Relevance Method to Structure of Orthosis

There are many problems when treatment is needed. Such diseases occur in young and old people. The orthosis and their development have lot of problems. One way to solve this problem is to define and apply standard rules and procedures throughout the development process. We show in this work is to develop a methodology to structure the orthosis design process. A case study was used to validate the proposed methodology. It was applied to the development of an orthosis to treat a camptocormia - bent spine syndrome. This disorder is characterized by the anteroflexion of the trunk and especially affects elderly people and young non-health people with difference disease.

Síndrome de la espalda inclinada. Presentación de cuatro casos y revisión de la bibliografía. [Bent spine syndrome. Presentation of four cases and literature review]

El síndrome de la espalda inclinada o camptocormia es una causa de desequilibrio sagital del tronco no estructurada de difícil manejo médico y quirúrgico. Puede ser secundario a enfermedades del sistema nervioso central o periférico, o de origen primario muscular, como la atrofia aislada de la musculatura paravertebral espinal. El diagnóstico se basa en la evaluación clínica, los estudios por imágenes, el electromiograma y la biopsia muscular. El síndrome de la espalda inclinada, cualquiera fuera su causa, tiene un pronóstico pobre, los síntomas suelen progresar hasta afectar la bipedestación de manera irreversible. Presentamos un análisis retrospectivo de cuatro casos de síndrome de la espalda inclinada tratados en nuestro centro y una revisión de la bibliografía. AbstractIntroduction: The bent spine syndrome (BSS) or camptocornia is a cause of unstructured sagittal imbalance of difficult medical and surgical management.Objective: To describe the causes of BSS and how to approach its treatment.Materials and Methods: Retrospective analysis of 4 cases of BSS treated at our center and review of the literature.Results: The 4 cases were women between 60 and 82 years of age, 3 due to an isolated atrophy of the paravertebral spinal erectorae musculature and 1 case due to an inflammatory myopathy.Conclusions: The prognosis of any BSS is poor, so the symptoms usually progress to irreversible difficulty to maintain upright posture.

Camptocormia in an Adolescent: A Case Report and Review of the Literature

Camptocormia, or bent-spine syndrome, is an entity with a long history and many etiologies. We discuss below both the history of this diagnosis in light of a rare case of psychogenic camptocormia and the recent changes in nosology regarding this disorder.