Neurological patients and their lower limb orthotics: An observational pilot study about acceptance and satisfaction

Background:Although an orthotic device of the lower limb improves the functionality of neurological patients, anecdotally clinical experience suggests that the compliance is rather limited.Objectives:The aim was to determine the satisfaction and acceptance of a lower limb orthotic device.Study design:A qualitative observational pilot study with a mix-method design.Methods:Adult neurological patients who had a prescribed lower limb orthotic device were included. One published and clinically used questionnaire about satisfaction (D-Quest) and one ad hoc constructed questionnaire about acceptance of the orthotic device (MIRAD-ACCORT questionnaire) were used for data collection.Results:In total, 33 patients participated (28 ankle–foot orthotic device, 3 knee–ankle–foot orthotic device and 2 other types). In general, they were satisfied about their orthotic device and the services. Less than one-fourth of the patients had some negative comments about the ‘visual aspects’ and the ‘ability to hide’ of their orthotic device. These, however, had a lower priority when compared with functionality, which was reported as a main advantage and is a reason for continuing the use of their orthotic device.Conclusion:Patients were satisfied in relation to their lower limb orthotic device. With regard to acceptance, it can be concluded that factors associated with functionality and comfort are more important than the aesthetic and psychological aspects of the orthotic device.Clinical relevancePatients were satisfied with their lower limb orthotic device. Some patients had some negative comments about the ‘aesthetics aspects’ and the ‘ability to hide’ their orthotic device. However, improvements in functionality were mostly reported as a main advantage and a reason for continuing the use of their orthotic device.

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3D Lower Limb Orthotic Therapy for Hemiplegic Stroke Patients Using an Adjustable Plastic Knee Ankle Foot Orthotic Device

Rigakuryoho Kagaku ◽

10.1589/rika.34.271 ◽

2019 ◽

Vol 34 (2) ◽

pp. 271-274

Author(s):

Taku KOBAYASHI ◽

Nobuo MOROTOMI

Keyword(s):

Lower Limb ◽

Stroke Patients ◽

Orthotic Device ◽

Foot Orthotic

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EVALUATION OF THE RISK FACTORS ASSOCIATED WITH CLOSTRIDIUM DIFFICILE INFECTION – A PILOT STUDY

Forum Zakażeń ◽

10.15374/fz2015035 ◽

2015 ◽

Vol 6 (3) ◽

pp. 161-164

Author(s):

Beata Denisiewicz ◽

Marzenna Bartoszewicz

Keyword(s):

Risk Factors ◽

Pilot Study ◽

Clostridium Difficile ◽

Clostridium Difficile Infection ◽

Factors Associated

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627-P: Efficacy and Safety of Allogeneic Platelet Rich Plasma in Treatment of Diabetic Patients with Lower Limb Ulcers: A Pilot Study

Diabetes ◽

10.2337/db19-627-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 627-P

Author(s):

WUQUAN DENG ◽

MIN HE ◽

BING CHEN ◽

YU MA ◽

DAVID ARMSTRONG ◽

...

Keyword(s):

Pilot Study ◽

Lower Limb ◽

Platelet Rich Plasma ◽

Diabetic Patients ◽

Efficacy And Safety

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Assessment of the Multi-Location External Workload Profile in the Most Common Movements in Basketball

Sensors ◽

10.3390/s21103441 ◽

2021 ◽

Vol 21 (10) ◽

pp. 3441

Author(s):

Carlos D. Gómez-Carmona ◽

Sebastián Feu ◽

José Pino-Ortega ◽

Sergio J. Ibáñez

Keyword(s):

Lower Limb ◽

Repeated Measures ◽

Ad Hoc ◽

Physical Conditioning ◽

Lumbar Region ◽

Basketball Players ◽

Eta Squared ◽

Subject Variability ◽

Acceleration And Deceleration ◽

Linear Movement

The present study analyzed the multi-location external workload profile in basketball players using a previously validated test battery and compared the demands among anatomical locations. A basketball team comprising 13 semi-professional male players was evaluated in five tests (abilities/skills/tests): (a) aerobic, linear movement, 30-15 IFT; (b) lactic anaerobic, acceleration and deceleration, 16.25 m RSA (c) alactic anaerobic, curvilinear movement, 6.75 m arc (d) elastic, jump, Abalakov test (e) physical-conditioning, small-sided game, 10’ 3 vs.3 10 × 15 m. PlayerLoadRT was evaluated at six anatomical locations simultaneously (interscapular line, lumbar region, knees and ankles) by six WIMU PROTM inertial devices attached to the player using an ad hoc integral suit. Statistical analysis was composed of an ANOVA of repeated measures and partial eta squared effect sizes. Significant differences among anatomical locations were found in all tests with higher values in the location nearer to ground contact (p < 0.01). However, differences between lower limb locations were only found in curvilinear movements, with a higher workload in the outside leg (p < 0.01). Additionally, high between-subject variability was found in team players, especially at lower limb locations. In conclusion, multi-location evaluation in sports movements will make it possible to establish an individual external workload profile and design specific strategies for training and injury prevention programs.

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Effects of physical therapy on hyaluronan clearance and volume regulating hormones in lower limb lymphedema patients: A pilot study

Science Progress ◽

10.1177/0036850421998485 ◽

2021 ◽

Vol 104 (1) ◽

pp. 003685042199848

Author(s):

Bianca Brix ◽

Gert Apich ◽

Andreas Rössler ◽

Sebastian Walbrodt ◽

Nandu Goswami

Keyword(s):

Pilot Study ◽

Lower Limb ◽

Time Course ◽

Plasma Renin ◽

Lymphatic Drainage ◽

Invasive Treatment ◽

Lymphatic Flow ◽

Compression Bandaging ◽

Complete Decongestive Therapy ◽

Total Plasma Protein

Lymphedema is manifested as a chronic swelling arising due to stasis in the lymphatic flow. No cure is currently available. A non-invasive treatment is a 3 week complete decongestive therapy (CDT), including manual lymphatic drainage and compression bandaging to control swelling. As CDT leads to mobilization of several liters of fluid, effects of CDT on hyaluronan clearance (maker for lymphatic outflow), volume regulating hormones, total plasma protein as well as plasma density, osmolality and selected electrolytes were investigated. In this pilot study, we assessed hyaluronan and volume regulating hormone responses from plasma samples of nine patients (three males, six females, aged 55 ± 13 years) with lower limb lymphedema stage II-III, before - and after - CDT. A paired non-parametric test (Wilcoxon) was used to assess hormonal and plasma volume changes. Correlation was tested using Spearman’s correlation. The main findings of this novel study are that lymphedema patients lost volume and weight after therapy. Hyaluronic acid did not significantly change pre- compared to post-CDT. Aldosterone increased significantly after therapy, while plasma renin activity increased, but not significantly. Plasma total protein, density, osmolality and sodium and chloride did not show differences after CDT. To our knowledge, no study has previously investigated the effects of CDT on volume regulating hormones or electrolytes. To identify the time-course of volume regulating hormones and lymphatic flow changes induced by CDT, future studies should assess these parameters serially over 3 weeks of therapy.

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