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Feature Decoupling for Multimodal Locomotion and Estimation of Knee and Ankle Angles Implemented by Multi-Model Fusion.

Many challenges exist in the study of using orthotics, exoskeletons or exosuits as tools for rehabilitation and assistance of healthy people in daily activities due to the requirements of portability and safe interaction with the user and the environment. One approach to dealing with these challenges is to design a control system that can be deployed in a portable device to identify the relationships that exist between the gait variables and gait cycle for different locomotion modes. In order to estimate the knee and ankle angles in the sagittal plane for different locomotion modes, a novel mu

Low back pain sufferers: is standing postural balance facilitated by a lordotic lumbar brace?

INTRODUCTION: The use of a lumbar lordosis orthotic device in the treatment of discogenic low back pain could be a valuable option and rehabilitation tool. The lumbar lordosis brace has been designed to meet these requirements and acts as a reminder to the patient to maintain a physiological lumbar lordosis curvature since it comprises a vertical panel on the chest and a curved rigid shell at the back. This lumbar lordosis brace exerts the necessary degree of compression in the lumbar region and achieves correction of the sagittal plane spine balance to improve postural control of the lumbar s

Commentary: illegal behavior and pathological gambling.

BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) covers all aspects and levels of human functioning. OBJECTIVES: The aim of the study was to find out whether the ICF can be used in everyday prosthetics and orthotics (P&O) clinical practice for description of human functioning, and whether it can demonstrate the influence of a prosthesis or an orthosis on a person's functioning. STUDY DESIGN: Prospective clinical study. METHODS: A short list of ICF codes was compiled from Annex 9 and used for one month for all patients seen at the author's P&O outpatie

A 5° medial wedge reduces frontal but not saggital plane motion during jump landing in highly trained women athletes.

Lower extremity mechanics during landing have been linked to traumatic and nontraumatic knee injuries, particularly in women's athletics. Th … dditional investigation in younger and lesser trained athletes is warranted to assess the impact of orthotic devices on knee joint mechanics.

The Physiological Cost Index of walking with an isocentric reciprocating gait orthosis among patients with T(12) - L(1) spinal cord injury.

OBJECTIVE: The objective of this study was to compare the Physiological Cost Index of walking with a reciprocating gait orthosis to that of … (IRGO) and received a standardized training program. Subjects were then asked to walk using the two orthotic devices along a 40 m rectangular pathway at a speed that was comfortable for them. The walking speed was measured using a stop watch, and a Polar Heart Rate Monitor was used to measure the heart rate of the subjects. The Physiological Cost Index (PCI) was c …

[Doubts and confusions in the diagnosis and treatment of positional plagiocephaly. Management protocol].

INTRODUCTION: Positional plagiocephaly is currently the most frequent cause of consultation at pediatric neurosurgical departments in Spain and other western countries. There is considerable confusion in the literature on the terminology and physiopathology of this deformity, as well as its differential diagnosis with true synostosis and treatment recommendations. OBJECTIVES: To clarify these concepts and present a protocol for the management of positional plagiocephaly, which was recently requested by the Health Administration of the Community of Madrid. PROTOCOL: The protocol aims to achie

The effect of a forearm/hand splint compared with an elbow band as a treatment for lateral epicondylitis.

The aim of the present study was to compare the effect of a new prefabricated Thämert forearm/hand splint with the effect of a simple elbow band as a treatment for lateral epicondylitis. Forty-three (43) patients that met the inclusion criteria were randomly assigned to the elbow band group and the splint group. They wore the orthotic devices for 6 weeks. Outcome measures were obtained at baseline and directly after the intervention. These outcome measures were maximal grip strength on the involved side with a pain scale from 1 to 10 to determine the extent of pain during gripping, and the Pat…

Предсказание добровольной активации, силы и выносливости локтейных сгибателей у пациентов постполио.

Для изучения долгосрочных последствий полиомиелита с помощью интерполяции были исследованы максимальная добровольная сила и добровольная активация мышц сгибания локтей у 177 пациентов постполиологической клиники. В ходе 45-минутных упражнений мышечной выносливости было изучено 142 пациента, и были исследованы предсказания о поврежденных мышечных свойствах. Двадцать девять из 177 пациентов (16,4%) пострадали от добровольного привода к своим мышцам сгибания локтей, однако лишь 16 (9,0%) заметно снизили прочность на сгибание локтей, несмотря на то, что 74 (41,8%) сообщили о том, что они были снач

Совпадение в аннотации оригинала
To examine the long-term effects of polio, maximal voluntary strength and voluntary activation of elbow flexor muscles of 177 patients from … the tested limb, a recent decline in activities of daily living in their tested limb, and who used orthotic devices in their tested limb. Monitoring of function in prior-polio patients with impaired muscle performance may be useful, particularly when combined with investigation of other potential contributory factors to the functional impairment.

Diagnosis and treatment of patients with patellofemoral pain.

The patient-athlete with patellofemoral pain requires precise physical examination based on a thorough history. The nature of injury and spe … lanced strengthening, proprioceptive training, hip external rotator strengthening, patellar taping, orthotic devices, and effective bracing will help most patients avoid surgery. When surgery becomes necessary, indications must be specific. Lateral release is appropriate for patella tilt (abnormal rotation). Painful scar or retinaculum, neuromas, and pathologic pl …

Foot and ankle problems in rheumatoid arthritis.

The purpose of this study was to examine the prevalence of foot and ankle problems in 99 patients with clinically proven rheumatoid arthriti … ankle and forefoot problems in another 14%. Only four patients had had any treatment involving foot orthotic devices or special shoe wear. The prevalence of foot and ankle symptoms was related to the duration of systemic illness, but was present in > 50% of patients at any time after diagnosis of rheumatoid arthritis. Patients with longstanding rheumatoid arthriti …

Improved ankle and knee control with a dual-channel functional electrical stimulation system in chronic hemiplegia. A case report.

The aim of tis report is to describe the effects of a dual-channel functional electrical stimulation (FES) system applied daily as an orthotic device to the dorsiflexors and hamstrings muscles in a subject with chronic hemiparesis. Prior to the application of FES, the patient's gait was characterized by a footdrop and knee hyperextension during stance. measurements of gait performance were collected before FES application, after a conditioning period of six weeks, and following ten months of daily use. Outcomes included lower limb kinematics and temporal gait measures. The kinematic assessment

Clinical application of peroneal nerve stimulator system using percutaneous intramuscular electrodes for correction of foot drop in hemiplegic patients.

Objective.  To assess the orthotic effect of a functional electrical stimulation device (Akita Heel Sensor System; AHSS) in the treatment of hemiplegic gait with foot drop. Materials and Methods.  In the AHSS, a heel sensor is attached to a small plastic heel brace, and the peroneal nerve is stimulated via percutaneous intramuscular electrodes. During the swing phase of the hemiplegic gait, the common peroneal nerve is stimulated by the AHSS. Eight patients in chronic stages of hemiplegia participated in this study. Walking speeds and step cadences on a 10-m course were compared between walkin

Current landscape for the management of facioscapulohumeral muscular dystrophy and emerging treatment modalities: A literature review.

Facioscapulohumeral Muscular Dystrophy (FSHD) is a genetic disorder characterized by progressive muscle weakness, primarily affecting the facial, shoulder, and upper arm muscles. In this literature review, we examined the available treatments for FSHD, covering established methods and experimental approaches. We began with an overview of pharmacological treatments, emphasizing the importance of physical therapy and rehabilitation in maintaining muscle strength, improving mobility, preventing contractures, and respiratory therapy for severe cases. We also explored exercise interventions, addres

Regression of cephalic index following endoscopic repair of sagittal synostosis.

OBJECTIVEMetrics used to quantify preoperative severity and postoperative outcomes for patients with sagittal synostosis include cephalic index (CI), the well-known standard, and the recently described adjusted cephalic index (aCI), which accounts for altered euryon location. This study tracks the time course of these measures following endoscopic repair with orthotic helmet therapy. The authors hypothesize that CI and aCI show significant regression following endoscope-assisted repair.METHODSCT scans or 3D photographs of patients with nonsyndromic sagittal synostosis treated before 6 months o

What is the optimal time to start helmet therapy in positional plagiocephaly?

BACKGROUND: Although helmet therapy is widely accepted in the treatment of severe positional plagiocephaly, treatment regimens, especially regarding starting age, are controversial. This study investigated the importance of starting age to optimize the management of helmet therapy. METHODS: Sixty-two infants with severe positional plagiocephaly were enrolled in this prospective longitudinal study. Twenty-four started helmet therapy before 6 months of age (group 1) and 38 were older than 6 months (group 2). Cranial diagonal measurements were taken. Resulting differences and Cranial Vault Asymm

Comparison of perceptions and treatment practices between neurosurgeons and plastic surgeons for infants with deformational plagiocephaly.

OBJECT: Deformational plagiocephaly (DP) is the leading cause of head shape abnormalities in infants. Treatment options include conservative measures and cranial molding. Pediatric neurosurgeons and craniofacial plastic surgeons have yet to agree on an ideal therapy, and no definable standards exist for initiating treatment with helmets. Furthermore, there may be differences between specialties in their perceptions of DP severity and need for helmet therapy. METHODS: Requests to participate in a web-based questionnaire were sent to diplomates of the American Board of Pediatric Neurological Su

Molding helmet therapy in the management of sagittal synostosis.

The current surgical treatment of sagittal craniosynostosis often fails to produce a normal cephalic index; however, recent reports of early endoscopic suture release and postoperative helmet therapy promise improved cranial symmetry. The role of helmet therapy is critical in this approach, but there are few reports on the use of helmet therapy after craniosynostosis surgery. The authors present a retrospective review comparing the results of surgery alone versus surgery and postoperative banding in treating children diagnosed with sagittal synostosis. Cephalic index (CI) measurements and the

Rethinking Farkas: Updating Cephalic Index Norms in a Large, Diverse Population.

BACKGROUND: Cephalic index, the ratio of head width to length, is one normative indicator used by insurers to derive criteria for plagiocephaly helmet authorization. Current norms were established by a small sample of white children in the 1987 Farkas and Munro data set. This study establishes updated cephalic index values for infants and children in a large, diverse patient population. METHODS: Children aged 0 to 3 months, 3 to 6 months, 9 to 12 months, 2 to 3 years, and 12 to 14 years were recruited at their well-child appointment. Cephalic index was calculated for each age group and compar

Complications associated with molding helmet therapy for positional plagiocephaly: a review.

Molding helmet therapy is a widely accepted treatment for positional plagiocephaly that is generally considered to be low risk. Multiple large outcome studies have shown good results, but adverse events are rarely reported. The literature on helmet therapy was reviewed to clarify the clinical experience with associated complications. Although significant complications were extremely rare, there was a large degree of variability in detection of lesser problems such as minor skin irritation. Patients with a primarily brachycephalic morphology may be at higher risk for poorly fitting orthoses. Mo

Impedance-Controlled Knee Orthosis: Transitional Movements and their Effect on Knee Kinematics and Muscular Activity.

This study investigated the effects of an impedance-controlled active knee orthosis on knee kinematics and muscle activation during transitional movements, focusing on Sit-To-Stand and Step-Up tasks. A custom hardware and software setup employed an EMG-driven impedance controller to modulate joint stiffness real-time. Four healthy participants performed Sit-To-Stand and Step-Up tasks under assisted and non-assisted conditions. The results indicated that the orthosis reduced muscle activity in stable, bilateral tasks like Sit-To-Stand, leading to lower average EMG amplitudes in the assisted leg