Using Activities of Daily Living to Evaluate the Design and Placement of a Proximal Radius Fracture Fixation Device

Author(s):  
David W. Wagner ◽  
Alejandro Vallejo

The return of a patient to activities of daily living following a surgical intervention (i.e. joint replacement, rigid fixation, etc.) involving an implantable device is often used as one component to measure the success of the surgery [1]. The longevity of the implant subject to the forces imposed when performing those normal daily activities is another. As people are living longer and continuing to maintain active lifestyles, the paradigm of everyday activities that are used to evaluate implant longevity must also evolve. Although physiological boundary conditions during pre-clinical implant evaluations have been used for simulating the life span of a new device, only a small number of everyday activities used for deriving those forces have been widely characterized. The purpose of this paper is to demonstrate how musculoskeletal simulation can be used for providing the boundary conditions of a finite element model used to evaluate the design space of an implant subject to specific activities of daily living (Figure 1).

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Alexandra W. Dretler ◽  
Jesse T. Jacob ◽  
Nadine G. Rouphael

A 74-year-old man presented to the emergency department with severe right leg cellulitis following a trip to the Bahamas where he swam in both chlorinated pools and the ocean. His blood cultures grew Shewanella species, a marine pathogen known to cause disease in humans, following exposure to seawater. He was treated with cefepime for a total of two weeks without needing any surgical intervention. The patient had complete resolution of infection and was able to return to his activities of daily living.


2016 ◽  
Author(s):  
Véronique Quaglino ◽  
Yannick Gounden ◽  
Emilie Lacot ◽  
Frédérique Couvillers ◽  
Amandine Lions ◽  
...  

The autonomy of individuals is linked to the achievement of instrumental activities of daily living that require complex behavior. In elderly, the assessment of autonomy is usually based on questionnaires that have strong subjective constraints. Considering this fact, we tested on elderly healthy adults and Alzheimer disease patients, a new measure, the S-IADL (Simulation of Instrumental Activities for Daily Living) to assess the ability to perform effectively activities of daily living. The S-IADL shares many items with the well-known IADL questionnaire proposed by Lawton and Brody (1969). However, as opposed to the IADL, the assessment of autonomy is not based on the completion of a questionnaire but requires the realization or simulation of various activities of daily living. Eighty-three participants (69 healthy elderly, and 14 Alzheimer Disease patients) filled in the IADL and performed the S-IADL assessment. Results revealed that like the IADL, the S-IADL is able to identify AD patients who are likely to encounter difficulties in performing everyday activities, and no major differences were found between the IADL and the S-IADL. However, this preliminary study reveals some advantages for privileging new tool based on simulation of activities in functional evaluation particularly in specific situation. Finally, we discuss of the main limits of the S-IADL that should be investigated prior to its utilization by clinicians.


Author(s):  
David W. Wagner ◽  
Alejandro Vallejo

The process of using activities of daily living to evaluate the performance of implantable devices under physiological loading conditions has been researched [1,2,3,4]. In particular, long-term stability of hip-implants, as related to fatigue, have been evaluated using normal walking [1,2,4], sit to stand [1], stair climbing [2,4], and combinations of everyday activities [3]. Current methods that utilize estimated physiological loading conditions are traditionally used as pass/fail tests to identify whether a particular design performs to a set of minimum specifications for long-term use. Such tests are also traditionally limited to a small number of physiologically representative loading conditions (i.e. walking, stair climbing, sit-to-stand).


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S32-S32
Author(s):  
Wendy Rogers ◽  
Megan Bayles

Abstract There is much potential for robots to support the needs of older adults, in general, and particularly in healthcare. Older adults are quite open to the idea of interacting with robots, although they have preferences for the nature of the task they want the robot to do as well as what they want the robot to look like. These preferences should be considered in the process of design and deployment. Older adults should be involved throughout the design process from formative to summative evaluation and even beyond to the integration of the robot into their everyday activities. The extant research provides guidance regarding older adults’ capabilities and limitations that might influence their ability to interact with a robot. Our goal in this presentation will be to focus on robots being designed to support older adults with healthcare tasks in the context of enhanced, instrumental, and basic activities of daily living.


1997 ◽  
Vol 22 (3) ◽  
pp. 405-407 ◽  
Author(s):  
G. SUZUKI ◽  
Y. ITOH ◽  
Y. HORIUCHI

Eosinophilic fasciitis is a rare inflammatory disease associated with peripheral eosinophilia, hyper-gammaglobulinaemia and contractures of any joint in the upper extremity. Although conservative treatments are generally advocated, this study reports the results of surgical intervention. Four patients aged from 20 to 48 years underwent fasciectomy followed by oral administration of prednisolone. All presented with contractures of digits, wrist, or elbow due to eosinophilic fasciitis in the upper extremities. Despite one case that required a second operation for recurrence, all patients regained the range of motion of the affected joints a few weeks after surgery. The recovery was much sooner than in previously reported cases treated conservatively, suggesting that surgical management of eosinophilic fasciitis is effective in alleviating symptoms quickly and allows patients to resume activities of daily living sooner.


Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 9-14
Author(s):  
Hafiza Ayesha Ikram ◽  
Wajeeha Abdul Ahad ◽  
Fazila Huma

Objective: Rheumatoid Arthritis [RA] is a chronic, systemic, autoimmune disease on an unknown aetiology. It leads to the progressive destruction of joints. It also warrants difficulties in performance of Activities of Daily Living(ADL). This study aimed at determine relationship between activities of daily living [ADL] and functional status of the hand. Methods: This Crossectional Study was conducted at Romatology Department Children Hospital and Sheikh Zayed Hospital Lahore from June 2018 to December 2018. Convenient sampling technique helped in the collection of data. A hand function questionnaire and the Barthel Index were the contributary data collection methods. Rheumatoid Arthritis [RA] patients selected were those experiencing functional impairment in hands, having difficulty in performing ADL. Results: The patients who were able to perform the hand function test were independent in their daily life activities. Whereas, those who were not able to perk the test were dependent on their daily life activities. Conclusion: It was found that children with RA had a significant association between performing the ADL and functional status of hand. Key Words: Activities of Daily Living [ADL], Rheumatoid Arthritis [RA] How to cite: Ikram A.H., Ahad A.W., Huma Fazlia. Hand's functional status of children with rheumatoid arthritis in everyday activities: a cross-sectional study Esculapio. 2021.17(01): 9-14


PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2351 ◽  
Author(s):  
Véronique Quaglino ◽  
Yannick Gounden ◽  
Emilie Lacot ◽  
Frédérique Couvillers ◽  
Amandine Lions ◽  
...  

ObjectiveThe autonomy of individuals is linked to the achievement of instrumental activities of daily living that require complex behavior. In the elderly, the assessment of autonomy is usually based on questionnaires that have strong subjective constraints. Considering this fact, we tested elderly healthy adults and Alzheimer disease patients using a new measure, the S-IADL (Simulation of Instrumental Activities for Daily Living), to assess the ability to perform effectively activities of daily living.MethodThe S-IADL shares many items with the well-known IADL questionnaire proposed by Lawton & Brody (1969). However, as opposed to the IADL, the assessment of autonomy is not based on the completion of a questionnaire but requires the realization or simulation of various activities of daily living. Eighty-three participants (69 healthy elderly, and 14 Alzheimer Disease patients) completed the IADL and performed the S-IADL assessment.ResultsResults revealed that, like the IADL, the S-IADL is able to identify AD patients who are likely to encounter difficulties in performing everyday activities, and no major differences were found between the IADL and the S-IADL.ConclusionsWe outlined some advantages for prefering, in certain situation, this new tool based on simulation of activities in functional evaluation. Finally, we discuss the main limits of the S-IADL that should be investigated prior to its utilization by clinicians.


2016 ◽  
Author(s):  
Véronique Quaglino ◽  
Yannick Gounden ◽  
Emilie Lacot ◽  
Frédérique Couvillers ◽  
Amandine Lions ◽  
...  

The autonomy of individuals is linked to the achievement of instrumental activities of daily living that require complex behavior. In elderly, the assessment of autonomy is usually based on questionnaires that have strong subjective constraints. Considering this fact, we tested on elderly healthy adults and Alzheimer disease patients, a new measure, the S-IADL (Simulation of Instrumental Activities for Daily Living) to assess the ability to perform effectively activities of daily living. The S-IADL shares many items with the well-known IADL questionnaire proposed by Lawton and Brody (1969). However, as opposed to the IADL, the assessment of autonomy is not based on the completion of a questionnaire but requires the realization or simulation of various activities of daily living. Eighty-three participants (69 healthy elderly, and 14 Alzheimer Disease patients) filled in the IADL and performed the S-IADL assessment. Results revealed that like the IADL, the S-IADL is able to identify AD patients who are likely to encounter difficulties in performing everyday activities, and no major differences were found between the IADL and the S-IADL. However, this preliminary study reveals some advantages for privileging new tool based on simulation of activities in functional evaluation particularly in specific situation. Finally, we discuss of the main limits of the S-IADL that should be investigated prior to its utilization by clinicians.


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