• Title, Summary, Keyword: Orthotic devices

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Diagnosis and Treatment of Deformational Plagiocephaly (자세성 사두증의 진단과 치료)

  • Chung, Kyu-Jin;Kim, Yong-Ha
    • Archives of Craniofacial Surgery
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    • v.14 no.2
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    • pp.73-80
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    • 2013
  • It is important to distinguish deformational plagiocephaly from craniosynostosis, the two conditions are different with respect to clinical progression and treatment options. Deformational plagiocephaly is diagnosed based on the patient's medical history and physical examination. Until recently, there has been no standardized method of evaluation. Visual assessment, anthropometric assessment, digital scanning, and radiologic evaluation are mostly commonly used modalities for diagnosis and assessment. Treatment of deformational plagiocephaly requires an understanding of natural progression of the disease. Deformational plagiocephaly should be classified according to its severity before the proper method and time for treatment are determined. Treatment includes repositioning, physiotherapy and remodeling with the use of orthotic devices. In general, repositioning is preferred for patients younger than six months old while treatment with the use of orthotic devices such as helmet is preferred for patients over six months old. Moreover, treatment with the use of orthotic devices is also favored for severe plagiocephaly. There is continuing research on the relation between deformational plagiocephaly and developmental delay.

The Effects of Femorotibial Angle of Contact laterally Wedged Insoles With Strapping of varying elevations (밀착형 외측 쐐기 스트랩 깔창의 높이에 따라 대퇴경골각에 미치는 영향)

  • Lee, Sang-Yong;Park, Sung-Jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.1
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    • pp.44-50
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    • 2006
  • The purpose of this study is to assess the radiographic effects of normal person with contact laterally wedged insoles with strapping of varying elevations. Eight person who were randomized into group according to their birth dates and wedge elevation, participants wore contact laterally wedged insoles with strapping with elevation of 9, 15, 21mm. Standing radiographs were used to analyze the femorotibial angle for each subject, The result of repeated measures ANOVA's reveled that laterally wedged insoles with strapping of varying elevations produced significantly the femorotibial angle. The degree of change in femorotibial angle with the insole with strapping was effected by the tilt of the lateral wedge(P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

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3D printing-based Fabrication of Orthotic Devices Using 3D Computer-Aided Design and Rapid Prototyping (3차원 그래픽 설계와 3D 프린팅에 의한 보조기 쾌속조형 제작 방법 연구)

  • Choi, B.G.;Heo, S.Y.;Son, K.T.;Lee, S.Y.;Na, D.Y.;Rhee, K.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.2
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    • pp.145-151
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    • 2015
  • In this paper, we proposed the fabrication methodology of orthotic device using 3D Computer-Aided Design programme and 3D printing technology based on images acquired from 3D scanner. We set the process and methodology of its fabrication method and confirmed whether it is available for clinical by fabricating four kinds of orthotic device for a patient with cerebral palsy. 3D printing technology method was indicated quantitatively and qualitatively about duration, tensile strength stronger comparing with conventional method, and we could propose that the 3D printing technology for the orthosis could be the proper method to mediate and compensate with reported problems related to orthosis.

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Parents' Perspectives and Clinical Effectiveness of Cranial-Molding Orthoses in Infants With Plagiocephaly

  • Lee, Hyo Sun;Kim, Sang Jun;Kwon, Jeong-Yi
    • Annals of Rehabilitation Medicine
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    • v.42 no.5
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    • pp.737-747
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    • 2018
  • Objective To investigate the clinical effectiveness of and parents' perspectives on cranial-molding orthotic treatment. Methods Medical charts were reviewed for 82 infants treated for plagiocephaly with cranial-molding orthoses in our clinic from April 2012 to July 2016 retrospectively. Infants who were clinically diagnosed with positional plagiocephaly and had a Cranial Vault Asymmetry Index (CVAI) of more than 3.5% were included. Pre- and post-treatment CVAI was obtained by three-dimensional head-surface laser scan. Parents' perceptions of good outcome (satisfaction) were evaluated with the Goal Attainment Scale (GAS). The GAS score assessed how much the parent felt that his or her initial goal for correcting the skull asymmetry was achieved after the treatment. Results The compliance with cranial-molding orthoses was 90.2% (74 of 82 infants). There were 53 infants (65% of the 82 infants) who had adverse events with the cranial-molding orthoses during the study. Heat rash was found in 29 cases (35.4%) and was the most common adverse event. The mean GAS T-score was $51.9{\pm}10.2$. A GAS T-score of 0 or more was identified for 71.6% of parents. The GAS T-score was significantly related to the age (p<0.001), the initial CVAI, and the difference of CVAI during the treatment (p<0.001). Conclusion Parents' perception of good outcome was correlated with the anthropometric improvement in cranial-molding orthotic treatment in infants with plagiocephaly. A high percentage of parents felt that the treatment met their initial goals in spite of a high occurrence of adverse events.

The Effects of Femorotibial Angle of a Contact Lateral-Wedged Insole with Strapping in Patients with Varus Deformity Osteoarthritis of the Knee (밀착성 외측 쐐기 스트랩 깔창이 내반슬 골관절염 환자의 대퇴경골각에 미치는 영향)

  • Lee, Sang-Yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.2
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    • pp.1-10
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    • 2006
  • The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

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The Review of Functional Electrical Stimulation (기능적 전기자극에 대한 고찰)

  • Park, Kyu-Hyun;Kim, Sun-Kyoo;Chung, Hyun-Ae;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.399-405
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    • 2001
  • Attainment of the goals of functional electrical stimulation(FES) applications such as strengthening of muscle, increasing muscular endurance, improvement in joint range of motion or the reduction of spasticity does not insure that patients will be able to produce voluntary muscle contraction sufficient to maintain posture or produce purposeful movements. In many patients who have sustained CNS damage, the control exerted by higher nervous system center over muscle contraction may impaired. In Searched patients, a variety of advanced therapeutic exercise techniques have been employed traditionally to facilitate the return of controlled functional muscular activity or maintain postural alignment until recovery from dysfunction occurs Among the most common clinical applications of FES for functional muscle contraction is as a substitute for static or dynamic orthotic devices

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Effectiveness of orthoses for treatment in patients with spinal pain

  • Choo, Yoo Jin;Chang, Min Cheol
    • Yeungnam University Journal of Medicine
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    • v.37 no.2
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    • pp.84-89
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    • 2020
  • Spinal pain is a common patient complaint in clinical practice. Conservative treatment methods include oral medication, physical therapy, injections, and spinal orthoses. The clinical application of orthoses is debated because of potential complications associated with long-term use, such as muscle weakness and joint contracture. We reviewed the orthoses most frequently used to manage spinal pain. We review the use of soft cervical and Philadelphia collars, lumbosacral corsets, and thoracolumbosacral orthosis to manage spinal pain. Spinal orthoses can help reduce pain by protecting the muscles and joints of the injured spinal region, preventing or correcting malformations, and limiting trunk flexion, extension, lateral flexion, and rotation. The short-term use of spinal orthoses is known to improve pain and disability during the treatment period without significant adverse effects. Spinal orthoses are expected to alleviate pain and improve patients' lifestyle.

Current Situation of Assistive Devices and Appliances Provision for Persons with Cerebral Palsy in Korea (국내 뇌성마비 환자에서의 장애인보조기구 지원현황)

  • Kim, Seong Woo;Jeon, Ha Ra;Shin, Ji Cheol;Cha, Jun Min;Youk, Taemi;Kim, Jiyong
    • Health Policy and Management
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    • v.28 no.2
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    • pp.145-150
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    • 2018
  • Background: The aim of this study was to investigate the current state of the assistive devices and appliances provision system for cerebral palsy patients registered with brain disability. Methods: From 2003 to 2013, we analyzed the records of cerebral palsy patients who had assistive devices and appliances provisioned at least once in their lives based on National Health Information Database. Patients with cerebral palsy were divided into three groups: infants and toddlers, school age and adolescence, and adults. Results: Data on short leg plastic orthoses, ankle joint orthoses, and wheelchair were mainly analyzed. The types of ankle joint orthoses divided into three categories: limited, $90^{\circ}$ limited, and Klenzac. Limited ankle joint orthoses was most frequently supported of the three in all age groups. Powered wheelchair and scooter were most supported to adult patients. When the re-supply duration was evaluated, the duration was suitable to the duration on guideline of regulation of re-supplement according to the related laws in adult patients but not in infants/toddlers and school age/adolescence as the actual re-supplement duration was much shorter than the reference value. Conclusion: This study confirmed the pattern of assistive devices and appliances supply differed depending on the age of cerebral palsy patients.

Effects of Fall Prevention Education on the Variables Related to Using Orthosis and Fear of Falling in Fracture Patients Wearing the Leg Orthosis (하지보조기 사용 골절환자를 위한 낙상예방교육이 보조기 사용관련 변수 및 낙상공포감에 미치는 효과)

  • Cha, Kyeong-Sook;Beak, Seung-Mi;Cho, Ok-Hee
    • Journal of muscle and joint health
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    • v.19 no.2
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    • pp.131-141
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    • 2012
  • Purpose: The purpose of this study was to test the change of study variables (knowledge, efficacy, and fatigue) related to using orthosis and fear of falling in fracture patients wearing the leg orthosis after fall prevention education in terms of educational method and frequency. Methods: Participants were 87 fracture patients wearing the leg orthosis. Experimental I group (n=30) and experimental II group (n=27) received the fall prevention education once and three times respectively with leaflets. Experimental III group (n=30) received video training once. Results: The level of the subjects' knowledge was significantly increased in experimental I and II groups rather than in experimental III group. In case of experimental I and experimental II group, fear of falling was decreased when compared to experimental III group. However, there were no significant changes in efficacy and fatigue related to using orthosis among three groups. Conclusion: The fall prevention education using leaflets was more effective than video training method. Only one education with leaflets was effective enough. Therefore, it is recommended that the education with leaflets or pamphlets should be developed systematically according to the characteristics of fracture patients wearing the leg orthosis.

Development of the Active Ankle Foot Orthosis to Induce the Normal Gait for the Paralysis Patients (마비 환자의 정상적 보행을 위한 능동형 단하지 보조기 개발)

  • Hwang, Sung-Jae;Kim, Jung-Yoon;Hwang, Seon-Hong;Park, Sun-Woo;Yi, Jin-Bock;Kim, Young-Ho
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.2
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    • pp.131-136
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    • 2007
  • In this study, we developed an active ankle-foot orthosis(AAFO) which can control dorsi/ plantar flexion of the ankle joint to prevent foot drop and toe drag during walking. 3D gait analyses were performed on five healthy subjects under three different gait conditions: the normal gait without AFO, the SAFO gait with the conventional plastic AFO, and the AAFO gait with the developed AFO. As a result, the developed AAFO preeminently induced the normal gait compared to the SAFO. Additionally, AAFO prevented foot drop by proper plantarflexion during loading response and provided enough plantarflexion moment as a driving force to walk forward by sufficient push-off during pre-swing. AAFO also could prevent toe drag by proper dorsiflexion during swing phase. These results indicate that the developed AAFO may have more clinical benefits to treat foot drop and toe drag, compared to conventional AFOs, and also may be useful in patients with other orthotic devices.