Stair climbing and ability to work for paraplegics with complete lesions—A sixteen-year follow-up

McAdam, Robert Everett; Natvig, H

doi:10.1038/sc.1980.34

Cited by 12 publications

(5 citation statements)

References 11 publications

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“…The follow-up periods differed between 6 months and 25 years in these studies. The factors related to ongoing orthosis use also do not have a consensus (10)(11)(12)(13)(14). The ability to climb stairs and the quality of walking related to the activities of daily living were correlated with the use of a device, while difficulties during riding on a wheelchair, lengthy application and removal time, not being practical, requiring too much energy to walk with, not feeling safe, pressure sores, worsening spasms, not fitting properly, broken hip or leg, improper environment, and shoulder problems were some of the problems reported about orthosis use (11,13).…”

Section: Introductionmentioning

confidence: 99%

“…The lack of functionality, psychological effects, and the need for supervision and help were the main reasons for terminating orthosis use (9). In the literature, the ratio of abandonment of lower extremity braces has been reported to be 31%-65% for lower extremity braces, including long leg braces and short leg braces, 25%-34% for the reciprocating gait orthosis (RGO), and 40% for parawalkers (9)(10)(11)(12)(13)(14)(15). The follow-up periods differed between 6 months and 25 years in these studies.…”

Section: Introductionmentioning

confidence: 99%

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The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

Alemdaroğlu¹,

Mandıroğlu²,

Uçan³

et al. 2014

Turk J Phys Med Rehab

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ÖzetAmaç: Omurilik yaralanmalı bireylerin rehabilitasyonunda kalça diz ayak bileği ayak ortezi, metal veya plastik ayak bileği-ayak ortezi, posterior shell gibi ortezler, koltuk değneği, kanadyen, walker, baston gibi el destekleri, lokomasyonu sağlayan tekerlekli iskemleler sıkça kullanılmaktadır. Bu çalışmada hastanede rehabilitasyon uygulanmış omurilik yaralanmalı bireylerin, taburculuk sonrasındaki ortez kullanımı alışkanlıklarını değerlendirmeyi ve ortezlerle ilgili yaşanan sorunları ortaya koymayı amaçladık. Gereç ve Yöntemler: İlk olarak yetmiş bir hastanın hastane kayıtları incelendi. Telefonla ulaşılabilen 46 hastayla [34 erkek (%74), 12 kadın (%26)] sorgulama formuna dayanarak görüşüldü. Bulgular: Yaşları (ortalama±SD), 35±12,9 yıl; olay süreleri 43±27 aydı. Ortalama ortez kullanım indeksi (ortez kullanım süresi/ortezin reçete edilme süresi) 0,7±0,3'tü. Ortez verilmiş 41 hastadan ortezini kullananların oranı %73 (n:30), kullanmayanların oranı ise %27 (n:11) idi. Ortez bırakma oranı, inkomplet omurilik yaralanmalı hastalarla (%82) komplet yaralanmalılar (%18) karşılaştırıldığında belirgin olarak yüksekti (p=0,038). Ortezde değişiklik yapma oranı ortezini kullanan grupta (%53) ortezini kullanmayanlara (%9) göre belirgin yüksekti (p=0,014). Lojistik regresyon analizinde sakral korunmanın varlığı ortez kullanımını azaltıcı yönde etkili bulundu (p=0,040). Ortezi bırakma nedenlerinin çoğunluğu spastisite, ortezin sıkı veya eskimiş olması, psikolojik rahatsızlık gibi değiştirilebilir nedenlerdi. Sonuç: Bizim sonuçlarımız, sakral korunması olan hastaların ortez kullanımını sonlandırma ihtimallerinin daha fazla olabildiğini ve ortezlerde yapılan değişikliklerin ortezini düzenli kullanan hastalar için bir gereklilik olduğunu düşündürmektedir. Tekerlekli sandalye, ambulasyonun temel şeklidir ve omurilik yaralanmalı hastalar tarafından düzenli olarak kullanılmaktadır. Anahtar Kelimeler: Omurilik yaralanması, parapleji, ortez, rehabilitasyon AbstractObjective: Orthoses, such as hip-knee-ankle-foot orthosis, metal or plastic ankle-foot orthosis, and posterior shell; and aids, such as crutches, Lofstrand forearm orthosis, walkers, canes, and wheelchairs, providing locomotion are frequently used in the rehabilitation of spinal cord injury. This study aimed to assess orthosis usage habits and to determine the problems related to orthosis in spinal cord injury patients after discharge from inpatient rehabilitation. Material and Methods: Seventy-one patients were reviewed initially from hospital records. Forty-six patients [34 males (74%), 12 females (26%)] were available for telephone interviews to complete a questionnaire. Results: The mean age was 35±12.9 years; the mean duration from injury was 43±27 months. The mean orthosis usage index (duration of orthosis use/the duration of prescription of orthosis) was 0.7±0.3. Among the 41 patients who were given orthoses, 30 patients (73%) used their orthosis, and 11 patients (27%) did not use their orthosis. The ratio of terminating orthosis use was significantly higher in pa...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

Alemdaroğlu¹,

Mandıroğlu²,

Uçan³

et al. 2014

Turk J Phys Med Rehab

View full text Add to dashboard Cite

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“…Silber (1975), had similar results in a study of 11 patients. However, McAdam and Natvig (1980), after a long training programme, managed to mobilise 70 per cent of a mixed group of high and low paraplegics in pelvic brace and calipers, but our experience suggested that calipers were often discarded after discharge from hospital particularly by high lesion paraplegics. This was also found by Cochlan (1980) who stated that for functional walking it is necessary to have Grade 3 abdominal, back extensor and hip musculature.…”

Section: Haematological and Renal Function Total Body Calciummentioning

confidence: 81%

An evaluation of pneumatic orthoses in thoracic paraplegia

Strachan

Cook

Wilkie³

et al. 1985

Spinal Cord

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SummaryPneumatic orthoses were used to mobilise eight post-traumatic thoracic paraplegic males whose progress was monitored for two years. The pneumatic orthosis was more likely to be used than pelvic brace and calipers mainly due to increased support for the pelvis and the thoracolumbar spine. The effects of the orthosis and the mobilisation upon patient physiology were studied. Beneficial effects upon cardiovascular and respiratory systems were noted and increases in total body calcium after mobilisation were found. Contraindications to fitting the orthosis include severe spasms, obesity and scoliosis.

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“…4,8,9 The device stabilizes the lower limbs and the trunk both in the sagittal and in the frontal plane and provides reciprocal walking on a mechanical basis by means of a single cable between both hip joints. 3 To carry out the project we used ARGO (Hugh Steeper Ltd 1 ) parts, except for the knee.…”

Section: Design and Methodsmentioning

confidence: 99%

A prototype of an adjustable advanced reciprocating gait orthosis (ARGO) for spinal cord injury (SCI)

Scivoletto

Mancini²,

Fiorelli³

et al. 2003

Spinal Cord

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Objective: To develop a reciprocating gait orthosis which could be used in di erent sized patients. Design: Clinical trial and orthotic development. Setting: A large rehabilitation hospital in Rome, Italy Patients and methods: To carry out this project normal reciprocating gait orthosis parts were used. The device was modi®ed to adjust the hip ± ankle height, and the hip ± hip distance. It was tested, by ®ve patients already walking with standard ARGO, to evaluate the performances of the orthosis. The device has been tested on seven newly injured patients ful®lling speci®c criteria of di erent height and weight. Main outcome measures: Prototype suitability; patients appreciation. Results: The device can be used for persons between 1.60 m and 1.85 m tall, weighing up to 100 kg. The orthosis allows an upright position without the use of the hands, and walking with a walker or with two canes. The foot orthosis cover sizes 36 ± 40 (British 3 ± 7) and 41 ± 45 (British 7 ± 11). With the exception of donning, do ng and lifting, the walking performances of the prototype and the general appreciation is comparable with those of a standard device. After a short period of training all seven patients were able to walk in the parallel bars. All of them expressed general appreciation for the device; despite this only four patients wanted the orthosis, two refused it and one has not decided yet. Conclusions: The prototype allows the same standing and walking performances of normal ARGO. It could be used in spinal cord injury patients to let them test the potential of the device and thus be useful in the e ort to reduce the percentage of ARGO rejection.

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Stair climbing and ability to work for paraplegics with complete lesions—A sixteen-year follow-up

Cited by 12 publications

References 11 publications

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

An evaluation of pneumatic orthoses in thoracic paraplegia

A prototype of an adjustable advanced reciprocating gait orthosis (ARGO) for spinal cord injury (SCI)

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