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New Scoliosis Orthosis
For the past several decades, there has been general acceptance of the value of the Boston style TLSOs and the Milwaukee style CTLSOs as the predominant orthoses for the management of idiopathic scoliosis. The effectiveness of the Milwaukee CTLSO for higher curves and the equivalency of the Boston concept for mid-thoracic and lower curves are now well documented by convincing long-term studies. If you are an Academy Member you can read an excellent editorial on this topic recently published in the JPO.
The controlled prospective study of electrical stimulation for scoliosis treatment was terminated some years ago due to dismal interim results, and the review by the group at Texas Scottish Rite Hospital suggests that nocturnal orthoses such as the Charleston Bending Brace are suitable only for smaller, more flexible curves. So, it is interesting to see that radically new concepts in the treatment of IS with body jackets continue to emerge despite the proven efficacy of the Boston/Milwaukee protocols.
At the BAPO meeting a couple of months ago, I had the first chance to look closely at the Spine-COR system of elastic webbing that purports to dynamically correct smaller curves than are usually treated with the more rigid spinal orthoses. I have been told that the promulgators are recruiting collaborators for a controlled, prospective study, so we may have some data on the effectiveness of this device within a few years.
I spotted a new limited-contact scoliosis orthosis at the REHA meeting that has been designed by a group at the Groningen University Hospital in the Netherlands. The TriaC is custom-fitted from a kit of prefabricated bars and straps, and is also intended to treat only milder, more flexible curves. Their advertising reports that "initial research results have shown that the TriaC exhibits results comparable to existing braces" but no data or citations were given to document this claim.
This seems intuitively more plausible to me than the flexible strapping of the Spine COR concept because the TriaC is based on a series of three-point pressure systems that correspond to those exerted by the Boston/Milwaukee orthoses. This orthosis also seems easy to don and doff and less constricting than most body jacket styles.
Of course, even if it proves effective biomechanically over time, there is no guarantee that a prefabricated kit approach will succeed commercially, as the demise of the Scolioisis Orthosis System [SOS] some years ago illustrates. Additional information on this new orthosis should be available at www.scoliosis.nl by the time this report is posted.
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| | The TriaC orthosis uses a series of three-point pressure systems in an attempt to control smaller, more flexible idiopathic scoliotic curves. |
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hydraulic knee joint
In the past I have worn KAFO's because of instability of my joints due to having a rare connective tissue disorder. These were custom made, and of the 'cosmetic' plastic style.
This year I had major spinal surgery that led to damage to ... read more
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Re: hydraulic knee joint
Without knowing a great deal more about the details of your physical condition, it will not be possible to make any detailed recommendations, although there are a number of developments in KAFO design in the past decade or so, including the... read more
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Re: hydraulic knee joint
hi
i am mohanagandhi,Prosthetist Orthotist ,doing my practice in india (Hyderabad,my Mobile Numbers 9885349838,9885454003,9440054332)
i got what u r aiming for ,that is u need some external assistance device which can help you to push... read more
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polycentric knee joints
Hi, I'm trying to find information about reverse engineering of a polycentric knee joint for above knee amputees. I'm trying to take the centrode first and then build the bar system around it. Does anyone know if this has been tried before ... read more
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Re: polycentric knee joints
Although I'm not an engineer, I believe this is an interative process. Some years ago, Professor Radcliffe demonstrated a simple program he had written that allowed him to specify different link geometries which produced animations of the ... read more
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virtual prototyping of human limbs using reverse engineering
I am mechanical engineer and am a Lecturer at BIRLA INSTITUTE OF TECHNOLOGY RANCHI .I am doing my phd in the area of reverse engineering for the development and protyping human limbs which would be an aid for the surgeons as well as the doc... read more
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Basics of CAD in regards to socket design for trans-femoral amputees
Hi! I'm a college senior(Mechanical Engineering) in India, and am planning to do my Master's in Biomechanics. Could you suggest me a few good web-sites and other related material to understand the basics of mechanics for lower-extremity pro... read more
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Re: Basics of CAD in regards to socket design for trans-femoral amputees
This is a complex area that is not discussed in any depth on the web, to the best of my knowledge. There are a number of texts that provide entry-level information on both biomechanics and socket design concepts. You're probably best advi... read more
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trans-tibial amputee orthoses
Hi, I am a physiotherapist working in Australia. I have a patient case study to perform on a 67 year old female with sero-positive RA for 50 years who had a trans-tibial amputation due to gangrene.
A) What prosthesis would be BEST su... read more
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Re: trans-tibial amputee orthoses
orthosis u approch donjoy company based at US for prosthesis u prefer to go with the folowing components ,1.fixed ankle joint ,2.sach foot,2.silicone suspension sleeve 3.graplite pylon
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amputee cyclists
Hi - I am looking for information on the different types of prosthetic limbs (trans-tibial and trans-femoral) being used by amputee cyclists. The various knee and other components involved interest me, as do the alterations being made to th... read more
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mountain climber amputee
Hello,
I hope you can help me; my son is looking for the name of a man who, he believes, climbed Mount McKinley and is a double amputee. He has an assignment to write about someone who has overcome adversity and he had seen a documentar... read more
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Re: mountain climber amputee
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Can you help me?
hi sir,
I'm from Türkey (Adapazar )
and I'm a student in univercity
as you know Adapazar saw an earthquake last year
and we can not find books as well as before it
my teacher gave me a duty about "electro- and magneto- rheologic fluid... read more
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Procedure code language
John, Give me more time to send you the document as I am taking the L-code course next week. thanks , rick
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Procedure codes & Network or Organization Registration
John, May Lehneis O & P also be listed as an organization or network as Actra Has? I have sent a HCFA Orthotic language proposal to David Schultz which is now near complete. Would you care to view it's content and advise me? Thanks, Rick Le... read more
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