Compensatory Gait Strategies in Persons with Transfemoral Amputations Walking with a Locked Prosthetic Knee Joint Compared with an Unlocked Knee Joint: A Crossover Trial
Conclusions A compensatory gait strategy was observed among individuals with transfemoral amputation walking with an LPKJ compared with a UPKJ. Studies should investigate the incidence of low back pain in individuals with transfemoral amputation walking with LPKJ compared with those walking with UPKJ. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLES Source Type: research

Effects of an Inpatient Physical Rehabilitation Program Designed for Persons with Amputations of Traumatic or Vascular Etiologies
Conclusions This study provides evidence that individuals with amputation who are admitted to an intensive hospitalized physical rehabilitation program experience benefits in mobility, balance, functionality, and gait capacity irrespective of causality or if the prosthesis was provided. Gains evidenced in the preprosthetic phase were continued in the postprosthetic phase. Clinical Relevance Inpatient rehabilitation programs for individuals with amputation are beneficial for improving the functionality of these individuals. This type of multidisciplinary rehabilitation provides functional improvements to the pati...
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLES Source Type: research

Carbon Fiber Two-Pull Solid Ankle-Foot Orthoses versus Serial Casting in the Treatment of Idiopathic Toe Walking with Ankle Equinus Contracture
Introduction Idiopathic toe walking (ITW) is a common pediatric diagnosis. Serial casting, a common treatment used for an ankle equinus contracture, may not be appropriate for all children. This pilot study investigated whether carbon fiber two-pull solid ankle-foot orthoses (CTP-AFOs) would have similar outcomes as serial casting in the treatment of children with a diagnosis of ITW and ankle equinus contracture. Materials and Methods Children with ITW (n = 35) were randomized to receive CTP-AFOs or serial casting. Assessments were at initial, posttreatment, and 4-month follow-up with therapy protocols until pos...
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: CME ARTICLES Source Type: research

Preparing for the Worst or Hoping for the Best? The State of Fall Training in Prosthesis Users
Discussion Our data suggest that the potential benefits of providing fall training to people with lower-limb loss are not being fully realized. Interdisciplinary collaboration between prosthetists and therapists can help expand access to fall training interventions to better prepare patients for the likely event of an accidental fall. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: CME ARTICLES Source Type: research

Letter to the Editor—Authors' Response
No abstract available (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

Getting a Child a Myoelectric Prosthesis: Did We Miss the Bus?
No abstract available (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

Editor’s Comments
No abstract available (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - June 16, 2022 Category: Orthopaedics Tags: EDITOR’S COMMENTS Source Type: research

Technical Report: Gait Performance at Two Speeds and Carrying Capacity by Men with an Osteomyoplastic Transfemoral Limb and Comparable Controls
Introduction With advances in surgical approach like osteomyoplastic amputation, it is unknown whether outcomes of walking at different speeds or carrying performance by men with an osteomyoplastic transfemoral limb (OTFL) are comparable with those of intact controls. Materials and Methods Otherwise healthy men with unilateral OTFL and intact controls consented to participate. All were independent walkers without history of diabetes or other dysvascular condition. All underwent 2-minute walk tests (2MWTs) at self-paced and brisk-paced speeds and 25-ft carry-to-capacity testing as part of a multiyear work perform...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: TECHNICAL NOTE Source Type: research

Dental Implant Supported Thumb Prosthesis with Friction Fit Retention System
Conclusions The study to some extent established off-the-label use of dental implants in rehabilitating amputated digits. Also, the friction fit retention system proved to be a cost- and armamentarium-effective method of retaining thumb prosthesis for cases with small residuum. Clinical Relevance This report describes a procedure for two-stage surgical placement of an osseointegrated dental implant in an amputated thumb with fabrication of prosthesis, which was effectively retained by a modified healing abutment. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: CASE REPORT Source Type: research

Myoelectric Elbow-Wrist-Hand Orthosis for an Adolescent with Hemiparesis: A Case Report
Discussion This case report presents insights on why the patient was not as proficient and interested in using the orthosis at home and school. Recommendations to address these issues include peer modeling, community outings, early intervention, and the use of family-centered approaches. Future studies are also suggested to further understand MEWHO use and the considerations for successful orthotic management in this group of patients. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: CASE REPORT Source Type: research

The Effect of Spinal Orthoses on Immobilizing the Cervical Spine: A Systematic Review of Research Methodologies
Conclusions There is a clear paucity of well-designed research on immobilization of the cervical spine using orthotic devices. Comparing the results of studies using different types of orthoses is difficult due to the type and age of the participants involved (healthy, pathological, cadaver) and the different techniques of measurement used. This lack of standardization prevents meta-analyses from being performed and may be a contributing factor to the lack of available clinical guidelines. An agreed structured methodology is required to enable meta-analyses and determine clinical guidelines for the prescription of spin...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: REVIEW ARTICLE Source Type: research

Transfemoral Prosthetic Socket Designs: A Review of the Literature
Conclusions Although IC attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provides several advantages/disadvantages. Recommendations are made for future research. Clinical Relevance Findings from this literature review promote knowledge and understanding of transfemoral socket design by highlighting the underlying theory, strengths, and weaknesses of each design acknowledged to facilitate improved evidence-based practice. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: REVIEW ARTICLE Source Type: research

Validity and Reliability of the Turkish Version of the Prosthesis Donning and Doffing Questionnaire for Persons with Transtibial Amputations
This study aimed to investigate the construct validity and reliability of the Turkish version of the Prosthesis Donning and Doffing Questionnaire for individuals with transtibial amputation. Materials and Methods After a translation/retranslation process, 30 individuals with transtibial amputation were recruited to evaluate the validity and reliability of the questionnaire. The participants were asked to fill in the Turkish version of the Prosthesis Donning and Doffing Questionnaire, Satisfaction with Prosthesis Survey, and the Nottingham Health Profile. The Prosthesis Donning and Doffing Questionnaire was readminis...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Does the Application of a Lycra Arm Sleeve Change Shoulder Biomechanics in People With Stroke?—A Preliminary Study
Conclusions The application of Lycra arm sleeves did not significantly reduce the AGT distance but altered scapula mechanics by putting it in a mechanically advantaged position in a small sample of people with chronic stroke. A properly designed definitive trial would be required to confirm the effectiveness of the Lycra sleeve in reducing GHS in people with both acute and chronic stroke. Clinical Relevance Lycra sleeve may have potential to alter biomechanics and influence neuromuscular activity in the arm. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

TLSO: The Effect of Spinal Translation on Initial Coronal Curve Correction, Lateral Trunk Shift, and Coronal Balance in Adolescent Idiopathic Scoliosis
Introduction Adolescent idiopathic scoliosis is often treated orthotically with thoracic lumbar sacral orthoses (TLSOs). The goal of these TLSOs is to improve the scoliotic curve during wear to prevent further curve progression. To achieve this in-orthosis curve improvement, clinicians often apply corrective modifications to a 3D model of the patient's trunk through computer-aided design (CAD) software, which are fabricated into the TLSO. Modifications often include laterally shifting certain portions of the orthosis to apply corrective forces to the scoliotic curve. The amount and magnitude of the shifting applied are...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLE Source Type: research