1,187 results match your criteria Upper Limb Orthotics


Measuring Satisfaction with Upper Limb Prostheses: OPUS Revision that Includes Issues of Concern to Women: OPUS CSD for Upper Limb Prosthesis Users.

Arch Phys Med Rehabil 2022 Jun 12. Epub 2022 Jun 12.

University of Massachusetts Medical School, Worcester, Massachusetts.

Objective: To 1) modify the OPUS Client Satisfaction with Device (CSD) instrument to incorporate issues of concern to women and 2) evaluate measure's structural and concurrent validity and reliability in persons with upper limb amputation (ULA).

Design: Cross-sectional survey study with retest after two weeks. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and Rasch analyses were utilized to select items and examine differential item functioning, range of coverage, and person and item reliability. Read More

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Architectural design and development of an upper-limb rehabilitation device: a modular synthesis approach.

Disabil Rehabil Assist Technol 2022 May 12:1-15. Epub 2022 May 12.

Department of Mechanical Engineering, Indian Institute of Technology Ropar, Rupnagar, India.

Purpose: Enormous assistance is required during rehabilitation activities, which might result in a variety of complications if performed manually. To solve this issue, several solutions in the form of assistive devices have been presented recently. Another issue highlighted is the lack of kinematic compatibility in low degrees-of-freedom (dof) systems. Read More

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Improvements in hand functions and changes in proximal muscle activities in myoelectric prosthetic hand users at home: a case series.

Prosthet Orthot Int 2022 May 4. Epub 2022 May 4.

Center for Bionics, Biomedical Research Institute, Korea Institute of Science and Technology, Korea I (UST), Seoul, South Korea.

Background: Adaptation in proximal muscles for daily motor tasks after sustained use of a prosthetic hand has not been fully understood.

Objectives: This study aimed to investigate changes in hand functions and activities of proximal muscles after multiple weeks of using a myoelectric prosthetic hand at home.

Study Design: Repeated measures. Read More

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Effectiveness of kinesiology taping on the functions of upper limbs in patients with stroke: a meta-analysis of randomized trial.

Neurol Sci 2022 Jul 26;43(7):4145-4156. Epub 2022 Mar 26.

Department of Rehabilitation Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.

Background: Kinesiology tape (KT), a water-resistant and elastic tape which is well known measure for preventing musculoskeletal injuries, has recently gained popularity in neurological rehabilitation. This is a systematic and meta-analysis study, useful both to evaluate the efficacy of kinesiology taping on the functions of upper limbs in patients with stroke and to collect the main outcomes evaluated in the analyzed studies.

Methods: A comprehensive literature search of electronic databases including Medline, Web of science, Embase, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), WANFANG, and the China National Knowledge Infrastructure (CNKI). Read More

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Upper Limb Training with a Dynamic Hand Orthosis in Early Subacute Stroke: A Pilot Randomized Trial.

J Rehabil Med 2022 Apr 7;54:jrm00279. Epub 2022 Apr 7.

Research Department, Sunnaas Rehabilitation Hospital, Bjoernemyr, Norway; Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.

Objectives: To investigate the effect of the addition of a dynamic hand orthosis to unilateral task-oriented training in early subacute stroke.

Design: Pilot randomized trial with concealed allocation, measurer blinding, and intention-to-treat analysis.

Setting: Rehabilitation hospital. Read More

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Accurate Estimation of Upper Limb Orthosis Wear Time Using Miniature Temperature Loggers.

J Rehabil Med 2022 Apr 1;54:jrm00277. Epub 2022 Apr 1.

Department of Biomechanical Engineering, University of Twente, Enschede; Hankamp Rehab, Enschede.

Objective: To propose and validate a new method for estimating upper limb orthosis wear time using miniature temperature loggers attached to locations on the upper body.

Design: Observational study.

Subjects: Fifteen healthy participants. Read More

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Shoulder Kinesio Taping Does Not Change Biomechanical Deficits Associated With Scapular Dyskinesis.

J Appl Biomech 2022 04 4;38(2):95-102. Epub 2022 Mar 4.

University of Southern California.

Observable scapular dyskinesis is associated with biomechanical deficits. Preventative interventions aimed at correcting these deficits may aid in preventing the development and resolution of shoulder pain. Our purpose was to investigate the effects of kinesio taping (KT) on common biomechanical deficits associated with scapular dyskinesis and shoulder pain. Read More

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A Fabricated Force Glove That Measures Hand Forces during Activities of Daily Living.

Sensors (Basel) 2022 Feb 9;22(4). Epub 2022 Feb 9.

School of Electrical Engineering and Computer Science, Louisiana State University, Baton Rouge, LA 70803, USA.

Understanding hand and wrist forces during activities of daily living (ADLs) are pertinent when modeling prosthetics/orthotics, preventing workplace-related injuries, and understanding movement patterns that make athletes, dancers, and musicians elite. The small size of the wrist, fingers, and numerous joints creates obstacles in accurately measuring these forces. In this study, 14 FlexiForce sensors were sewn into a glove in an attempt to capture forces applied by the fingers. Read More

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February 2022

Myoelectric Arm Orthosis in Motor Learning-Based Therapy for Chronic Deficits After Stroke and Traumatic Brain Injury.

Front Neurol 2022 8;13:791144. Epub 2022 Feb 8.

Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.

Background: Technologies that enhance motor learning-based therapy and are clinically deployable may improve outcome for those with neurological deficits. The MyoPro™ is a customized myoelectric upper extremity orthosis that utilizes volitionally generated weak electromyographic signals from paretic muscles to assist movement of an impaired arm. Our purpose was to evaluate MyoPro as a tool for motor learning-based therapy for individuals with chronic upper limb weakness. Read More

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February 2022

Effects of Kinesio taping on forearm supination/pronation performance fatigability.

BMC Musculoskelet Disord 2022 Feb 9;23(1):131. Epub 2022 Feb 9.

Department of Orthopedics, E-Da Hospital, No. 1 E-Da Rd, Yuan-Chau District, Kaohsiung, Taiwan.

Background: Repetitive exertion in supination/pronation could increase the risk of forearm diseases due to fatigue. Kinesio taping (KT) is a physical therapy technique that decreases muscle tone and musculoskeletal disorders (MSDs) risk. Many assumptions about taping have been made and several studies have considered the taping applications; however, the effect of KT on strength and fatigue of the forearm supination/pronation remains unclear. Read More

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February 2022

Functional performance and patient satisfaction comparison between a 3D printed and a standard transradial prosthesis: a case report.

Biomed Eng Online 2022 Jan 29;21(1). Epub 2022 Jan 29.

Department of Biomechanics, University of Nebraska at Omaha, Biomechanics Research Building, 3D Printed Prosthetic,Orthotic & Assistive Devices, Omaha, USA.

Background: The delay between amputation and prosthesis fitting contributes to the high rate of prosthetic abandonment despite advances in technology. Three-dimensional (3D) printing has allowed for the rapid fabrication of prostheses. Allowing individuals with amputations to interact with a prosthesis shortly after their procedure may reduce rejection chances. Read More

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January 2022

Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation.

Child Care Health Dev 2022 07 27;48(4):613-622. Epub 2022 Jan 27.

School of Health Sciences, Örebro University, Örebro, Sweden.

Background: Children with congenital limb reduction deficiency live with the decisions made by their parents and healthcare professionals about treatments to be carried out during the first years of life. To understand better the meaning of treatment during childhood, it is necessary to listen to adolescents who have had this experience. The aim of this study was to investigate the perceptions of adolescents with congenital limb reduction deficiency concerning the treatment they received during childhood and what it meant to them currently and in the future. Read More

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A Way of Bionic Control Based on EI, EMG, and FMG Signals.

Sensors (Basel) 2021 Dec 27;22(1). Epub 2021 Dec 27.

Department of Medical and Technical Information Technology, Bauman Moscow State Technical University, 105005 Moscow, Russia.

Creating highly functional prosthetic, orthotic, and rehabilitation devices is a socially relevant scientific and engineering task. Currently, certain constraints hamper the development of such devices. The primary constraint is the lack of an intuitive and reliable control interface working between the organism and the actuator. Read More

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December 2021

Prosthetic management of unilateral transradial amputation and limb deficiency: Consensus clinical standards of care.

J Rehabil Assist Technol Eng 2021 Jan-Dec;8:20556683211065262. Epub 2021 Dec 17.

Upper Limb Prosthetic Program, Hanger Inc, Austin, TX, USA.

Introduction: Upper limb research is currently lacking detailed clinical guidance on the provision of unilateral transradial prostheses. Clinical practice guidelines are meant to serve as assistance for the decision-making process, and Delphi surveys have been used with increasing frequency within orthotics and prosthetics to create these guidelines for clinical practice.

Methods: A three round Delphi survey was used to gain consensus on clinical statements regarding unilateral transradial prostheses. Read More

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December 2021

Evaluation of a Chair-Mounted Passive Trunk Orthosis: A Pilot Study on Able-Bodied Subjects.

Sensors (Basel) 2021 Dec 15;21(24). Epub 2021 Dec 15.

Department of Biomedical Engineering, NED University of Engineering and Technology, Karachi 75270, Pakistan.

Trunk stability is important for adequate arm function due to their kinematic linkage. People with Duchenne muscular dystrophy (DMD) can benefit from trunk-assistive devices for seated daily activities, but existing devices limit trunk movement to forward bending. We developed a new trunk orthosis that has spring and pulley design. Read More

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December 2021

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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A Layer Jamming Soft Glove for Hand Tremor Suppression.

IEEE Trans Neural Syst Rehabil Eng 2021 4;29:2684-2694. Epub 2022 Jan 4.

Tremors are a common movement disorder that affects a person's life adversely. With various drawbacks of current treatment methods, there is a need for a mechanical solution. The authors present a soft orthosis based on layer jamming for the suppression of hand tremors. Read More

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January 2022

Musculoskeletal Neural Network path generator for a virtual upper-limb active controlled orthosis.

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:6491-6495

In this paper, a non-parametric model of the neuromusculoskeletal system for the biceps brachii is presented. The model serves to generate angular paths for the control of a virtual active orthosis. The path generator uses a differential neural network (DNN) identifier that obtains the reference angular position and velocities using the raw electromyographic (EMG) signals as input. Read More

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November 2021

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

Development of Hand-Assistance Device using Hand-Joint Orthosis and Neuromuscular Electrical Stimulation.

Annu Int Conf IEEE Eng Med Biol Soc 2021 11;2021:4623-4626

The development of self-help devices has attracted attention in the light of improving the activities of daily living (ADL) in patients with finger paralysis. These devices are required to reduce discomfort and enable greater degrees of grasping motions in patients. In this study, we developed a lightweight self-help device that uses neuromuscular electrical stimulation and hand-joint orthosis to finely control the fingers. Read More

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November 2021

Three Dimensionally Printed Versus Conventional Casts in Pediatric Wrist Fractures.

Cureus 2021 Oct 28;13(10):e19090. Epub 2021 Oct 28.

Division of Hand Surgery, Rothman Orthopaedic Institute, Philadelphia, USA.

Background and objective With significant advancement in the field of biomaterials, alternatives to conventional fiberglass casts such as customized three-dimensional (3D) orthotics have been developed. However, there is a scarcity of reported experience regarding 3D-printed orthoses. The purpose of this study was to compare radiographic outcomes and patient satisfaction with fractures treated with either conventional or 3D-printed casts. Read More

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October 2021

Elements Influencing sEMG-Based Gesture Decoding: Muscle Fatigue, Forearm Angle and Acquisition Time.

Sensors (Basel) 2021 Nov 19;21(22). Epub 2021 Nov 19.

School of Mechanical Engineering and Automation, Fuzhou University, No.2 Xueyuan Road, Fuzhou 350116, China.

The surface Electromyography (sEMG) signal contains information about movement intention generated by the human brain, and it is the most intuitive and common solution to control robots, orthotics, prosthetics and rehabilitation equipment. In recent years, gesture decoding based on sEMG signals has received a lot of research attention. In this paper, the effects of muscle fatigue, forearm angle and acquisition time on the accuracy of gesture decoding were researched. Read More

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November 2021

Effectiveness of 3D-printed orthoses for traumatic and chronic hand conditions: A scoping review.

PLoS One 2021 18;16(11):e0260271. Epub 2021 Nov 18.

Amsterdam UMC, University of Amsterdam, Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

Background: In the field of orthotics, the use of three-dimensional (3D) technology as an alternative to the conventional production process of orthoses is growing.

Purpose: This scoping review aimed to systematically map and summarize studies assessing the effectiveness of 3D-printed orthoses for traumatic and chronic hand conditions, and to identify knowledge gaps.

Methods: The Cochrane Library, PubMed, EMBASE, CINAHL, Web of Science, IEEE, and PEDro were searched for studies of any type of 3D-printed orthoses for traumatic and chronic hand conditions. Read More

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January 2022

Efficacy of a Forearm Rotation Orthosis for People With a Hemiparetic Arm.

Am J Occup Ther 2021 Nov;75(6)

George S. Tomlin, PhD, OTR/L, FAOTA, is Professor, School of Occupational Therapy, University of Puget Sound, Tacoma, WA.

Importance: Insufficient voluntary forearm movements are associated with ineffective and inefficient functional performance among people poststroke. Although evidence supports the application of the occupational therapy task-oriented (OTTO) approach for this population, the training protocol does not explicitly address the role of forearm rotation movements. In addition, a need exists for theoretical support for orthotic interventions for people poststroke. Read More

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November 2021

Application of a myoelectric elbow flexion assist orthosis in adult traumatic brachial plexus injury: patient perspectives.

Prosthet Orthot Int 2021 Dec;45(6):526-531

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Individuals with brachial plexus injuries (BPIs) can be prescribed assistive devices, including myoelectric elbow orthoses (MEOs), for rehabilitation or functional use after failed treatment for elbow flexion restoration. Although recent case studies indicate potential for clinical improvements after using an MEO after BPI, the patients' perspectives on such use are still unknown.

Objective: To explore patient perspectives on the use of an MEO after surgical treatment for a traumatic BPI. Read More

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December 2021

Application of myoelectric elbow flexion assist orthosis in adult traumatic brachial plexus injury: a retrospective clinical study.

Prosthet Orthot Int 2021 Dec;45(6):521-525

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Adult traumatic brachial plexus injuries (BPIs) can result in severe impairment following penetrating wounds, falls, and motor vehicle accidents or other high-energy trauma.

Objective: Quantify functional outcomes of adult patients with a BPI using a myoelectric orthosis to restore elbow flexion.

Study Design: Retrospective review. Read More

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December 2021

Effect of different Kinesio tape tensions on experimentally-induced thermal and muscle pain in healthy adults.

PLoS One 2021 5;16(11):e0259433. Epub 2021 Nov 5.

Department of Kinesiology, School of Health and Human Sciences, Indiana University Purdue University Indianapolis, Indianapolis, Indiana, United States of America.

Athletes and rehabilitation specialists have used Kinesio tape (KT) to help alleviate pain symptoms. Currently, no clear mechanism exists as to why pain is relieved with the use of KT and whether the pain relieving effect is simply a placebo effect. Additionally, the most effective taping parameters (tension of tape) for pain reduction remain unknown. Read More

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January 2022

Correlates of Balance and Aerobic Indices in Lower-Limb Prostheses Users on Arm Crank Exercise.

Sensors (Basel) 2021 Oct 19;21(20). Epub 2021 Oct 19.

Department of Counseling, Health & Kinesiology, Texas A&M University-San Antonio, San Antonio, TX 78244, USA.

Background: The HUMAC Balance System (HBS) offers valid measurement of balance, and the arm crank exercise test (ACE) is a valid measure of physiological capacity. Neither have been used to evaluate associations between balance and physiological capacity in lower-limb amputees.

Methods: Thirty-five participants with lower-limb amputations were recruited. Read More

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October 2021

Evaluating the Ability of Congenital Upper Extremity Amputees to Control a Multi-Degree of Freedom Myoelectric Prosthesis.

J Hand Surg Am 2021 Oct 14. Epub 2021 Oct 14.

OrthoCarolina Hand Center, Charlotte, NC.

Purpose: To determine whether children and adults with unilateral congenital upper limb amputation can control myoelectric prostheses with multiple degrees of freedom (DOF) using pattern recognition (PR) technology.

Methods: Seven participants (age 9-62 years) with unilateral congenital transradial amputation were tested on both their residual and sound side limbs to determine proficiency in controlling a virtual prosthesis using electromyographic signals captured by an array of surface electrodes that were processed using PR technology. Proficiency was measured through a virtual environment game called the target achievement control test, in which the testing protocol asked participants to match increasingly complex prosthesis postures with 1, 2, and 3 DOF. Read More

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October 2021