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A Small-Scale Survey of Bilateral Upper-Limb Loss Individuals
Conclusions The planning and execution of this small-scale study could be a model for other groups to collect useful outcomes data without requiring a research grant, without large institutional oversight, and by only a small group of interested professionals with access to a reasonable number of individuals with a severe disability. Clinical Relevance All caregivers of individuals with bilateral limb loss could benefit from both the data presented and the challenges revealed by this survey group. Future prosthetic designs as well as training and other therapies will also hopefully benefit from the needs express...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Relationships Among Phantom Limb Pain, Peripheral Sensations, and Cognition in People with Lower-Limb Loss
Introduction After amputation, altered sensory input leads to cortical reorganization that partly explains phantom limb pain (PLP). However, many factors impact the PLP phenomenon, and modern conceptualizations of chronic pain including PLP integrate both peripheral inputs and central interpretation. Clinicians without functional MRI could benefit from clinical measures related to PLP to assess clinical presentations. The purpose of this pilot study was to identify peripheral sensation and cognition measures related to PLP to inform outcome measure selection in future PLP research. Methods This cross-sectional a...
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Employment Status in Individuals with Upper-Limb Amputation: A Survey of Current Trends
Conclusions The results suggest that individuals with upper-limb amputation have a lower employment rate than the national average. Future work should focus on understanding the reasons behind employment challenges in this population. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: CME ARTICLE Source Type: research

Clinical Resources for Assessing Mobility of People with Lower-Limb Amputation: Interviews with Rehabilitation Clinicians
Conclusions Clinicians generally had small-to-medium spaces, basic measurement equipment, and sufficient training to administer mobility tests in their clinics. A limiting factor was time, which can be addressed through selection of efficient measures and collaboration within the rehabilitation team. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: CME ARTICLE Source Type: research

Basketball, Honey Bees, and P&O
No abstract available (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - February 15, 2022 Category: Orthopaedics Tags: EDITOR’S COMMENTS Source Type: research

Cosmetic Glove-Like Finger Prosthesis—A Novel Technique: A Case Report
Conclusion A convenient and affordable method of prosthetic rehabilitation of amputated fingers has been presented. The morale of the patient was also boosted to a great extent. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: CASE REPORTS Source Type: research

Use of a Knee Orthosis to Advance Motor Control in a 3-Year-Old with Achondroplasia: A Case Report
Conclusion This intervention may be helpful for other children with achondroplasia who experience hypotonia, malalignment, and atypical movement patterns. Sufficient amounts of practice and intensity are recommended for permanent motor learning to occur. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: CASE REPORTS Source Type: research

Year-Long Use of Ankle-Foot Orthosis–Footwear Combination with Talar Flange Modification in an Adult Poststroke
Conclusions This case illustrates use of a talar flange in an AFO-FC to provide triplanar control of the ankle-foot complex and improve gait in a person poststroke. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: CASE REPORTS Source Type: research

Use of 3D Printing Technology for Cervical Thoracic Lumbosacral Orthosis Fabrication
Conclusions Technological advances, including the ability to use computer tomography scans in combination with three-dimensional printers, can be a safe and effective option in situations of difficult orthosis fabrication for medically fragile patients. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: CASE REPORTS Source Type: research

Comparison of Sagittal Plane Stiffness of Nonarticulated Pediatric Ankle-Foot Orthoses Designed to be Rigid
Conclusions All tested AFOs deflected only a few degrees in either direction (range, 2.59°–6.02°), providing the first information reported for the stiffness of rigid pediatric nonarticulated AFOs. Overall, the UK AFOs were stiffer and deflected less than the US study AFOs. AFO design features should be carefully considered as they likely influence sagittal plane stiffness and deflection under load. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: TECHNICAL NOTE Source Type: research

Focusing Research Efforts on the Unique Needs of Women Prosthesis Users
Conclusions Through targeted research initiatives, scientists and clinicians can be responsive to the specific needs of women to provide evidence-based guidelines for prosthetics prescription and improve the patient-centered care after limb loss. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: REVIEW ARTICLE/LITERATURE REVIEWS Source Type: research

How Do We Measure Success? A Review of Performance Evaluations for Lower-Limb Neuroprosthetics
Conclusions There is an urgent need for further development of performance tests and metrics, as well as new strategies specifically intended for the evaluation of lower-limb neuroprosthetic systems. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: REVIEW ARTICLE/LITERATURE REVIEWS Source Type: research

Identifying Prosthetic Capabilities That Define Functionality of Individuals With Amputation
Conclusions Abilities identified through literature review included agility, balance, comfort, endurance, flexibility, load, maneuverability, power, strength, and symmetry. These 10 abilities are important and commonly used as outcome measures associated with the physical function of people with LLA. Although each ability was addressed by multiple assessments, no assessment addressed all 10 identified abilities. The Prosthetic Limb Users Survey of Mobility, Prosthetic Profile of the Amputee, Rivermead Mobility Index, and the Amputee Mobility Predictor addressed most (8–9 of 10) of the identified abilities. There were...
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: REVIEW ARTICLE/LITERATURE REVIEWS Source Type: research

Effects of Functional Foot Orthoses and Taping Interventions on Pain, Function, and Plantar Pressure for Adult Hallux Valgus: A Literature Review
Conclusions Treatment with functional foot orthoses and taping reduced pain and function impairments in patients with HV over the short term (6 months), with no adverse outcomes reported. Although the actual mechanism is unknown, studies reporting plantar pressures indicate that load is transferred away from the area of deformity. Foot orthoses were identified as the preferred treatment, with tape considered an option for clinical assessment or temporary pain relief. Because of the progressive nature of deformity, the impairments, although improved with treatment (pooled effect size, ≥0.89), may not necessarily be la...
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: REVIEW ARTICLE/LITERATURE REVIEWS Source Type: research

Projecting the Supply and Demand of Prosthetists and Orthotists in Singapore
Conclusions The existing shortfall of P&Os in Singapore will continue to grow from 2016 to 2060. Appropriate strategies should be considered and implemented in a timely manner to manage the potential shortfall. Clinical Relevance Projecting the demand for future prosthetist/orthotist manpower through a specific condition-driven and time-based utility approach provides an alternative model to only a linear population growth. This may provide a more accurate predictability and selection of precise strategies to manage future manpower demands. (Source: JPO Journal of Prosthetics and Orthotics)
Source: JPO Journal of Prosthetics and Orthotics - December 24, 2021 Category: Orthopaedics Tags: ORIGINAL RESEARCH ARTICLES Source Type: research