condition such as Hirayama disease is one of the differentials to be considered. There has been a wealth of literature reported on this disease and our case is a learning lesson for all paediatricians to be aware of Hirayama disease and its current concepts. Read More

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December 2020

Biomechanical comparison of lateral collateral ligament reconstruction with and without additional internal bracing using a three-dimensional elbow simulator.

Clin Biomech (Bristol, Avon) 2021 01 18;81:105236. Epub 2020 Nov 18.

Department of Orthopedic Surgery, Medical School Hannover, DIAKOVERE Annastift, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany.

Background: Although an additional internal bracing significantly increases stability in a repair of the lateral ulnar collateral ligament, it remains unclear whether it also does in reconstruction. Aim of this study was to implement a three-dimensional elbow simulator for testing posterolateral rotatory instability. We hypothesized that (1) reconstruction with and without internal bracing is comparable in biomechanical properties, and (2) there would be higher load-to-failure with internal bracing. Read More

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January 2021

Sensor Architectures and Technologies for Upper Limb 3D Surface Reconstruction: A Review.

Sensors (Basel) 2020 Nov 18;20(22). Epub 2020 Nov 18.

Department of Civil and Industrial Engineering, University of Pisa, Largo L. Lazzarino, 1, 56122 Pisa, Italy.

3D digital models of the upper limb anatomy represent the starting point for the design process of bespoke devices, such as orthoses and prostheses, which can be modeled on the actual patient's anatomy by using CAD (Computer Aided Design) tools. The ongoing research on optical scanning methodologies has allowed the development of technologies that allow the surface reconstruction of the upper limb anatomy through procedures characterized by minimum discomfort for the patient. However, the 3D optical scanning of upper limbs is a complex task that requires solving problematic aspects, such as the difficulty of keeping the hand in a stable position and the presence of artefacts due to involuntary movements. Read More

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November 2020

Effect of Using an 8-Figure Shoulder Brace on Posture and Muscle Activities during the Performance of Dental Hygiene Procedures.

Int J Environ Res Public Health 2020 11 16;17(22). Epub 2020 Nov 16.

Department of Dental Hygiene, College of Health and Medical Sciences, Cheongju University, Cheongju 28503, Korea.

The incidence of work-related musculoskeletal disorders (MSDs) among dental workers has been increasing. Many ergonomic devices and accessories have been introduced. The aim of this study was to investigate the effects of an 8-figure shoulder brace on posture-related muscle activities in dental hygiene practitioners during scaling procedures. Read More

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November 2020

Physical sciences.

Prosthet Orthot Int 2020 Dec 6;44(6):373-383. Epub 2020 Nov 6.

Department of Clinical and Scientific Affairs, Hanger Clinic, Salt Lake City, UT, USA.

In the original edition of , Dr Sidney Fishman identified what he anticipated as foundational educational needs for the emerging field of clinical prosthetics and orthotics. Within the broader construct of the physical sciences, this included mathematics, physics, chemistry, biomechanics, and material sciences. The clinical application of these disciplines to expanding the collective understanding within the field is described, including the biomechanics of able-bodied and prosthetic gait, the material science of socket construction, the physics of suspension and load distribution, and the engineering of prosthetic components to mimic human biomechanics. Read More

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December 2020

Letter to the Editor on "Comparative Effectiveness of Orthoses for Thumb Osteoarthritis: A Systematic Review and Network Meta-analysis".

Arch Phys Med Rehabil 2021 01 29;102(1):164-165. Epub 2020 Oct 29.

Department of Physical Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.

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January 2021

The influence of the Kinesio Taping on selected ultrasonography measurements, and quality of life in patients with rotator cuff lesions.

Sci Rep 2020 10 29;10(1):18539. Epub 2020 Oct 29.

Faculty of Motor Rehabilitation, The Bronisław Czech University of Physical Education, al. Jana Pawła II 78, 31-571, Kraków, Poland.

The assessment of the six-week influence of Kinesio Taping combined with a rehabilitation on selected ultrasonography measurements, the level of disability, and the quality of life in patients with rotator cuff lesions. 60 participants were randomly assigned into a taping group (KT combined with a six-week rehabilitating protocol) and a control group (only rehabilitation protocol). In all patients the following assessments were performed twice: USG, UEFI and NHP questionnaires. Read More

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October 2020

Intracortical Circuits in the Contralesional Primary Motor Cortex in Patients With Chronic Stroke After Botulinum Toxin Type A Injection: Case Studies.

Front Hum Neurosci 2020 24;14:342. Epub 2020 Aug 24.

The Royal Melbourne Hospital, Melbourne, VIC, Australia.

Spasticity and motor recovery are both related to neural plasticity after stroke. A balance of activity in the primary motor cortex (M1) in both hemispheres is essential for functional recovery. In this study, we assessed the intracortical inhibitory and facilitatory circuits in the contralesional M1 area in four patients with severe upper limb spasticity after chronic stroke and treated with botulinum toxin-A (BoNT-A) injection and 12 weeks of upper limb rehabilitation. Read More

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Dexterity, activity performance, disability, quality of life, and independence in upper limb Veteran prosthesis users: a normative study.

Disabil Rehabil 2020 Oct 18:1-12. Epub 2020 Oct 18.

Department of Physical Medicine and Rehabilitation, School of Medicine at Virginia Commonwealth University, Richmond, VA, USA.

Purpose: To present population data on standardized measures of dexterity, activity performance, disability, health-related quality of life (HRQoL) and community integration for persons with upper limb amputation (ULA), compare outcomes to normative values, and examine differences by prosthesis type and laterality (unilateral vs. bilateral amputation).

Materials And Methods: Multi-site, cross-sectional design, with in-person evaluations, functional performance, and self-report measures. Read More

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October 2020

Authors' Response to Letter to the Editor.

Arch Phys Med Rehabil 2021 01 14;102(1):165-166. Epub 2020 Oct 14.

Department of Surgical and Medical Sciences, University of Catanzaro "Magna Graecia" Italy, Catanzaro, Italy.

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January 2021

Motor-Augmented Wrist-Driven Orthosis: Flexible Grasp Assistance for People with Spinal Cord Injury.

Annu Int Conf IEEE Eng Med Biol Soc 2020 07;2020:4936-4940

This paper presents the design of a motor-augmented wrist-driven orthosis (MWDO) for improved grasp articulation for people with C6-C7 spinal cord injuries. Based on the traditional passive, wrist-driven orthotic (WDO) mechanism, the MWDO allows for both body-powered and motorized actuation of the grasping output thus enabling more flexible and dexterous operation. Here, the associated control scheme enables active decoupling of wrist and finger articulation, which can be useful during certain phases of manipulation tasks. Read More

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Correspondence: Upper Extremity Functional Index.

J Physiother 2020 10 25;66(4):278. Epub 2020 Sep 25.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

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October 2020

The immediate effect of thumb orthoses on upper extremity's movement: A kinematic analysis of five unique devices.

Gait Posture 2020 10 9;82:209-216. Epub 2020 Sep 9.

University of Brasilia, Post-Graduate Program in Health Sciences and Technologies, Centro Metropolitano, conjunto A, lote 01, Brasília, Federal District, 72220-275, Brazil. Electronic address:

Background: Thumb orthoses are a standard treatment modality, with substantial evidence to support its usage for multiple conditions affecting the upper extremity. Despite commonly prescribed, little is known about the immediate impact of such devices on the upper extremity, including potential modifications on motor patterns.

Research Question: We aimed to determine the changes in the upper limb kinematics during the usage of thumb orthotics, comparing differences in orthotic design, length, and fabrication materials. Read More

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October 2020

Selective Dorsal Rhizotomy for the Treatment of Spastic Hemiplegic Cerebral Palsy.

Cureus 2020 Aug 7;12(8):e9605. Epub 2020 Aug 7.

Pediatric Orthopedic Surgery, Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, USA.

Background Selective dorsal rhizotomy (SDR) can remove spasticity in cerebral palsy (CP). Spastic hemiplegia is associated with spasticity in the upper and lower limbs on one side. Only a single report described the outcome of SDR specifically in patients with spastic hemiplegic CP. Read More

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The Effect of the Powerball Gyroscope as a Treatment Device for Nonspecific Wrist Pain.

J Manipulative Physiol Ther 2020 06 26;43(5):483-489. Epub 2020 Aug 26.

Department of Chiropractic, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.

Objective: The aim of this study was to determine the effect of using the Powerball gyroscope as a treatment device on pain and change in endurance in nonspecific wrist pain.

Methods: This study was a within-participants pre- and postintervention study consisting of 40 participants between ages 18 and 35 with an equal male-to-female ratio. The participants used the Powerball gyroscope for 5 minutes per treatment session. Read More

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Design and development of a novel 3D-printed non-metallic self-locking prosthetic arm for a forequarter amputation.

Prosthet Orthot Int 2020 Aug 25:309364620948290. Epub 2020 Aug 25.

Engineering Product Development (EPD) Pillar, Singapore University of Technology and Design, Singapore.

Background: Upper limb, in particular forequarter amputations, require highly customised devices that are often expensive and underutilised.

Objectives: The objective of this study was to design and develop a comfortable 3D-printed cosmetic forequarter prosthetic device, which was lightweight, cool to wear, had an elbow that could lock, matched the appearance of the contralateral arm and was completely free of metal for a specific user's needs.

Study Design: Device design. Read More

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