Bulletin of the Japanese Society of Prosthetics and Orthotics
Online ISSN : 1884-0566
Print ISSN : 0910-4720
ISSN-L : 0910-4720
Search
Advanced search
OR
Browse
Search
Volume 31, Issue 3
Displaying 1-12 of 12 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Procedure for developing clinical practice guidelines and assistance functions for their development in Minds
    Yasuto SATO, Toshio MORIZANE
    2015 Volume 31 Issue 3 Pages 144-148
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.144
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The concept of EBM is widely applied and used in various fields of medicine. The same is true for the procedure for developing clinical practice guidelines; the EBM method has been incorporated largely in the procedure. The development flow for clinical practice guidelines is as follows : 1. Clarification of development objectives, 2. Determination of development body, 3. Establishment of secretariat and task forces, 4. Scope development, 5. Systematic reviews, 6. Formulation of recommendations, 7. Development of draft CPG, 8. External review, 9. Publication, 10. Dissemination, implementation, and assessment, 11. Revision. It is worth noting that, throughout the process of the development, maximum effort is spent to prevent biases in the clinical practice guidelines. This paper summarizes how to develop clinical practice guidelines and the support of clinical practice guideline development in Minds.
    View full abstract
    Download PDF (846K)
  • Orthoses in Japanese guidelines for the management of stroke
    Toshiyuki FUJIWARA
    2015 Volume 31 Issue 3 Pages 149-151
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.149
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    [in Japanese]
    View full abstract
    Download PDF (185K)
  • The introduction of guidelines in the field of orthopedics in conjunction with orthosis
    Nobuyuki KAWATE, Masazumi MIZUMA
    2015 Volume 31 Issue 3 Pages 152-156
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.152
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    In conjunction with the therapy of orthoses, we introduced a part into the medical treatment guidelines in the field of orthopedics. The therapy of orthoses has been listed as a vulnerary treatment in the field of orthopedics for a long time, but the mainstream of orthopedics came to focus on surgical remedies, and the therapy of orthoses is now often considered a conservative treatment. There are few high clinical studies of the EBM of the therapy of orthoses, and there is little mention in the medical treatment guidelines in the field of orthopedics, either. We thought that it is a future problem to increase the number of clinical studies of the EBM about the therapy of orthoses.
    View full abstract
    Download PDF (232K)
  • How do you utilize cerebral palsy rehabilitation guidelines in the prescription of lower limb orthoses?
    Takashi SESHIMO
    2015 Volume 31 Issue 3 Pages 157-160
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.157
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    The Japanese guideline for rehabilitation of cerebral palsy was revised by the Japanese Associatiation of Rehabilitation medicine in 2014. The main theme of this revision was to be practical and evidence based. We couldn’t but lower the evidence level and the utility of guidelines because of budgetary limitations and personnel organization. However, the guidelines are important and we herein summarize our current understanding of this new viewpoint and the future direction we hope to take.
    View full abstract
    Download PDF (554K)
  • Guidelines for footwear in the fields of limb salvage and foot care
    Mamoru KIKUCHI, Tetsuji UEMURA
    2015 Volume 31 Issue 3 Pages 161-165
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.161
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    [in Japanese]
    View full abstract
    Download PDF (241K)
  • RST Steeper’s guideline
    Keiichi TSUKISHIRO
    2015 Volume 31 Issue 3 Pages 166-172
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.166
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    In most industrialized countries, making and fitting prostheses are done within the social medical and welfare system in each country. Under those conditions, it is most important to take into the highest consideration, not only medical, hand-making and industrial technologies, but also cost effectiveness. One important tool for cost effectiveness and fair use of the system must be a guideline that is based on evidence and the consensus of the field, a guideline which is available to not only service providers but also prosthetic users, for enlightenment and understanding of the services. “Prosthetic Best Practice Guidelines,” edited by RST Steeper, a prosthetic component manufacturer based in the UK, is one such example. It covers areas from partial foot prostheses to hip disarticulation prostheses, from hand-casting to jig-supported casting and comprehensive types of prosthetic components, their indications and contraindications. An abridged summary of this guideline, translated into Japanese, is shown.
    View full abstract
    Download PDF (398K)
  • A cross-section questionnaire survey on the prescription of lower-extremity orthoses in rehabilitation facilities in Kagoshima Prefecture
    Takuya HIROKAWA, Shuji MATSUMOTO, Tomohiro UEMA, Keiko IKEDA, Kodai MI ...
    2015 Volume 31 Issue 3 Pages 173-179
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.173
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Lower-extremity orthoses (LEOs) have generally positive effects on gait ability in hemiplegic patients. However, little research on LEO prescription behavior has been conducted. The objective of this cross-sectional questionnaire survey was to investigate the prescription of LEOs in rehabilitation facilities in Kagoshima Prefecture. A sample of 250 rehabilitation facilities was recruited to complete the questionnaire, with an overall response rate of 60.8% (152 of 250). In approximately half of the responding rehabilitation facilities, the rehabilitation facility system was well designed and the number of therapists was substantial. However, implementation of the brace clinic was very low (21%), and the number of people involved in the discussion of LEO prescription was small. Many rehabilitation facilities had minimal varieties and a low number of tentative LEOs. We thus concluded that the discussion regarding the prescription of LEOs is currently insufficient in the rehabilitation facilities in Kagoshima Prefecture. We considered that preparation of the tentative LEOs is necessary for the appropriate prescription of LEOs. Further, it is necessary to foster a facility environment towards implementing brace clinics.
    View full abstract
    Download PDF (1342K)
  • The new shoulder brace for a subluxated scapulohumeral joint in stroke hemiplegic patients
    Masahide ENDO, Masashi HASHIMOTO, Hayato ADACHI, Haruo KODAMA, Yoshika ...
    2015 Volume 31 Issue 3 Pages 180-183
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.180
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    In stroke hemiplegia, shoulder subluxation is one of the common complications. To treat subluxation, without resorting to strong bondage, a shoulder brace was developed in which the cuff at the elbow joint of an extension-type shoulder brace can be repositioned ; this shoulder brace can be self-installed, and its effect verified. The results of the acromion bone head distance was measured when this equipment was attached to subluxation patients, and a significant difference was observed between when the appliance was not mounted and RSB mounting (p<0.01). For patients in Brunnstrom recovery stage II of the upper limb and IV of the finger, not suffering higher brain dysfunction, putting on the training attachment by themsleves in 2-3 minutes has become possible, as indicated by patient self-evaluation. The brace described above is an elbow extension-type shoulder orthosis for possible subluxation reduction, with self-attaching capability.
    View full abstract
    Download PDF (905K)
  • Prosthetic prescription for transtibial amputees on maintenance dialysis : Clinical experience with modular socket system
    Takeaki FUKUZUMI, Takuya KITAGUCHI, Keita TACHIBANA, Shingo KOBAYASHI, ...
    2015 Volume 31 Issue 3 Pages 184-187
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.184
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Clinical experience with the modular socket system (MSS) was acquired from four patients on maintenance dialysis who underwent transtibial amputation. Although a longer period was required until socket production in three patients with delayed wound healing, all the patients could be discharged within two months after the production of the gap socket, including MSS production. At the time of discharge, all four patients were capable of independent indoor walking, and three of four patients were capable of independent outdoor walking. After production of the MSS, the sockets fitted well and there was no need for fine adjustment of the sockets, which is a merit of the MSS. The MSS system including the gap socket was also effective for transtibial amputees on maintenance dialysis.
    View full abstract
    Download PDF (435K)
  • Effects of introduction of the modular socket system
    Junya IDO, Hiroaki KATO, Yoshio YAMANE, Kazunori KANDA
    2015 Volume 31 Issue 3 Pages 188-190
    Published: July 01, 2015
    Released on J-STAGE: July 15, 2016
    DOIhttps://doi.org/10.11267/jspo.31.188
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Early intervention has become important in rehabilitation for amputees. In the present study, we introduced the “modular socket system” that allows completion of the prosthesis on the same day, and compared the intervals for acquiring prosthetic gait by amputees using prostheses constructed by the conventional method (conventional group) and those using prostheses constructed using the MSS (MSS group). Our results showed that the MSS group acquired prosthetic gait approximately 20 days earlier than the conventional group. The main cause is due to the merit of MSS that enables construction of the prosthesis on site immediately after casting, allowing initiation of gait training early after amputation. In addition, this may also lead to prevention of muscle weakening from disuse and maintenance of amputee’s motivation. The present results indicate that MSS allows early acquisition of prosthetic gait by shortening the time for prosthesis construction, and that introduction of the MSS is useful for transtibial amputees.
    View full abstract
    Download PDF (286K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top