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49th Academy Annual Meeting & Scientific Symposium Journal of Proceedings 第49届学院年会科学研讨会学报
Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1097/jpo.0000000000000465
Journal of Prosthetics and Orthotics 35(2S):10.1097/JPO.0000000000000465, April 2023. | DOI: 10.1097/JPO.0000000000000465
假肢矫形学杂志35(2S):10.1097/JPO。2023年4月0000000000000465。| doi: 10.1097/ jpo.0000000000000465
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引用次数: 0
LOWER-LIMB PROSTHESES 下肢假肢
Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1097/01.jpo.0000921056.35098.8c
Journal of Prosthetics and Orthotics 35(2S):p 19-50, April 2023. | DOI: 10.1097/01.JPO.0000921056.35098.8c
中华口腔外科杂志35(2):p 19-50, 2009年4月。| DOI: 10.1097/01.JPO.0000921056.35098.8c
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引用次数: 0
GENERAL O&P TOPICS 一般o&p主题
Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1097/01.jpo.0000921048.19506.f7
Journal of Prosthetics and Orthotics 35(2S):p 4-8, April 2023. | DOI: 10.1097/01.JPO.0000921048.19506.f7
中华口腔外科杂志35(2):p 4-8, 2023。| DOI: 10.1097/01.JPO.0000921048.19506.f7
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引用次数: 0
Greetings 问候
Q4 ORTHOPEDICS Pub Date : 2023-04-01 DOI: 10.1097/01.jpo.0000921036.63104.e8
Journal of Prosthetics and Orthotics 35(2S):10.1097/01.JPO.0000921036.63104.e8, April 2023. | DOI: 10.1097/01.JPO.0000921036.63104.e8
假肢矫形学杂志35(2S):10.1097/01.JPO.0000921036.63104。2023年4月8日。| DOI: 10.1097/01.JPO.0000921036.63104.e8
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引用次数: 0
Performance of Surface Topography Systems in Scoliosis Management: A Narrative Review 表面地形图系统在脊柱侧弯治疗中的表现:叙述性综述
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2023-03-26 DOI: 10.1097/JPO.0000000000000466
Shahrbanoo Bidari, M. Kamyab, Reza Kakavand, A. Komeili
ABSTRACT Introduction The aesthetic appearance of the torso is the foremost concern of scoliotic patients, which, if not addressed, could adversely affect their life quality. The Cobb angle limitation in describing three-dimensional (3D) deformities of the spine and its associated ionizing radiation motivated clinicians to implement noninvasive surface topography (ST) methods for monitoring scoliosis. This study aimed to review the accuracy of the most commonly used ST systems and their ST parameters in predicting and monitoring scoliosis. Materials and Methods The scientific databases were used to search for the studies considering the validity and reliability of different ST methods published in English from 1970 to July 2020. Results Of 221 found publications, 41 journal publications were evaluated for this review. The accuracy of ST methods was affected by light source quality, acquisition time, and postural sway. Some ST parameters resulted in a high correlation with radiographic measurements and classified scoliosis deformities into mild, moderate, and severe. Some ST parameters may not effectively predict the Cobb angle but could monitor curve progression accurately. Representing spine deformities in the lumbar section and subjects with higher body mass index was associated with more significant errors due to thicker soft tissues around the spine. Conclusions According to the present review, ST systems could complement radiography measurements and provide valuable insights into different aspects of internal and external deformity; however, they have not reached a state that can replace radiography in the management of scoliosis. Clinical Relevance The present study helps clinicians choose the most appropriate ST methods for predicting and monitoring scoliotic curves and torso asymmetry evaluations.
躯干的美学外观是脊柱侧弯患者最关心的问题,如果不加以解决,可能会对他们的生活质量产生不利影响。Cobb角在描述脊柱三维(3D)畸形及其相关电离辐射方面的局限性促使临床医生采用无创表面形貌(ST)方法监测脊柱侧凸。本研究旨在回顾最常用的ST系统及其ST参数在预测和监测脊柱侧凸中的准确性。材料与方法利用科学数据库检索1970年至2020年7月发表的英文文献中考虑不同ST方法效度和信度的研究。结果221篇文献中,41篇期刊文献被评价。ST方法的精度受光源质量、采集时间和姿态摇摆的影响。一些ST参数与x线测量结果高度相关,并将脊柱侧凸畸形分为轻度、中度和重度。一些ST参数可能不能有效地预测Cobb角,但可以准确地监测曲线的进展。由于脊柱周围的软组织较厚,腰椎畸形和身体质量指数较高的受试者与更显著的误差相关。根据目前的综述,ST系统可以补充x线摄影测量,并为内外畸形的不同方面提供有价值的见解;然而,在脊柱侧凸的治疗中,它们还没有达到可以取代x线摄影的水平。本研究帮助临床医生选择最合适的ST方法来预测和监测脊柱侧弯和躯干不对称评估。
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引用次数: 0
Evaluation of the Effect of Knee Unloader Orthoses, Lateral Wedge Insoles, and Ankle Foot Orthoses on Pain, Function, and Knee Adduction Moment in Subjects with Medial Compartment Knee Osteoarthritis: A Literature Review 膝关节卸荷器矫形器、外侧楔形鞋垫和踝足矫形器对内侧隔室膝骨关节炎患者疼痛、功能和膝关节内推力矩影响的评估:文献综述
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2023-02-03 DOI: 10.1097/JPO.0000000000000459
Maede Mahmoodi, M. Arazpour, M. Mousavi
ABSTRACT Introduction Osteoarthritis (OA) is a destructive joint disease and a major cause of pain in the elderly. The use of supportive orthoses including valgus knee brace, lateral wedged insole, and ankle-foot orthosis (AFO) is a common treatment for these people. The purpose of this review of the literature is to evaluate the effect of orthoses on pain, function, and adduction moment (AM) of individuals with medial knee OA. Method The search was conducted among articles published from 2010 to 2021 in bibliographic online databases including ISI Web of Science, PubMed, Scopus, and Google Scholar. The potential titles and abstracts were reviewed based on the study inclusion criteria. All randomized controlled trial (RCT) studies on the effectiveness of valgus knee brace, AFO, and lateral wedged insoles in subjects with medial knee OA were reviewed. The search terms were OA, medial knee osteoarthritis, medial joint arthritis, unloader knee brace, valgus knee brace, knee sleeve, lateral wedge insole, AFO, ankle-foot orthosis, function, pain, alignment, kinetic, kinematic, and AM. Result Forty-two articles were reviewed to determine the current research process. Thirteen studies evaluated the effect of lateral wedge insole on pain, function, and AM in subjects with medial compartment knee OA. Ten studies evaluated unloader knee braces. Nine studies evaluated unloader knee brace compared with lateral wedge insole, three studies evaluated AFO, and seven studies examined the combination of knee braces and lateral wedge insoles on pain, function, and AM. Conclusion All three orthoses in short-term follow-up reduced the AM in subjects with medial knee OA. Lateral wedge insoles did not support pain reduction in studies. The results of this study showed that knee braces may have a more lasting effect on the knee joint in the long run than lateral wedge insoles. Although the number of studies that evaluated the effect of AFOs on outcomes of subjects with knee OA is low, this intervention was found to be effective in relieving pain and reducing AM. Clinical Relevance In clinical studies, clinical relevance in patients with medial knee OA, orthoses effectively reduced external knee AM and pain sensation during daily activities. Thus, use of orthoses effectively supports conservative treatment in medial knee OA.
骨关节炎(OA)是一种破坏性的关节疾病,是老年人疼痛的主要原因。使用支持矫形器,包括外翻膝关节支架,外侧楔形鞋垫和踝足矫形器(AFO)是这些人的常见治疗方法。本文献综述的目的是评估矫形器对膝关节内侧OA患者疼痛、功能和内收力矩(AM)的影响。方法在ISI Web of Science、PubMed、Scopus、谷歌Scholar等文献在线数据库中检索2010 - 2021年发表的论文。根据研究纳入标准对可能的标题和摘要进行综述。我们回顾了所有关于外翻膝关节支架、AFO和外侧楔形鞋垫在膝关节内侧OA患者中的有效性的随机对照试验(RCT)。搜索词为OA,内侧膝关节骨性关节炎,内侧关节关节炎,卸载式膝关节支架,外翻膝关节支架,膝关节套筒,外侧楔形鞋垫,AFO,踝足矫形器,功能,疼痛,对齐,动力学,运动学和AM。结果回顾了42篇文献,确定了当前的研究进程。13项研究评估了外侧楔形鞋垫对内侧室膝关节炎患者疼痛、功能和AM的影响。10项研究评估了卸载式膝关节支架。9项研究评估了卸载式膝关节支架与外侧楔形鞋垫的比较,3项研究评估了AFO, 7项研究检查了膝关节支架与外侧楔形鞋垫的组合对疼痛、功能和AM的影响。结论三种矫形器短期随访均可降低膝关节内侧OA患者的AM。在研究中,侧楔鞋垫不能减轻疼痛。这项研究的结果表明,从长远来看,膝关节支架可能比侧楔鞋垫对膝关节有更持久的影响。虽然评估afo对膝关节OA患者预后影响的研究数量较少,但这种干预措施被发现在缓解疼痛和减少AM方面是有效的。在临床研究中,临床相关性在膝关节内侧OA患者中,矫形器有效地减少了膝关节外侧AM和日常活动时的疼痛感觉。因此,使用矫形器可以有效地支持膝关节内侧OA的保守治疗。
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引用次数: 0
Comparison of Semirigid and Rigid Lumbosacral Orthoses in Association with Routine Treatment of Pain, Fear of Movement, and Disability in Patients with Lumbar Disc Herniation 半刚性和刚性腰骶矫形器与常规治疗腰椎间盘突出症患者疼痛、运动恐惧和残疾的比较
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2023-01-09 DOI: 10.1097/JPO.0000000000000457
Hanieh Hamrah, A. Daryabor, M. Arazpour, Navid Golchin, Hassan Reza Mohammadi
ABSTRACT Introduction Disc protrusion, as a type of lumbar disc herniation, is one of the most common causes of acute lower back pain. Lumbosacral orthoses (LSOs) can be used as a conservative treatment along with routine treatment (physiotherapy and medication). The aim of this study was to investigate the impact of routine therapy in association with two types of rigid and semirigid LSOs compared with routine treatment alone on pain, fear of movement, and disability in patients with herniated lumbar disc. Materials and Methods In this quasi-experimental study, 27 patients with lumbar disc herniation (protrusion type) were assigned into three groups including 1, semirigid LSO with routine treatment (n = 8); 2, rigid LSOs with routine treatment (n = 8); and 3, only routine treatment (n = 11). Before using any therapeutic interventions in each group, the pain, disability, and fear of movement were recorded using the visual analog scale, Oswestry questionnaire, and Tampa questionnaire, respectively. Patients in each group then used their allocated intervention for 4 weeks. After 4 weeks, variables were recorded under the same protocol. Results In between-group comparison after 4 weeks, no significant difference was observed between them in all variables (P > 0.05). In intragroup comparison, in the group of routine treatment wearing semirigid LSO, a significant decrease in disability, pain, and fear of movement was observed after 4 weeks’ use of intervention compared with before (P < 0.05). Routine treatment using rigid LSO caused a significant reduction in pain and disability and use of routine treatment significantly reduced only disability score (P < 0.05). Conclusions Based on the findings, no significant difference was found between interventions in measured outcomes. However, the use of physiotherapy and medication along with semirigid LSO improved all outcomes compared with before using. Clinical Relevance Both routine treatment alone and routine treatment along with an LSO can be used in people with herniated lumbar disc. Use of physiotherapy and medication along with semirigid LSO could improves pain, fear of movement, and disability in these patients.
椎间盘突出是腰椎间盘突出症的一种,是引起急性腰痛的最常见原因之一。腰骶矫形器(LSOs)可以作为常规治疗(物理治疗和药物治疗)的保守治疗。本研究的目的是研究常规治疗与两种类型的刚性和半刚性lso相比较,对腰椎间盘突出症患者疼痛、运动恐惧和残疾的影响。材料与方法在这项准实验研究中,27例腰椎间盘突出症(突出型)患者分为三组:1、常规治疗的半刚性腰椎间盘突出症(n = 8);常规治疗的刚性lso 2例(n = 8);3、仅常规治疗(n = 11)。在采用任何治疗干预措施之前,分别用视觉模拟量表、Oswestry问卷和Tampa问卷记录各组患者的疼痛、残疾和运动恐惧。然后,每组患者使用他们分配的干预措施4周。4周后,在相同的方案下记录变量。结果4周后两组比较,各指标差异均无统计学意义(P < 0.05)。组内比较,常规治疗组佩戴半刚性LSO,干预4周后残疾、疼痛、运动恐惧程度较干预前显著降低(P < 0.05)。常规使用刚性LSO治疗可显著降低疼痛和残疾,常规使用仅显著降低残疾评分(P < 0.05)。结论:根据研究结果,在测量结果方面,没有发现干预措施之间的显著差异。然而,与使用前相比,使用物理治疗和药物以及半刚性LSO改善了所有结果。临床意义对于腰椎间盘突出症患者,常规治疗和常规治疗联合LSO均可使用。使用物理治疗和药物以及半刚性LSO可以改善这些患者的疼痛,运动恐惧和残疾。
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引用次数: 0
Epidemiology of Injuries in Wheelchair Basketball: Trauma Versus Overuse Mechanism and Prevention Rehabilitative Strategies 轮椅篮球损伤的流行病学:创伤与过度使用机制和预防康复策略
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2023-01-01 DOI: 10.1097/JPO.0000000000000458
G. Farì, Dario Macchiarola, F. Quarta, F. Bianchi, L. Caforio, A. Cutti, M. Megna, M. Ranieri
ABSTRACT Introduction Wheelchair basketball (WB) is one of the most practiced sports among people with disabilities worldwide. There is a lack of data in scientific literature about injuries in sports for disabled people compared with able-bodied sports. The aim of this study is to investigate the epidemiology of injuries in professional WB athletes in an Italian cohort, distinguishing between trauma and overuse lesions and discussing the role of rehabilitation to prevent them. Materials and Methods The design is that of a cross-sectional study. An online survey was distributed to a group of Italian WB athletes competing in the first and second division of FIPIC (Wheelchair Basketball Italian Federation). The survey included demographic data, medical diagnoses, and athletes’ injuries history. The sample size consisted of 104 players. Results Forty-six injuries were reported. Of these, 32/46 (69.6%) were traumatic injuries and 14/46 (30.4%) were overuse injuries. The incidence of tendinopathies and fractures was significantly higher than for other injuries (P < 0.0001). Right shoulder (P < 0.0001), right hand (P = 0.002), and left hand (P = 0.041) injuries incidence was higher than any other injury in a statistically significant manner. The traumatic injuries group had a statistically significant difference in terms of days of suspension from sport activities compared with overuse injuries group (traumatic: median, 30; interquartile range [IQR], 14.5–40.0; range, 1–730 vs. overuse: median, 20.5; IQR, 10–21; range, 1–30; P = 0.006). Conclusions Trauma injuries are more common than overuse injuries. Injury prevention strategies should be based on rethinking protection devices technologies and integrating sport activities into a tailored rehabilitation global project that considers each athlete’s functional impairment and needs. Clinical Relevance Implementing the knowledge on WB injuries can really help to reinterpret rehabilitation in a new way, aimed at both the treatment and the prevention of these injuries. This will make this sport safer and more effective in improving the physical skills of people with disabilities.
轮椅篮球(WB)是世界上最受残疾人欢迎的运动之一。在科学文献中,关于残疾人运动与健全人运动中受伤的数据缺乏。本研究的目的是调查意大利队列中专业WB运动员损伤的流行病学,区分创伤和过度使用损伤,并讨论康复在预防损伤中的作用。材料与方法本设计为横断面研究。一份在线调查被分发给一组参加FIPIC(意大利轮椅篮球联合会)第一和第二级别比赛的意大利WB运动员。调查包括人口统计数据、医疗诊断和运动员的受伤史。样本量为104名球员。结果共报告损伤46例。其中32/46例(69.6%)为外伤性损伤,14/46例(30.4%)为过度使用损伤。肌腱病变和骨折的发生率明显高于其他损伤(P < 0.0001)。右肩(P < 0.0001)、右手(P = 0.002)、左手(P = 0.041)损伤发生率均高于其他损伤,差异有统计学意义。与过度使用损伤组相比,创伤性损伤组在暂停体育活动的天数方面具有统计学意义(创伤性损伤:中位数,30;四分位间距[IQR], 14.5-40.0;范围:1-730 vs.过度使用:中位数:20.5;差,10-21;范围内,行;P = 0.006)。结论创伤性损伤比过度使用性损伤更为常见。伤害预防策略应基于对保护装置技术的重新思考,并将体育活动纳入考虑每个运动员功能损伤和需求的量身定制的康复全球项目。临床意义对WB损伤的了解有助于以一种新的方式重新解释康复,旨在治疗和预防这些损伤。这将使这项运动更安全,更有效地提高残疾人的身体技能。
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引用次数: 3
Mining Literature to Identify Factors Influencing Prosthetic Prescription and Rehabilitation of Persons With Lower-Limb Amputations 挖掘文献识别影响下肢截肢患者假肢处方和康复的因素
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2022-11-26 DOI: 10.1097/JPO.0000000000000453
P. Saravanan, Jessica Menold
ABSTRACT Introduction Proper prosthetic prescription directly impacts rehabilitation and the quality of life of an individual with amputation, yet complications during the prescription process remain a challenge for prosthetists as a variety of patient-specific and prosthetic-specific factors need to be considered simultaneously during prescription. This research aims to identify the factors that affect decision making during prosthetic prescription and rehabilitation processes of individuals with lower-limb amputation via evidence-based approaches. Materials and Methods Abstracts of 140 articles were analyzed using topic modeling—a natural language processing algorithm. Results Mining abstracts of relevant literature revealed seven factors that influence prosthetic prescription and six factors that affect rehabilitation of individuals with amputation. Conclusion The findings of this study focus on improving the rehabilitation process of individuals with lower-limb amputation, enhancing the patient-provider relationship, and improving the overall quality of life via evidence-based methods. Clinical Relevance Understanding the factors that affect prosthetic prescription and patient rehabilitation from the past literature is critical to the establishment of formal and standard prescription strategies that can eventually improve the quality of life of persons with lower-limb amputation.
摘要简介合适的假肢处方直接影响截肢患者的康复和生活质量,但处方过程中的并发症对假肢医生来说仍然是一个挑战,因为在处方过程中需要同时考虑各种特定于患者和假肢的因素。本研究旨在通过循证方法确定影响下肢截肢患者在假肢处方和康复过程中决策的因素。材料和方法使用主题建模(一种自然语言处理算法)对140篇文章的摘要进行分析。结果挖掘相关文献摘要,揭示了影响假肢处方的7个因素和影响截肢患者康复的6个因素。结论本研究的结果侧重于通过循证方法改善下肢截肢患者的康复过程,加强患者与提供者的关系,提高整体生活质量。临床相关性从过去的文献中了解影响假肢处方和患者康复的因素,对于制定正式和标准的处方策略至关重要,这些策略最终可以提高下肢截肢患者的生活质量。
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引用次数: 0
Methods for Replicating a Skater-Style Shoe Lift for People with Limb-Length Discrepancy: A Technical Note 为肢体长度不一致的人复制溜冰式鞋举的方法:技术说明
IF 0.6 Q4 ORTHOPEDICS Pub Date : 2022-11-21 DOI: 10.1097/JPO.0000000000000454
Haley L. Dutton, Nathan Kearns, R. Spragg
ABSTRACT Introduction The objective of this study was to reproduce a skater-style shoe lift. Methods Tracings and measurements taken from the previous skater shoe lift were used to make a reproduction of a new skater shoe lift. Results A successful reproduction of the skater sole lift was completed. Clinical Relevance This is clinically relevant due to allowing patients an additional option for large leg-length discrepancies to avoid surgery while still providing a strong, stable base and reducing overall weight.
摘要:本研究的目的是重现溜冰鞋式的鞋举。方法采用以前的鞋举的跟踪和测量来复制新的鞋举。结果成功再现了运动员的提底动作。对于腿长差异较大的患者,这是一种额外的选择,可以避免手术,同时提供坚固、稳定的基础,减轻整体体重,因此具有临床意义。
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引用次数: 0
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Journal of Prosthetics and Orthotics
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