Orthotic devices:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia
Hanley & Belfus
2000
|
| Schriftenreihe: | Physical medicine and rehabilitation
14,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. 381 - 537 Ill. |
| ISBN: | 1560533374 |
Internformat
MARC
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| 650 | 4 | |a Orthotic Devices | |
| 650 | 4 | |a Self-Help Devices | |
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Datensatz im Suchindex
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| adam_text | Physical Medicine and Rehabilitation: State of the Art Reviews
Vol. 14, No. 3, October 2000
ORTHOTIC DEVICES
John B. Redford, MD, editor
CONTENTS
Preface xi
John B. Redford
Orthotics and Orthotic Devices: General Principles 381
John B. Redford
This chapter presents an overview of orthotics including definitions in the field and
the current changes in prescription and cost of rehabilitation technology resulting
from the advent of payment through managed health care. The need for outcome
measures for orthoses and prostheses is discussed briefly. The author reviews the
various roles of those practitioners concerned with orthotic devices and rehabilita¬
tion technology. The biomechanical principles used in orthotics and how they affect
the design of orthoses are discussed. Information on the materials required to manu¬
facture orthoses, which today are largely plastics, are summarized. Finally, the indi¬
cations for orthotic prescription are given, and a table is provided that lists common
diagnoses requiring prescriptions opposite lists of choices for orthotic devices.
Knee Ankle Foot Orthoses 395
John L. Merritt and Michael K. Yoshida
The primary function of a knee ankle foot orthosis (KAFO) is to provide stability
for knees, ankles, and muscles that are affected by paralysis, including the quadri¬
ceps femoris muscles. This chapter describes the components of the KAFO and the
recent modifications that have been made to these basic components. Particular at¬
tention is paid to KAFO use in paraplegia, concentrating on Scott Craig KAFOs,
reciprocating gait orthoses (RGOs), and functional electrical stimulation for ambu
lation. A section on common questions in KAFO use is included.
Knee Orthoses 423
Stephen W. Munns
The number of designs and prescription of knee orthoses. more commonly called
knee braces, has steadily increased in the past 10 15 years. Knee braces are defined
in three broad categories: prophylactic, rehabilitative, and functional. Osteoarthritic
braces and patellar braces are currently in use but do not fall clearly into these three
categories. This article presents summaries of design features, bench data, and clin¬
ical research on knee brace designs. Some broad recommendations in brace use are
included, but much remains to be clarified regarding efficacy of the various knee
braces.
iii
iv Contents
Ankle Foot Orthoses: Clinical Implications 435
Michael W. Chang and Diana D. Cardenas
Ankle foot orthoses (AFOs) can safely restore transfer ability, balance, and ambu
lation function with efficient energy consumption to patients with pathologic gait
caused by various disease entities. Because any pathology involving lower limb
function can alter a patient s mobility, clinicians who prescribe AFOs need to un¬
derstand the specific disease, its prognosis, and its implications for the patient s
functional limitations. However, indications for an AFO prescription should be i
carefully assessed. To this end, the authors describe the importance of the patient s I
cognition, motivation, and neuromuscular conditions, including pathokinesiology. |
The basic biomechanics of human gait and various AFO designs are covered to
allow the clinician to predict the potential alteration of the patient s gait. The |
proper use of the AFO and potential complications from using it should be dis i
cussed with the patient. For cost effectiveness, a prefabricated AFO should be con
sidered first. If a custom molded AFO is required, a competent orthotist should be
consulted to fabricate the AFO. Follow up clinic visits for AFO check ups are es¬
sential to ensure the success of the AFO prescription.
Prescription Shoes and Foot Orthoses 455
Lynn A. Curtis, Kevin Prichard, and John B. Redford
t
The need for better footwear is steadily increasing because of the aging population
and the emphasis on mobility and exercise to prevent disability. Biomechanics lab¬
oratories are spearheading advances in foot care and shoe manufacture, including
the use of computer aided design and computer aided manufacture (CAD CAM).
Thus, practitioners who work with custom shoes and shoe orthoses face a wide
range of diagnoses and treatment options. To help clarify the best treatment op¬
tions, the authors briefly review the history of pedorthics—the design, manufac¬
ture, and fitting of shoes, primarily for care and prevention of foot disorders—and
then describe the most common foot disorders and their nonsurgical management
with an emphasis on shoe modification and foot orthoses.
Orthotic Treatment for Injuries and Diseases of the Spinal Column 471
Chris W. Anderson and John B. Redford
Spinal orthoses are typically used to stabilize and maintain bony alignment, prevent
or correct deformity, control pain, and provide kinesthetic reminders. These goals
may be accomplished with something as simple as an off the shelf, prefabricated
soft corset or as complicated as a custom molded modular system with adjustable
pads and straps that requires adjustment every 3 months. This article provides a brief
review of the current use of spinal orthoses, their effectiveness, and indications and
a description of furniture for postural support of persons with spinal disorders.
Canes, Crutches, Walkers, and Other Ambulation Aids 485
AbnaA. Ogle
People with disabilities that affect one or both lower limbs depend on the arms to
assist with mobility. This chapter reviews the biophysics underlying gait aid use,
the rational for prescription, and important training principles.
Beds, Mattresses, Lifters, Lift Chairs: Practical Considerations 493
Lisa A. McPeak
All physicians who treats patients with physical disabilities order bed frames, spe¬
cial mattresses or overlays, and lifting devices or chairs. However, a review of the
literature reveals limited quality information concerning these devices. This chap
Contents v
ter describes the common indications, advantages, and disadvantages of these de¬
vices along with practical information on device selection. Also, because these de
i vices are expensive and most patients have limited resources, Medicare guidelines
for payment of these devices are included to help the clinician understand common
payment issues. These practical considerations should help the reader recom¬
mend and select these items.
Principles and Clinical Practice of Lower Limb Orthotics in Children... 515
I Frederick T. Klingbeil, Byron Whitaker, and Courtney Dunn
I This article highlights the principles that have been found useful in effectively brac¬
ing children with chronic physically disabling conditions. The characteristics of a
multidisciplinary approach to providing comprehensive care, including bracing, are
described for children with complex functional mobility needs. The important de
) velopmental issues that are unique to childhood are discussed. In addition, the au¬
thors make specific suggestions regarding management, particularly the orthotic
I approaches to bracing children with common chronic motor disorders, namely,
cerebral palsy, spina bifida, and certain neuromuscular diseases.
Index 533
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| physical | XI S., S. 381 - 537 Ill. |
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| spelling | Orthotic devices guest ed.: John B. Redford Philadelphia Hanley & Belfus 2000 XI S., S. 381 - 537 Ill. txt rdacontent n rdamedia nc rdacarrier Physical medicine and rehabilitation 14,3 Orthopedic apparatus Orthotic Devices Self-Help Devices Self-help devices for people with disabilities Orthese (DE-588)4219887-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Orthese (DE-588)4219887-2 s DE-604 Redford, John B. Sonstige oth Physical medicine and rehabilitation 14,3 (DE-604)BV000696841 14,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009309670&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Orthotic devices |
| title_auth | Orthotic devices |
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| title_full | Orthotic devices guest ed.: John B. Redford |
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