Bulletin of the Japanese Society of Prosthetics and Orthotics
Online ISSN : 1884-0566
Print ISSN : 0910-4720
ISSN-L : 0910-4720
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Volume 30, Issue 2
Displaying 1-13 of 13 articles from this issue
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  • Prediction of length of training period with knee-ankle-foot orthosis for hemiplegic stroke patients
    Minoru MURAYAMA, Norihito KABE
    2014 Volume 30 Issue 2 Pages 91-95
    Published: April 01, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11267/jspo.30.91
    JOURNAL FREE ACCESS
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    To predict whether a knee-ankle-foot orthosis (KAFO) will be used to help with gait training in the hemiplegic stroke patient for more than 1 month from hospitalization, we applied univariate and signal detection analysis to the data on clinical evaluations performed within one week of hospitalization for 139 stroke patients in a recovery phase rehabilitation ward and detected the optimal combinations of evaluations for prediction and their best cutoff values. The statistically significant combination of predictors for more than one month’s orthotic use of a KAFO was the FIM score of transfers to bed, chair or wheelchair, and the Functional Balance Scale (FBS). This model predicted that 87.5% of stroke patients will use a KAFO with gait training for more than one month, when their age is 63 and above and the FIM score of transfers is 1. The establishment of the prediction model of long use of KAFO in the hemiplegic stroke patient is expected to be helpful in prescribing a KAFO without delay.
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  • Effect of externally rotational strain of plastic ankle foot orthosis to the plantar flexion decelerating force due to mal-alignment in frontal plane alignment
    Minoru MURAYAMA, Yoko OKADA, Norihito KABE
    2014 Volume 30 Issue 2 Pages 96-99
    Published: April 01, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11267/jspo.30.96
    JOURNAL FREE ACCESS
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    We constructed four shoehorn type ankle foot orthoses with different frontal plane alignments and plastic thicknesses, and measured the strain of the orthosis during walking and the change in plantar flexion decelerating force. When the frontal plane alignment of the orthosis was more valgus than the alignment of the body at mid stance, externally rotational strain of the lower leg portion of the orthosis occurred. The externally rotational strain was become greater as flexibility increased, and the plantar flexion decelerating force was decreased. In the case of low flexibility, although the externally rotational strain decreased, landing on the lateral portion of the plantar surface (foot flat stage) was observed, which is a cause of lateral instability of orthosis. These results suggest that the clinical observation of knee locking during gait caused by externally rotational strain together with insufficient plantar flexion decelerating force is not only due to issues related to flexibility of the orthosis and the initial dorsiflexion angle, but may be caused by mal-alignment frontal plane alignment.
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  • Physiotherapy using a Robot Suit Hybrid Assistive Limb for a patient with paraplegia due to a metastatic spinal cord tumor
    Daisuke NISHIO, Shinichiro MAESHIMA, Aiko OSAWA, Yoshitake HIRANO, Hir ...
    2014 Volume 30 Issue 2 Pages 100-104
    Published: April 01, 2014
    Released on J-STAGE: April 15, 2015
    DOIhttps://doi.org/10.11267/jspo.30.100
    JOURNAL FREE ACCESS
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    We examined the method and effect of rehabilitation using a Robot Suit Hybrid Assistive Limb (HAL) through the physiotherapy of a metastatic spinal cord tumor patient with paraplegia. The case was a 47-year-old woman and the diseases were breast cancer and a metastatic spinal cord tumor. The patient was provided with physiotherapy using HAL for five consecutive days before hospital discharge and once per week after hospital discharge. As a result, although the patient’/s ambulatory ability improved at three months after the return home, the mobility, activities of daily living and quality of life did not change. We think that it is important that a patient can sit and stand still for long periods of time and master the operation of HAL in order to continue the physiotherapy using HAL. Although the physiotherapy using a Robot Suit HAL may be useful for improvement in ambulatory ability, we consider further examination about the difference from the usual physiotherapy, the appropriate amount and the period of training to be necessary.
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