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Background: Calf muscle weakness is a common symptom in slowly progressive neuromuscular disorders that lead to walking problems like instability and increased walking effort. The mainstay of treatment to improve walking in this population is the provision of ankle-foot-orthoses (AFOs). Since we are not aware of an up-to-date and complete overview of the effects of AFOs used for calf muscle weakness in slowly progressive neuromuscular disorders, we reviewed the evidence for the effectiveness of AFOs to improve walking in this patient group, in order to support clinical decision-making.

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Prospective Intervention Study Using Immediate-Fit, Adjustable Prostheses for Persons With Lower Limb Loss in Botswana-A Feasibility and Patient Acceptance Trial.

Am J Phys Med Rehabil

January 2024

From the Department of Biomedical Sciences, Faculty of Medicine, University of Botswana, Gaborone, Botswana (MK); CFAR - Robot-assisted Rehabilitation, Botswana UPenn Partnership, Gaborone, Botswana (NM); Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (JK, TD); and Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (FS).

Objective: The aim of the study is to test the feasibility of an immediate-fit, adjustable prosthesis (iFIT Prosthesis) for persons with limb loss in Botswana.

Design: As part of the University of Pennsylvania and University of Botswana's long-term partnership, 18 persons with limb loss were fit at four different locations in Botswana. Patients were followed for 4-9 mos after fitting with an interview and Prosthetic Comfort and Utility questionnaire.

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Objective: Parkinson's patients will experience mobility disturbances with disease progression. Beneficial effects of physical therapy are short-lasting. Novel interventions are needed to maintain these benefits.

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Muscle atrophy due to prolonged immobilization leads to severe dysfunction and progression of disease and injury. This highlights the necessity for early rehabilitation, even during the non-ambulatory stages. As manifestations vary among individuals, target-specific rehabilitation is crucial for achieving optimal outcomes.

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Running jumps that depart the ground from two feet require momenta redirection upward from initial momenta that are primarily horizontal. It is not known how each leg generates backward and upward impulses from ground reaction forces to satisfy this mechanical objective when jumping to maximize height. We examined whole-body linear momentum control strategies during these two-foot running jumps by uncovering the roles of each leg in impulse generation.

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