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Literature Update April 2017
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The Academy provides this regular e-update to raise awareness of current research in orthotics and prosthetics published outside of the Journal of Prosthetics and Orthotics (JPO).

The list below is the result of a search for articles including the terms "orthotic devices" and "artificial limbs" indexed December 2016 – March 2017. Where available, links to freely accessible full text versions of the article are provided. Where only a link to the abstract is provided, the full article may be available for purchase. Results have not been edited for style but have been sorted for clinical relevance.

Functional electrical stimulation (FES) is used to create an “orthotic effect” for patients with foot drop by stimulating the peroneal nerve to dorsiflex the foot in swing phase, which helps to restore a more normal gait pattern. Studies have looked at the “therapeutic effect” versus a “carryover effect” and have found a link between peroneal nerve stimulation and an increase in brain activity.

This study examines the effect of long-term training with FES in patients more than six months post stroke using a 10-Meter Walk Test (10MWT) to minimize the usual neuroplastic changes in the six months immediately following a stoke. The researchers tested 133 individuals six months post stroke with drop foot. Each individual was tested and set up with an FES system, trained in its proper use, and encouraged to use the device when the individual felt it would help with his or her daily ambulation.

To study the effects of the system, the individuals were evaluated on four walks, with the fourth walk used to analyze the FES effect at baseline and after 20 weeks using the system. The researchers used the walking speed to determine if there was a long-term training effect, a carryover effect, or an orthotic effect along with a functional ambulation category (FAC) for each individual. Results show a significant difference in unassisted walking speed when comparing day 1 to 20 weeks, but the difference was not clinically significant (0.03m/s difference). The orthotic effect was shown to be clinically significant between day 1 (0.50m/s) and 20 weeks (0.64m/s). Temporary carryover effect was not significantly different. Forty-three percent of the individuals who were not in the community FAC (highest level) improved their score by one FAC/orthotic effect, and 23 percent improved the training effect. It appears that stroke patients have both an orthotic and training effect.

The results show that FES is more likely to have an orthotic effect on all individuals, but it has more of a training effect in those who are less impaired, which may be because they have more cortical function. Less impaired individuals may use the FES system more for rehabilitation purposes, while more impaired individuals may need the FES system for long-term functional mobility. More studies need to be conducted to better understand the rehabilitation potential, the intensity of FES treatment, and how much the temporary carryover effect truly influences the training.  

Use the quick links below to jump to each category.

The individual article format and availability
(either freely accessible full text or abstract form) is at the discretion
of the article's respective publisher.

Full Text Articles
Lower Limb Prosthetics
Upper Limb Prosthetics
Lower Limb Orthotics
Upper Limb Orthotics

Full Text Articles

Lower Limb Prosthetics & Orthotics

Patients' Satisfaction with Lower-limb Prosthetic and Orthotic Devices and Service delivery in Sierra Leone and Malawi.
(full text)
Magnusson L, Ahlström G.
BMC Health Serv Res. 2017 Feb 1;17(1):102.
DOI: 10.1186/S12913-017-2044-3.
PMID: 28143549

Lower Limb Orthotics

Training and orthotic effects related to functional electrical stimulation of the peroneal nerve in stroke.
(full text)
Street T, Swain I, Taylor P.
J Rehabil Med. 2017 Jan 31;49(2):113-119.
DOI: 10.2340/16501977-2181.
PMID: 28102429

Lower Limb Prosthetics

The AMP-Foot 3, new generation propulsive prosthetic feet with explosive motion characteristics: design and validation.
(full text)
Cherelle P, Grosu V, Cestari M, Vanderborght B, Lefeber D.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):145.
DOI: 10.1186/S12938-016-0285-8.
PMID: 28105954

A powered prosthetic ankle joint for walking and running.
(full text)
Grimmer M, Holgate M, Holgate R, Boehler A, Ward J, Hollander K, Sugar T, Seyfarth A.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):141.
DOI: 10.1186/S12938-016-0286-7.
PMID: 28105953

Theoretical implementation of prior knowledge in the design of a multi-scale prosthesis satisfaction questionnaire.
(full text)
Schürmann T, Beckerle P, Preller J, Vogt J, Christ O.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):143.
DOI: 10.1186/S12938-016-0288-5.
PMID: 28105951

Towards active lower limb prosthetic systems: design issues and solutions.
(full text)
Christ O, Beckerle P.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):139.
DOI: 10.1186/S12938-016-0283-X. NO ABSTRACT AVAILABLE.
PMID: 28105949

Active lower limb prosthetics: a systematic review of design issues and solutions.
(full text)
Windrich M, Grimmer M, Christ O, Rinderknecht S, Beckerle P.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):140.
DOI: 10.1186/S12938-016-0284-9. REVIEW.
PMID: 28105948

Assessment of transfemoral amputees using a passive microprocessor-controlled knee versus an active powered microprocessor-controlled knee for level walking.
(full text)
Creylman V, Knippels I, Janssen P, Biesbrouck E, Lechler K, Peeraer L.
Biomed Eng Online. 2016 Dec 19;15(Suppl 3):142.
DOI: 10.1186/S12938-016-0287-6.
PMID: 28105945

Knee rotationplasty: motion of the body centre of mass during walking.
(full text)
Rota V, Benedetti MG, Okita Y, Manfrini M, Tesio L.
Int J Rehabil Res. 2016 Dec;39(4):346-353.
PMID: 27685013

Patients' Satisfaction with Lower-limb Prosthetic and Orthotic Devices and Service delivery in Sierra Leone and Malawi.
(full text)
Magnusson L, Ahlström G.
BMC Health Serv Res. 2017 Feb 1;17(1):102.
DOI: 10.1186/S12913-017-2044-3.
PMID: 28143549

Development of a Limb-Preservation Program.
(full text)
Neville RF, Kayssi A.
Blood Purif. 2017;43(1-3):218-225.
DOI: 10.1159/000452746. EPUB 2017 JAN 24. REVIEW.
PMID: 28114132

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Upper Limb Prosthetics

Assessment of Myoelectric Controller Performance and Kinematic Behavior of a Novel Soft Synergy-Inspired Robotic Hand for Prosthetic Applications
(full text)
Fani S, Bianchi M, Jain S, Pimenta Neto JS, Boege S, Grioli G, Bicchi A, Santello M.
Front Neurorobot. 2016 Oct 17;10:11.
PMID: 27799908 [Unknown status]

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Abstract Only Articles

Lower Limb Prosthetics

Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation.
(abstract only)
Choong M, Chy D, Guevarra JR, Ross AG.
BMJ Case Rep. 2017 Feb 15;201
DOI: 10.1136/BCR-2016-218188.
PMID: 28202483

Gait rehabilitation for a patient with an osseointegrated prosthesis following transfemoral amputation.
(abstract only)
Leijendekkers RA, van Hinte G, Nijhuis-van der Sanden MW, Staal JB.
Physiother Theory Pract. 2017 Feb;33(2):147-161. do
DOI: 10.1080/09593985.2016.1265620. EPUB 2017 JAN 3.
PMID: 28045571

Cross-Sectional Assessment of Factors Related to Pain Intensity and Pain Interference in Lower Limb Prosthesis Users.
(abstract only)
Morgan SJ, Friedly JL, Amtmann D, Salem R, Hafner BJ.
Arch Phys Med Rehabil. 2017 Jan;98(1):105-113.
DOI: 10.1016/J.APMR.2016.09.118. EPUB 2016 OCT 11.
PMID: 27742450

Construct Validity of the Prosthetic Limb Users Survey of Mobility (PLUS-M) in Adults With Lower Limb Amputation.
(abstract only)
Hafner BJ, Gaunaurd IA, Morgan SJ, Amtmann D, Salem R, Gailey RS.
Arch Phys Med Rehabil. 2017 Feb;98(2):277-285.
DOI: 10.1016/J.APMR.2016.07.026. EPUB 2016 AUG 30.
PMID: 27590443

Marker-based method to measure movement between the residual limb and a transtibial prosthetic socket.
(abstract only)
Childers WL, Siebert S.
Prosthet Orthot Int. 2016 Dec;40(6):720-728
PMID: 26527758

The prototype of a thermoregulatory system for measurement and control of temperature inside prosthetic socket.
(abstract only)
Ghoseiri K, Zheng YP, Hing LL, Safari MR, Leung AK.
Prosthet Orthot Int. 2016 Dec;40(6):751-755
PMID: 26068464

Upper Limb Prosthetics

Intermanual Transfer Effects in Below-Elbow Myoelectric Prosthesis Users
(abstract only)
Arch Phys Med Rehabil. 2016 Nov;97(11):1924-1930.
PMID: 27240431 [Unknown status]

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Lower Limb Orthotics

[Conservative treatment of hallux valgus : What can be achieved with splints and insoles?]
(abstract only)
Fuhrmann RA, Rippel W, Traub A.
Orthopade. 2017 Mar 31.
DOI: 10.1007/S00132-017-3410-X. [EPUB AHEAD OF PRINT] GERMAN.
PMID: 28364350

A clinical trial of tension and compression orthoses for Dupuytren contractures.
(abstract only)
Brauns A, Van Nuffel M, De Smet L, Degreef I.
J Hand Ther. 2017 Feb 21. pii: S0894-1130(16)30236-8.
DOI: 10.1016/J.JHT.2016.11.011. [EPUB AHEAD OF PRINT]
PMID: 28236563

Measuring wearing time of knee-ankle-foot orthoses in children with cerebral palsy: comparison of parent-report and objective measurement.
(abstract only)
Maas JC, Dallmeijer AJ, Oudshoorn BY, Bolster EA, Huijing PA, Jaspers RT, Becher JG.
Disabil Rehabil. 2016 Dec 7:1-6. [Epub ahead of print]
PMID: 27927029

Effectiveness of foot orthoses and shock-absorbing insoles for the prevention of injury: a systematic review and meta-analysis.
(abstract only)
Bonanno DR, Landorf KB, Munteanu SE, Murley GS, Menz HB.
Br J Sports Med. 2017 Jan;51(2):86-96.
DOI: 10.1136/BJSPORTS-2016-096671. EPUB 2016 DEC 5. REVIEW.
PMID: 27919918

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Upper Limb Orthotics

Efficacy of Combined Ultrasound-Guided Steroid Injection and Splinting in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Trial.
(abstract only)
Wang JC, Liao KK, Lin KP, Chou CL, Yang TF, Huang YF, Wang KA, Chiu JW.
Arch Phys Med Rehabil. 2017 Feb 14. pii: S0003-9993(17)30083-7.
DOI: 10.1016/J.APMR.2017.01.018. [EPUB AHEAD OF PRINT]
PMID: 28209506

The effect of two different orthoses on pain, hand function, patient satisfaction and preference in patients with thumb carpometacarpal osteoarthritis: a multicentre, crossover, randomised controlled trial.
(abstract only)
Vegt AE, Grond R, Grüschke JS, Boomsma MF, Emmelot CH, Dijkstra PU, Sluis CK.
Bone Joint J. 2017 Feb;99-B(2):237-244.
DOI: 10.1302/0301-620X.99B2.37684.
PMID: 28148667

Upper limb motor training using a Saebo™ orthosis is feasible for increasing task-specific practice in hospital after stroke.
(abstract only)
Lannin NA, Cusick A, Hills C, Kinnear B, Vogel K, Matthews K, Bowring G.
Aust Occup Ther J. 2016 Dec;63(6):364-372.
DOI: 10.1111/1440-1630.12330. EPUB 2016 SEP 19.
PMID: 27646624

Influence of wrist position on maximum grip force in a post-operative orthosis.
(abstract only)
Burssens A, Schelpe N, Vanhaecke J, Dezillie M, Stockmans F.
Prosthet Orthot Int. 2017 Feb;41(1):78-84.
DOI: 10.1177/0309364615605395. EPUB 2016 JUL 10.
PMID: 26447140

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Factors influencing outcomes of the treatment of positional plagiocephaly in infants: a 7-year experience.
(abstract only)
Lam S, Pan IW, Strickland BA, Hadley C, Daniels B, Brookshier J, Luerssen TG.
J Neurosurg Pediatr. 2017 Mar;19(3):273-281
DOI: 10.3171/2016.9.PEDS16275. EPUB 2017 JAN 13.
PMID: 28084921

The health belief model and factors associated with adherence to treatment recommendations for positional plagiocephaly.
(abstract only)
Lam S, Luerssen TG, Hadley C, Daniels B, Strickland BA, Brookshier J, Pan IW.
J Neurosurg Pediatr. 2017 Mar;19(3):282-288
DOI: 10.3171/2016.9.PEDS16278. EPUB 2017 JAN 13.
PMID: 28084919



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