2,700 results match your criteria: "Spinal Orthotics"

Introduction: Osteoporosis is a common yet underdiagnosed condition that increases fracture risk and disability. It is particularly prevalent in individuals with musculoskeletal and neurological disorders due to factors like immobility and disuse. Despite its impact, awareness of osteoporosis remains low, especially in this high-risk population.

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Purpose: To determine the efficacy of bilateral rib-to-pelvis distraction instrumentation for the growth-friendly surgical treatment of congenital kyphosis in children with myelomeningocele.

Methods: The clinical courses of nine children (five males, four females), mean age 4.3 years (range 1.

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[Conservative treatment of injuries to the cervical spine : Mobilization or immobilization].

Unfallchirurgie (Heidelb)

December 2024

Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Sektion Wirbelsäulenchirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Many injuries to the cervical spine can be treated conservatively. Treatment options include early functional, mobilizing and immobilizing procedures. If a structural injury can be ruled out by morphological imaging, early functional mobilization should be performed in combination with adequate analgesia according to the World Health Organization (WHO) step by step scheme to avoid chronification.

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Background: An individual experiencing tetraplegia faces functional limitations due to impaired hand function. The use of an affordable tenodesis wrist-hand orthosis (WHO) can enable finger flexion with active wrist extension, thereby enhancing the three-jaw chuck grasp and overall hand functionality.

Objectives: To assess hand function and satisfaction in patients with tetraplegia using a modified tenodesis wrist-hand orthosis (WHO), utilizing the Duruöz Hand Index (DHI) and the Orthotics and Prosthetics User Survey (OPUS) satisfaction with device and services subscales.

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Test-retest reliability of a novel method for trunk position sense measurement in older adults with and without hyperkyphosis.

J Bodyw Mov Ther

October 2024

Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway. Electronic address:

Introduction: Although the importance of trunk position sense as a clinical outcome measure related to spinal alignment has been established, there is no study evaluating the reliability of measurement techniques for trunk position sense in older adults. Hyperkyphosis is most prevalent in this population and is associated with adverse consequences.

Objective: This study aimed to investigate the test-retest reliability of a measurement technique consisting of photogrammetry and angle calculation in older adults with and without hyperkyphosis.

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An environmental scan of limb loss rehabilitation centers across Canada.

Prosthet Orthot Int

November 2024

St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

Background: The clinical landscape of limb loss rehabilitation across Canada is poorly delineated, lacks standard rehabilitation guidelines, and is without a shared clinical database.

Objective: To address these gaps, the objective of the present study was to undertake an environmental scan of the rehabilitation centers across Canada that provide inpatient and/or outpatient services to the limb loss community.

Study Design: An environmental scan was conducted to describe the rehabilitation service structure, program services, and outcome measures of sites across Canada.

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Article Synopsis
  • The study highlights that about 20% of patients with metastatic spine disease experience depression, while approximately 17% struggle with anxiety, emphasizing the need for mental health awareness in this population.
  • Data was collected from patients over 18 years old who underwent treatment for metastatic spinal disease from 2017 to 2022, revealing a significant number of both depression and anxiety diagnoses among them.
  • The findings suggest that spine surgeons should actively screen for mental health issues in patients with spinal metastases to ensure timely referrals for psychological support.
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: Adolescent Idiopathic Scoliosis (AIS) affects individuals aged 10-18 years and is characterized by spinal deformity, three-dimensional axis deformation, and vertebral rotation. Schroth method exercises and braces have been shown to reduce the Cobb angle and halt spinal deformity progression. The aim of this study was to investigate the impact of a 12-month, supervised Schroth exercise program on scoliosis severity and quality of life in adolescents with AIS.

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  • The study aimed to evaluate the outcomes of fetuses who had open fetal spina bifida surgery in Canada, collecting data on treatment needs and various developmental aspects post-surgery.
  • A total of 41 fetuses underwent the procedure from 2017 to 2022, with 24 providing follow-up data at a median age of 46.5 months; results revealed mixed outcomes including a significant need for bladder management and varied motor skills.
  • The findings highlighted that while many children displayed typical communication and problem-solving abilities, a majority faced delays in gross motor development, reflecting similar results to previous studies like the MOMs trial.
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Meaning of Work Participation After Spinal Cord Injury in Bangladesh: A Qualitative Study in a Low- and Middle-Income Country Context.

J Occup Rehabil

October 2024

Centre for Ergonomics and Human Factors, School of Psychology and Public Health, College of Science, Health and Engineering , La Trobe University, Melbourne, VIC, 3086, Australia.

Purpose: This study aimed to explore the meaning of work participation for people with spinal cord injury (SCI) in Bangladesh.

Methods: Narrative inquiry methodological framework was used to explore the meaning of work participation after SCI. Face-to-face interviews with twenty adults with SCI, who were either living in the community or in-patients at a rehabilitation center.

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The value of TECAR in acute painful osteoporotic vertebral fractures: a pilot study.

Clin Ter

October 2024

Director UOC Neuro Rehabilitation IRCCS Neuromed, Pozzilli, Italy.

Low-back pain is frequent, especially in the active adult population after an osteoporotic vertebral fracture. Several orthopaedic conditions can cause low back pain, significantly worsening the quality of life. The treatments vary from drugs, physical therapy, kinesiology, and local infiltration.

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The use of thoracolumbar spinal orthosis in thoracolumbar fractures.

J Spine Surg

September 2024

Spine Surgery Department, King Saud Medical City, Riyadh, Saudi Arabia.

Background: Thoracolumbar fractures are classified into four categories according to the mechanism of injury and fracture morphology into compression fracture, burst fracture, flexion-distraction injury, and fracture dislocation. Unfortunately, the management of spinal fracture has lacked standardization given the many unanswered yet relevant questions regarding the outcome. However, management is generally divided into surgical and nonsurgical treatment such as orthosis.

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Article Synopsis
  • Caregivers are worried about children's independent walking, but research mainly focuses on one type of condition (spina bifida aperta), leaving out lumbosacral lipomas, a related condition.
  • The study examined 124 children with lumbosacral lipomas who had surgery, looking at various factors that might affect the age they start walking independently.
  • Results indicated that systemic combined anomalies significantly delay walking, while certain spinal malformations (like a malformed conus medullaris) also had notable effects, with some differences in walking age based on lipoma classification.
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Introduction: Historically, prehospital care of trauma patients has included nearly universal use of a cervical collar (C-collar) and long spine board (LSB). Due to recent evidence demonstrating harm in using LSBs, implementation of new spinal motion restriction (SMR) protocols in the prehospital setting should reduce LSB use, even among patients with spinal cord injury. Our goal in this study was to evaluate the rates of and reasons for LSB use in high-risk patients-those with hospital-diagnosed spinal cord injury (SCI)-after statewide implementation of SMR protocols.

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Article Synopsis
  • The significance of prehospital cervical spine immobilization in trauma patients is debated, especially due to potential negative effects like increased intracranial pressure, necessitating further research on the long-term use of rigid orthoses.
  • A study was conducted comparing cervical spine mobility when using a vacuum mattress with and without a rigid orthosis during simulated emergency transport in an ambulance.
  • Results showed statistically significant differences in biomechanical parameters, indicating that the use of a rigid orthosis may impact cervical spine movement during transport, but further investigation is needed to draw firm conclusions.
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  • * A comprehensive literature search found 25 relevant studies indicating that while cervical collars can improve short-term outcomes and pain control for fusion procedures, they do not significantly affect fusion rates.
  • * For motion-preserving surgeries like cervical laminoplasty, extended use of collars may lead to increased neck pain and reduced range of motion, suggesting their benefits diminish over time.
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  • - The study investigates how spinal stabilization exercises affect functional exercise capacity in individuals with transtibial amputation, comparing these exercises with a conventional physiotherapy program over an 8-week period.
  • - Results showed significant improvements in functional exercise capacity, step count, and deep spinal muscle strength for the group that included spinal stabilization exercises, compared to the control group.
  • - The findings suggest that integrating spinal stabilization exercises into rehabilitation could enhance physical capacity and mobility in amputees, highlighting the importance of targeted exercise programs.
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Article Synopsis
  • The study aims to identify key challenges in managing traumatic spinal cord injuries (TSCI) in developing countries, focusing on various care stages including injury prevention and hospital care.
  • The research involved a systematic review of 82 articles, highlighting issues such as personal and financial impacts of TSCI, lack of trained staff, and delays in treatments across different care levels.
  • The conclusion emphasizes the need for targeted research on injury prevention and pre-hospital care, urging the development of tailored strategies that enhance education and resource distribution in these regions.
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  • The review and meta-analysis investigated the effects of spine orthotics on osteoporotic patients, particularly in relation to osteoporotic vertebral fractures (OVFs) and age-related hyperkyphosis.
  • After reviewing 34 articles, 15 were selected for quality analysis, revealing no significant benefits from rigid or soft orthoses during the acute phase of one-level OVFs.
  • However, using semi-rigid or weighted orthoses was found to positively affect thoracic kyphosis angle, back extensor muscle strength, and balance in osteoporotic or hyperkyphotic older adults, making them advantageous in this demographic.
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Purpose: To determine whether postoperative neck pain in the first 4 weeks following multi-level posterior cervical fusion (PCF) with orthosis is equivalent to multi-level PCF without orthosis.

Methods: Patients were randomly assigned in a 1:1 ratio to postoperative orthosis (CO) for 6 weeks or no orthosis (NO). Randomization was stratified by indication (traumatic vs.

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Editorial: Advances in technology-assisted rehabilitation.

Front Rehabil Sci

August 2024

Griffith Centre of Biomedical and Rehabilitation Engineering, Menzies Health Institute, Griffith University, Gold Coast, QLD, Australia.

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Article Synopsis
  • Orthotic treatment is commonly used for osteoporotic vertebral fractures (OVF), but there's limited evidence on its effectiveness, leading to this study investigating its clinical benefits.
  • The research involved a retrospective cohort study of 160 patients with fresh OVF, comparing outcomes between those who wore braces and those who did not, measuring factors like pain levels and vertebral height over time.
  • The results showed no significant improvement in pain or vertebral height between the brace and no-brace groups; however, the angular change in fractured vertebrae was notably less in patients using braces, particularly rigid braces, suggesting some benefits in fracture stability.
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