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1
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Alternative Strategies in Tone-Reducing AFO Design
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Michael Lohman, MEd, CO, OTR/L
Helene Goldstein, MA, OTR/L
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The authors review several divergent methods-
including biomechanics, primitive reflex activity,
pressure over muscle tendons, prolonged stretch and
orthokinetics - used in managing patients with spastic
lower extremities. The authors found that some...
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5
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Preliminary Results of Orthotic Treatment for Chronic
Low Back Pain
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Thomas M. Gavin, CO
James B. Boscardin, MD
Avinash G. Patwardhan, PhD
Wilton H. Bunch, MD, PhD
Michael R. Zindrick, MD
Mark A. Lorenz, MD
Lori A. Vrbos, RN, MS
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In this prospective study, Willner's test instrument,
consisting of a rigid aluminum thoracic lumbosacral
orthosis with a sagittal lumbar pad that is adjustable
in lumbar flexion or extension, is used to test the
hypothesis that a five-day trial in a...
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10
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Below-Knee Polyethylene Semi-Rigid Dressing
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Vein M. Swanson, CPO
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A new early postoperative patient management
technique-below-knee polyethylene semi-rigid
dressings-offers improvements in weight, hygiene
and socket design, according to the author.
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16
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Problems Experienced and Perceived by Prosthetic
Patients
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John J. Nicholas, MD
Lawrence R. Robinson, MD
Richard Schulz, PhD
Carol Blair, RN
Richard Aliota, MD
Gerri Hairston, MSW, LSW
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Ninety-four patients from two amputee clinics
completed a questionnaire designed to elicit
pertinent information about their perceptions,
problems and feelings related to their prostheses and
their lives as amputees. In addition, standardized
tests w...
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20
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A Quantitative Comparison of Four Experimental
Axillary Crutches
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Maurice A. LeBlanc, MSME, CP
Lawrence E. Carlson, DEng
Teresa Nauenberg
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Four experimental axillary crutches, along with
conventional crutches, were tested for energy
efficiency. Experimental crutches included a
suspension crutch, rocker crutch, spring crutch and
prosthetic foot crutch.
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29
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The All-Terrain Foot
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David Mathews, CP
Ernest Burgess, MD
David Boone, CP
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Peg legs continue to be used by many amputees
despite the availability of other options. Prosthetics
Research Study has designed a new lower-limb
terminal device, the All-Terrain Foot, with
improvements specifically for occupational,
recreational and...
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31
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Technical Note: Simplified Alignment of
Articulations to Positive Models
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John W. Michael, MEd, CPO
Carson D. Perry, CPed, CO
M. Louis Whitfield, CPed, RT(OP)
Richard P. Ferment, RT(O)
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The importance of precisely aligning mechanical
articulations with one another to reduce friction and
joint wear is well known. Although the technique of
placing an internal fixture within the negative
impression before filling it with plaster is wel...
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