Orthotics and Prosthetics Commons^™

Functional Outcomes Of The Graduated Length Prosthetic Protocol For Bilateral Transfemoral Amputee Prosthetic Rehabilitation, Mackenzie Pipes

Master of Science in Kinesiology

The aim of this paper was to evaluate the functional outcomes of the Graduated Length Prosthetic Protocol (GLPP) in individuals with bilateral transfemoral amputations. The GLPP is a rehabilitation program designed to facilitate a successful transition to full-length prostheses, enhance independence, and improve functional outcomes for bilateral transfemoral amputees. This study utilized a prospective design to assess the effectiveness of the GLPP compared to traditional rehabilitation strategies.

Literature was reviewed to determine the current limitations in research regarding bilateral transfemoral amputee prosthetic rehabilitation. The Concordia University St. Paul online library was utilized to obtain access to current published research. Studies …

Efektivitas Manual Therapy Dan Ultrasound Terhadap Peningkatan Fungsi Gerak Bahu Pada Kasus Nyeri Bahu Et Causa Bursitis Subacromialis Dengan Parameter Spadi Di Rsud Muhammad Natsir, Fadhilah Az-Zahra, Ronal Lufitos, Faizah Abdullah Djawas

Jurnal Fisioterapi Terapan Indonesia

ABSTRACT: Adhesive Capsulitis is a disorder that occurs in the shoulder area in the form of inflammation of the joint capsule which causes a feeling of stiffness and pain. Glenohumeral joint mobilization with the Maitland mobilization technique is using passive mobilization with physiological oscillatory movements which can produce a stretching effect and release of adhesive on the ligament capsule in the shoulder so that the range of motion of the shoulder joint can be increased. Hold relax is an exercise therapy with the principle of reciprocal inhibition which aims to improve antagonistic pattern relaxation, and mobilization, and to reduce pain. …

Neurodynamic Technique Terhadap Penurunan Nyeri, Peningkatan Grip Strength, Dan Peningkatan Kemampuan Fungsional Pada Carpal Tunnel Syndrome, Safrin Arifin, Fathia Dheanisa

Jurnal Fisioterapi Terapan Indonesia

Carpal tunnel syndrome is a syndrome that occurs in 1-4% of the total population worldwide. This condition causes disruption of function and motion in the wrist that spreads to the fingers. Physiotherapy intervention is necessary to reduce the severity of symptoms in patients with CTS. Neurodynamic Techniques are nerve mobilization techniques that aim to restore homeostasis in the nerves so as to reduce pain and improve functional ability. Materials and methods. This research was conducted through searching several databases, found 31 articles which were then filtered and selected as many as 10 articles. However, of the 11 articles, further screening …

Aerobic Exercise Terhadap Peningkatan Endurance Pada Pasien Penyakit Jantung Koroner Dengan Pemeriksaan 6mwt : Studi Kasus, Dela Fariha Fuadi, Andrew Wijaya Saputra, Nabilla Nur Awaliah Dzatikhulwani

Jurnal Fisioterapi Terapan Indonesia

Background: Coronary heart disease (CHD) is a condition in which the heart's blood vessels (coronary arteries) are blocked by fat deposits. Based on data from Riskesdas (2018) it is revealed that cases of heart and blood vessel disease in Indonesia are increasing every year, increasing the mortality rate. This is due to the presence of risk factors that support the emergence of coronary heart disease. Objective: The aim of this paper is to evaluate the evaluation of aerobic exercise to increase endurance in patients with coronary heart disease by examining 6MWT. Method: This research is in the form of a …

Single Leg Depth Jump Kombinasi Core Plank Knee To Elbow Terhadap Power Otot Tungkai Atlet, Maya Triyanita, Siti Sardianti Dwi Tirta

Jurnal Fisioterapi Terapan Indonesia

Power limit training is defined as the movement to get a jump on athletes in doing the maximum jump smash. Badminton requires leg muscle explosive power because it is the muscle's ability to overcome loads and with a high speed of contraction. This study aims to determine the effect of the single leg depth jump exercise, the combination of the knee to elbow core plank, on increasing leg power in badminton athletes.

This study uses an experimental design method. This research was conducted on badminton athletes using a total sampling technique of 13 people, namely the Pliometric Simgle Leg Dept …

Penerapan Kerangka Acuan Biomekanik Pada Kasus Fraktur Distal Radius Ulna Dalam Kemandirian Membungkus Makanan, Hermito Gidion, Jasmine Putri Sugianto, Mahrus As’Ari, Purnama Betty

Jurnal Fisioterapi Terapan Indonesia

A distal radius fracture is a fracture that occurs when the radius bone, one of the two long bones in the forearm, breaks near the wrist. This paper aims to determine the application of the biomechanical frame of reference in cases of fractures of the distal radius ulna in the independence of wrapping food. This research was conducted by taking the case of a patient, conducting assessment, observation, and intervention on the patient. Specifically, the assessment carried out focuses on range of motion abilities, muscle strength and endurance, pain scale and functional activity abilities. The patient's problems were decreased joint …

Investigation Of Permanent Tattoos To Increase Myoelectric Signal Connectivity In Prosthetics, Guy Pugh

Master of Science in Kinesiology

Myoelectric prosthetics offer users increased functionality in many facits of their lives. However, maintaining reliable connectivity between sEMG sensors and targeted muscle locations can be problematic. Volume fluctuation of the residual limb, dirt, sweat, and movement of the socket and sensor over the limb can all because of signal disruption leading some users to find the myoelectric prostheses, costing thousands of dollars, to be unreliable, and stop using it. To increase connectivity between the optimal myoelectric sites and sEMG sensors, this paper proposes the use of permanent ink tattoos to create a stable location which a sensor can move over …

An Outcome Comparison Of Osseointegrated And Traditional Socket-Fit Prostheses, Alexander Hennes

Master of Science in Kinesiology

This is one of the first studies to report on the comparison of walking ability between socket-based and osseointegrated bone-anchored prostheses of the trans-femoral amputee. Each participant's hip active and passive range of motion was assessed. The Timed Up-and-Go test (TUG), 10-meter walk test (10MWT), and 6-minute walk test (6MWT) were administered to all participants with the addition of the Amputee Mobility Predictor with a Prosthesis (AMPPro). The study consists of unilateral transfemoral amputees with an activity level of K3-4. The current prosthetic users were divided into two groups based on their current intervention, socket prosthesis (S) and osseointegrated prosthesis …

Chemical And Polymer Characterization Of The Potential Modes Of Degradation Of An Injectable Nucleus Pulposus Replacement Device, Antonio G. Abbondandolo

Theses and Dissertations

HYDRAFIL™ is a poly(vinyl alcohol)/poly(ethylene glycol)-based hydrogel nucleus pulposus replacement device that is injected in situ and has demonstrated efficacy in lowering the prevalence and pain associated with back. In this work, we developed a method to analyze HYDRAFIL™ polymer composition using (TGA) and characterized intermolecular bonding interactions within the hydrogel through (FTIR). To function as a permanent implant for nucleus pulposus replacement, HYDRAFIL™ must be stable when exposed to a multitude of degradation pathways, namely, thermal, chemical, and mechanical. We subjected HYDRAFIL™ to accelerated thermal and chemical degradation pathways and described compositional, physical and chemical property changes using a …

Evaluation Of 3d Printing Technologies And 3d Printed Materials In The Use Of Orthotic And Prosthetic Devices, Cory Larson

Master of Science in Kinesiology

Additive Manufacturing (AM) is disrupting fabrication techniques, bringing new design possibilities with associated benefits of less waste, improved design, improved time management, and less cost. The field of Orthotics and Prosthetics (O&P) is investigating how 3D printing, a subset of AM, can be used for fabrication of O&P devices. Before this technology is fully accepted, it needs to go through rigorous testing to ensure the safety of the individuals using the devices and the longevity of the devices themselves to ensure long term-use as a viable option. Research needs to define which type of 3D printing technology and what printed …

Development Of A Novel Predictive Model And Prosthetic System To Assess Dynamic Leg Length Based Gait Biomechanics In Lower Limb Prosthesis Users, Therese Parr

All Dissertations

Individuals with transfemoral amputation often rely on a prosthesis as a replacement for their missing extremity’s structure and function. Lower-limb prosthetic devices are developed with the goal of restoring biomechanical abilities and mitigating secondary health risks for users. However, biomechanical deficits for unilateral transfemoral prosthesis users are very common and are induced by both leg length discrepancy (LLD) and current prosthetic design shortcomings. Lack of push off power as well as difficulty shortening the leg for toe clearance can result in gait compensations that lead to asymmetric limb loading, increased muscle activity, and an increased incidence of falling due to …

The Role Of Machine Learning In Improved Functionality Of Lower Limb Prostheses, Joaquin Dominguez, Richard Kim, Robert Slater

SMU Data Science Review

Lower-limb amputations can cause a plethora of obstacles that lead to a lower quality of life. Implementing machine learning techniques means advanced prosthetics can contribute to facilitating the lives of those that live with lower-limb amputations. Using the publicly available HuGaDB data set, the current study investigates several classification models (random forest, neural network, and Vowpal Wabbit) to predict the locomotive intentions of individuals using lower-limb prostheses. The results of this study show that the neural network model yielded the highest accuracy, comparable precision, and recall scores to the other models. However, the Vowpal Wabbit model's advantage in speed may …

Predicting Walking Ability And Prosthetic Candidacy Following Lower Extremity Amputation; An Updated Systematic Review And Treatment Pathway, Scott Love, Carolyn Dias-Karch, Bianca Saragusti, Rebekah Langrek, Kayla Aponte, Rebecca Miro, Michael Jason Highsmith

Physical Therapy Collection

Background: There is not a clear compilation of existing literature that determines walking ability and prosthetic candidacy following lower extremity amputation (LEA). There is no multi-disciplinary instrument or patient centric decision-making protocol accepted that can predict walking ability and prosthetic candidacy nor support a treatment pathway. It is important to determine these factors to better assist clinicians in determining a patient’s MFCL K-level to assist with the delivery of proper prosthetic componentry. Medicare Functional Classification Level (MFCL) K-level is a 0 to 4-point scale of functional level for those with limb loss. The purpose of this systematic literature review …

Biomechanically-Consistent Skin Stretch As An Intuitive Mechanism For Sensory Feedback: A Preliminary Investigation In The Lower Limb, Jenny A. Kent

Physical Therapy Faculty Research

The proprioceptive loss accompanied by lower limb amputation can impair function and mobility. We explore a simple, mechanical skin-stretch array configured to generate superficial tissue behaviour that might occur with movement about an intact joint. Four adhesive pads attached around the circumference of the lower leg were connected via cords to a remote “foot” mounted on a ball joint attached to the underside of a fracture boot, such that “foot” reorientation would result in skin stretch. In two discrimination experiments performed with and without the connection, with no view of the mechanism, and with minimal training, unimpaired adults (i) estimated …

Factors Leading To Satisfaction Following A Total Knee Arthroplasty, Scot Bauman

Graduate Research Theses & Dissertations

One of the most common surgical treatment options for knee osteoarthritis (OA) is a total knee arthroplasty (TKA), which utilizes a combination of metal and plastic to resurface the damaged cartilage surfaces of the knee, leading to decreased pain and improved function for the patient. However, despite fairly good subjective scores following surgery, up to 20% of patients report being dissatisfied with their outcome. Previous research has assessed reasons for this high dissatisfaction rate including postoperative range of motion (ROM), preoperative education, and postoperative strength. Nevertheless, there continues to be a paucity in the literature regarding how preoperative function affects …

Three-Dimensional Printing In Occupational Therapy: An Instructional Video Series, Toye Adefioye, Steven M. Gerardi, Christopher Ebner

Fall 2023 Virtual OTD Capstone Symposium

The three-dimensional printing instructional video series was created for occupational therapy practitioners on how to use 3D printers to print assistive devices.

The Immediate Effects Of The Nunee Patellar Support On Individuals With Patellofemoral Pain Syndrome, Nick Linn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Patellofemoral pain syndrome (PFPS) is a common form of anterior knee pain caused by general overuse, muscular weakness or strength imbalances, and poor movement coordination leading to abnormal alignment or mal-tracking of the patella. Recent guidelines do not recommend the use of a knee orthosis due to a lack of evidence supporting their effectiveness. A new patellar support (NuNee, K-Neesio LLC.) which uses distraction force to relieve pressure placed on the patella, has been proposed. The purpose of this study was to examine the immediate effects of the NuNee patellar support on perceived pain, biomechanics, and function in individuals with …

Advancing Prosthetic Design Using Neural And Mechanical Dynamics, Kacie E. Hanna

Graduate Theses, Dissertations, and Problem Reports (ETD)

Limb loss poses a significant challenge to mobility and the performance of daily activities. Currently, nearly half of the amputees using powered prosthetics abandon their device due to inadequate limb coordination and movement control abilities. In the healthy system, passive and neural dynamics facilitate the synchronized activation of muscles necessary for coordinated movement. However, in the amputee, the system is disrupted. The goal of this research is to use neural and mechanical dynamics to inform the design of prosthetic devices in order to restore intuitive control and coordinated limb movement.

The first aim of this research is to investigate neural …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhadap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP). Nosocomial pneumonia that occurs in 48 hours or more after the patient admitted to the hospital, without any signs of pulmonary infection. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce the work of the accessory muscles of breathing, improve breathing …

Comparison Of A Dynamic Ankle Orthosis To A Walking Boot For Preserving Ankle Joint Motion And Reducing Tibial Bone Load And Strain, Perri Johnson Jr.

Theses and Dissertations (ETD)

Tibial stress fractures are a common overuse injury accounting for 21.9 – 69% of stress fractures among runners and 24 – 51.2% of stress fractures in military cadets. Current treatment involves wearing a walking boot for 3 – 12 weeks, which limits ankle motion and causes lower limb muscle atrophy. A Dynamic Ankle Orthosis (DAO) provided a distractive force that offloaded the ankle and retained sagittal ankle excursion during walking. It remains unclear how tibial loading is affected by a walking boot or the DAO. This thesis presents a feasibility study confirming the offloading effects of the DAO on tibial …