- A comparison of gait with solid and hinged ankle-foot orthoses A comparison of gait with solid and hinged ankle-foot orthoses in children with spastic diplegic cerebral palsy
- Comparison of a dynamic and a hinged ankle-foot orthosis Comparison of a dynamic and a hinged ankle-foot orthosis by gait analysis in patients with hemiplegic cerebral palsy
- Effect of foot orthoses on the kinematics and kinetics of normal walking gait
- Prevalence of Balance Compromise in Commonly Treated Patient Populations Prevalence of Balance Compromise in Commonly Treated Patient Populations: An Introduction to the Academy's State of the Science Conference on the Effects of Ankle-Foot Orthoses on Balance
- The Effect of Ankle-Foot Orthoses on Balance AAOP State-of-the-Science Evidence Report:
- A Review of the Literature Pertaining to KAFOs and HKAFOs for Ambulation
- Ambulatory KAFOs: A Biomechanical Engineering Perspective
- Summary from the Academy's Seventh State-of-the-Science Conference on KAFO Summary from the Academy's Seventh State-of-the-Science Conference on Knee-Ankle-Foot Orthoses for Ambulation
- Appropriate Lower Limb Orthotics for Developing Countries ISPO/USAID/WHO Consensus Conference on Appropriate Lower Limb Orthotics for Developing Countries - Hanoi 3-8.04.2006
- Lower Extremity Telescopic Orthosis Lower Extremity Telescopic Orthosis for Immediate Fitting in Paraplegia
- A comparison of the C-Leg and the 3R60 Prosthetic Knee Joint The C-leg is an advanced microprocessor-regulated prosthetic knee mechanism. Having a prosthetic knee that is monitored and regulated by a computer during the entire walking cycle (stance and swing phase) is thought to enhance function in a wide range of locomotion modes. It has been suggested that the C-leg improves the amputee’s ability to walk down ramps and descend stairs, and it provides stumble control (Stinus, 2000; Michael, 1999; Dietl, 1998; Zahedi et al., 1998). In this study, the C-leg is compared with the 3R60 joint, a multi-linkage passive knee joint.
- Adjustments in gait symmetry with walking speed Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees
- Centre of pressure displacements in trans-femoral amputees during gait
- Hip and knee frontal plane moments Hip and knee frontal plane moments in persons with unilateral, trans-tibial amputation
- Kinematic and kinetic comparisons of transfemoral amputee gait Kinematic and kinetic comparisons of transfemoral amputee gait using C-Leg and Mauch SNS prosthetic knees
- Rehabilitation After Amputation The principles of amputee rehabilitation, from preamputation to reintegration into the work force and community, are reviewed. The authors discuss exercise techniques, training programs, and environmental modifications that have been found to be helpful in the rehabilitation of the amputee. The exercise programs presented here are divided into four main components: flexibility, muscle strength, cardiovascular training, and balance and gait. The programs include interventions by the physical, occupational, and recreational therapist under the supervision and guidance of a physician.
- The effect of footwear mass on the gait patterns of unilateral below-knee amputees This study reports an investigation into the effect of shoe mass on the gait patterns of below-knee (BK) amputees. Ten established unilateral BK, patellar-tendon-bearing prosthesis wearers were assessed using a VICON system of gait analysis. Incremental masses of 50g (up to 200g) were added to the subjects' shoes and data captured as they walked along a 15m measurement field. Coefficients of symmetry of various parameters of the swing phase (knee frequency symmetry, swing time symmetry, maximum flexion to heel strike time symmetry) were measured and their correlation was tested with the patient's preferrerd shoe mass and also their own shoe mass, all expressed as a proportion of body mass.
- An Advanced Approach Toward Improved Prosthetic Fittings David F.M. Conney, R.P.T., C.P.O., is a senior vicepresident at Beverly Hills Prosthetics and Orthotics, Inc.. Keith E. Vinnecour, C.P.O., is owner and president of Beverly Hills Prosthetics Orthotics, Inc., Beverly Hills, California.
- Evaluation of a Prosthetic Shank with Variable Inertial Properties Scott Tashman, M. Eng., Ramona Hicks, R.P.T., M.A., and David L. Jendrzejczyk, CP. are with the Kinesiology Department and Department of Orthotics and Prosthetics at Newington Children's Hospital, Newington, Connecticut, 06111.
- Gait Analysis in Prosthetics James R. Gage, M.D. and Ramona Hicks, R.P.T., M.A. are with the Kinesiology Laboratory at Newington Children's Hospital in Newington, Connecticut 06111.
- Kinematic and Kinetic Comparison of the Conventional and ISNY Above-Knee Socket David E. Krebs, M.A., P.T., Associate Research Scientist, Prosthetics and Orthotics New York University Post-Graduate Medical School, 317 East 34th Street, New York City, New York 10016. Scott Tashman, M.S., Biomedical Engineer, Motion Analysis Laboratory, Newington Children's Hospital, Newington, Connecticut 06111.
- The Application of Gait Analysis in Orthotics Robert S. Lin, C.P.O. is with the Department of Orthotics and Prosthetics at Newington Children's Hospital, Newington, CT 06111.
- Survey Form
- Evaluation Guide
- Guia de Avaliação e Questionário Tradução: Priscila Oréfice Pinheiro - Fisioterapeuta no Laboratório de Marcha Helena Pereira de Moraes, Associação de Assistência à Criança Deficiente (AACD - SP)
- Guia para el uso del cuestionario
- Cuestionario Tradução: Dra. Tania Suárez Parrado e Dr. Pascual Jovino Figueroa Rivero (LIB - UNICAMP)
- A Manual for the Rehabilitation of People with Limb Amputation (2004) World Health Organization, United States Department of Defense, MossRehab Amputee Rehabilitation Program and MossRehab Hospital
AFO (ankle-foot orthoses):
The Effect of Ankle-Foot Orthoses on Balance - A Systematic Review
KAFO (knee-ankle-foot orthoses) and HKAFO (hip-knee-ankle-foot orthoses):
This article summarizes the results from deliberations by an international multidisciplinary group of experts convened by the American Academy of Orthotists and Prosthetists to review the State-of-the-Science regarding use of custom-made knee-ankle-foot orthoses (KAFOs) to assist in ambulation.
LETOR: Lower Extremity Telescopic Orthosis LETOR was developed at the Rehabilitation Center in Konstancin in cooperation with the Institute of Biocybernetics and Biomedical Engineering, the Polish Academy of Sciences. Design proved to be appropriate in various environments and in different cultures.
The C-Leg (Otto Bock, Duderstadt, Germany) is a microprocessor-controlled prosthetic knee that may enhance amputee gait. This intrasubject randomized study compared the gait biomechanics of transfemoral amputees wearing the C-Leg with those wearing a common noncomputerized prosthesis, the Mauch SNS (Ossur, Reykjavik, Iceland).
Clinical Prosthetics & Orthotics - 1985, Volume 9, Number 3
Gait Analysis, by Ronald F. Altman, C.P.O.The following series of articles on Gait Analysis were based on a project which was supported by the Newington Children's Hospital Research Fund.
The following series of articles all have to do with using gait analysis, in orthotics as well as prosthetics, to improve function. The Gage/Hicks study traces gait analysis in prosthetics from Inman forward, and the individual articles illustrate contemporary laboratory approaches to the objective assessment of gait.
Fundamental to optimal lower-extremity prosthetic/orthotic service is an analysis of the gait of the patient. To the extent the method of analysis fails to provide adequate objective or useful information about gait, it allows for the possibility and probability that a less than optimum fit and/or alignment configuration has been or will be achieved.
While gait analysis has long been an established procedure of varying objectivity in prosthetics, in orthotics the use of gait analysis has been rather ineffectual in assisting to optimize gait, a process which for the most part fails to go beyond a most rudimentary observation. This is due in part to the rudimentary functional characteristics of most orthoses.
Advances in our profession as well as technology and materials can and do result in more functional orthoses. If we are going to provide the optimal orthotic design configuration for any given patient, it is essential that we define gait characteristics more precisely and reliably.
Though not yet universally available, the increasing number of gait analysis facilities will soon benefit us all—patients and practitioners alike—as we gain access to the resulting information flow in formats readily usable by orthotists and prosthetists.
PEQ - Prosthesis Evaluation Questionnaire
Versão Original - EN
Versão em Português - BR
Versão em Espanhol - LA
The Rehabilitation of People with Amputations
This manual presents information for healthcare personnel who provide care for people with amputations, e.g., mid-level rehabilitation personnel, nurses and doctors and for people who have had amputations and for thier families. The content of the manual focuses on the activites a person with an amputation performs without a prosthesis (artificial limb), the basic components of a prosthesis for upper and lower limbs, and the basic training for use of the prosthesis. The manual gives information about training for self-care activities, but does not include training for household or work activities. It presents information about prostheses that is useful for the general health care personnel, as well as for people with amputations, but does not provide information on making or evaluating a prosthesis.
- Functional outcome after a lower limb amputation
Projetos de Pesquisa e Teses
The main aim of this thesis is to gain a better understanding of the influence of physical, mental, and social characteristics on the functional outcome of patients after a lower limb amputation. The main research questions answered in this thesis are:
- 1. Which physical, mental, and social characteristics after amputation predict the functional outcome for elderly lower limb amputee patients?
- 2. What is the relationship between impairments, activities, and participation for elderly amputee patients?
- 3. What is the employment status of amputee patients in the Netherlands?
- 4. Which factors are related to successful job reintegration and job satisfaction for working people with a lower limb amputation?