Bulletin of the Japanese Society of Prosthetics and Orthotics
Online ISSN : 1884-0566
Print ISSN : 0910-4720
ISSN-L : 0910-4720
Current issue
Displaying 1-13 of 13 articles from this issue
  • Mitsuo MATSUOKA, Yumi HASHIZUME, Hisako YANAGI
    2024 Volume 40 Issue 2 Pages 136-142
    Published: April 01, 2024
    Released on J-STAGE: April 15, 2025
    JOURNAL FREE ACCESS

    A self-administered survey was conducted with the aim to clarify the differences between the physical therapists and the prosthetists and orthotists in their perception of and involvement in the follow-up of lower limb orthoses. Respondents among prosthetists and orthotists were recruited by sending documents requesting research to manufacturers of prostheses and orthoses nationwide, and respondents among physical therapists were recruited using the snowball sampling method. Responses were obtained from 174 prosthetists and orthotists and from 224 physical therapists. From the responses, cross-tabulation was performed and the chi-square test was used to compare the contents of responses. Only approximately 10% of the respondents in both professions provided information concerning the lower limb orthoses to care managers. Approximately 90% of the respondents recognized that the environment for deepening collaboration with other professions was insufficient. The survey also showed that a large percentage of respondents did not use written explanations regarding the lower limb orthoses.

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  • Hiroshi YAMASAKI, Koki NAGAI, Takesi ITO, Kenji KATAOKA, Ryuji UENO, T ...
    2024 Volume 40 Issue 2 Pages 143-148
    Published: April 01, 2024
    Released on J-STAGE: April 15, 2025
    JOURNAL FREE ACCESS

    In recent years, the number of older adult amputees has increased, and lower limb amputations are often accompanied by hemiplegia. Although it is not easy to acquire a practical gait following limb amputation, attempting to walk with a prosthetic leg is considered necessary to maximize residual abilities. In this study, patients with right above-the-knee amputation and left moderate hemiplegia were subjected to basic movement practice, as well as standing and walking practice using a right above-the-knee prosthesis and left knee-ankle-foot orthosis. We found that, although the patient was unable to achieve practical walking, she was able to transfer under supervision and stand up with little assistance; thus, she was discharged home. Even if the acquisition of practical walking is difficult, active standing and walking practice may improve the motor function of the paralyzed leg and reduce the amount of assistance needed to perform basic activities and activities of daily lining.

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  • Syuhei CHIBA, Syuichi SASAKI, Haruki TAGUCHI, Atsuko KARUBE, Michinari ...
    2024 Volume 40 Issue 2 Pages 149-154
    Published: April 01, 2024
    Released on J-STAGE: April 15, 2025
    JOURNAL FREE ACCESS

    Rehabilitation for upper-limb hemiplegia caused by stroke is important because it reduces independence in activities of daily living. The effectiveness of sling therapy such as the Portable Spring Balancer (PSB) and electrical stimulation therapy using the Integrated Volitional Electrical Stimulator (IVES) has been shown, though there are few reports of combined training using PSB and IVES electrical stimulation therapy on the infraspinatus muscle (combined training). Therefore, we report a case in which we practiced combined training on a patient with severe upper-limb hemiplegia in the acute phase caused by stroke. Combined training was performed from X+15 to X+28 days. During training, shoulder shrug-like movements were inhibited, and no pain appeared. The patient showed upper limb function improvement. The amount and quality of the upper-limb hemiplegia performance during ADL situations can reduce independence in the activities of daily living.

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  • Ayako YANO, Takashi NAKAMURA, Nobuya YAMASAKI, Yukari NOZUKI, Toru AKU ...
    2024 Volume 40 Issue 2 Pages 155-161
    Published: April 01, 2024
    Released on J-STAGE: April 15, 2025
    JOURNAL FREE ACCESS

    We report the rehabilitation consequences of 27 children with congenital upper-limb malformation, who underwent training for upper limb prostheses use at the National Rehabilitation Center for Persons with Disabilities from January 2010 to September 2022. The mean number of prosthetic hand types used in the trial was 2.3. The median duration of training was 2 years and 9 months. Eighteen children were provided with upper-limb prostheses through the public provision system. Nine children did not need prostheses. Most of them used upper-limb prostheses with passive hands as first prostheses, and then shifted to use myoelectric prostheses. In addition, they chose the prostheses for sports as the third. Lower age at the start of trial, unilateral trans-radial deficiency and clear purpose of use are key factors for provision through the public provision system.

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