Experts' Perceived Patient Burden and Outcomes of Knee-ankle-foot-orthoses (Kafos) Vs. Microprocessor-stance-and-swing-phase-controlled-knee-ankle-foot Orthoses (Mp-sscos).

Autor:	Brüggenjürgen B; Institute for Health Services Research and Technical Orthopedics, Orthopedic Department - Medical School Hannover (MHH) at DIAKOVERE Annastift Hospital, Hannover, Germany., Braatz F; Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Germany., Greitemann B; RehaKlinikum Bad Rothenfelde, Klinik Münsterland, Bad Rothenfelde, Germany., Drewitz H; Abteilung Orthetik, Otto Bock HealthCare Deutschland GmbH, Göttingen, Germany., Ruetz A; Klinik für Konservative Orthopädie, Katholisches Klinikum Koblenz, Montabaur, Germany., Schäfer M; Orthopädie-Technik, Pohlig GmbH, Traunstein, Germany., Seifert W; Technische Orthopädie, Seifert Technische Orthopädie GmbH, Bad Krozingen, Germany., Steinfeldt F; Fachklinik und Gesundheitszentrum, Johannesbad Raupennest GmbH & Co. KG, Altenberg, Germany., Weichold C; Technische Orthopädie, Stiftung Orthopädische Universitätsklinikum, Heidelberg, Germany., Yao D; Foot Department and Technical Orthopedics, Orthopedic Department - Medical School Hannover (MHH) at DIAKOVERE Annastift Hospital, Hannover, Germany., Stukenborg-Colsman C; Foot Department and Technical Orthopedics, Orthopedic Department - Medical School Hannover (MHH) at DIAKOVERE Annastift Hospital, Hannover, Germany.
Jazyk:	angličtina
Zdroj:	Canadian prosthetics & orthotics journal [Can Prosthet Orthot J] 2022 Feb 25; Vol. 5 (1), pp. 37795. Date of Electronic Publication: 2022 Feb 25 (Print Publication: 2022).
DOI:	10.33137/cpoj.v5i1.37795
Abstrakt:	Background: Patients with neuromuscular knee-instability assisted with orthotic devices experience problems including pain, falls, mobility issues and limited engagement in daily activities. Objectives: The aim of this study was to analyse current real-life burden, needs and orthotic device outcomes in patients in need for advanced orthotic knee-ankle-foot-orthoses (KAFOs). Methodology: An observer-based semi-structured telephone interview with orthotic care experts in Germany was applied. Interviews were transcribed and content-analysed. Quantitative questions were analysed descriptively. Findings: Clinical experts from eight centres which delivered an average of 49.9 KAFOs per year and 13.3 microprocessor-stance-and-swing-phase-controlled-knee-ankle-foot orthoses (MP-SSCOs) since product availability participated. Reported underlying conditions comprised incomplete paraplegia (18%), peripheral nerve lesions (20%), poliomyelitis (41%), post-traumatic lesions (8%) and other disorders (13%). The leading observed patient burdens were "restriction of mobility" (n=6), followed by "emotional strain" (n=5) and "impaired gait pattern" (n=4). Corresponding results for potential patient benefits were seen in "improved quality-of-life" (n=8) as well as "improved gait pattern" (n=8) followed by "high reliability of the orthosis" (n=7). In total, experts reported falls occurring in 71.5% of patients at a combined annual frequency of 7.0 fall events per year when using KAFOs or stance control orthoses (SCOs). In contrast, falls were observed in only 7.2 % of MPSSCO users. Conclusion: Advanced orthotic technology might contribute to better quality of life of patients, improved gait pattern and perceived reliability of orthosis. In terms of safety a substantial decrease in frequency of falls was observed when comparing KAFO and MP-SSCO users. Competing Interests: Bernd Brüggenjürgen, Frank Braatz, Bernhard Greitemann, Axel Ruetz, Friedemann Steinfeldt, Daiwei Yao, and Christina Stukenborg-Colsman received lecture fees; Heiko Drewitz is an employee of Otto Bock; Michael Schäfer, Wolfgang Seifert have collaborations with the sponsor. Claudia Weichold none to be declared. (Copyright (c) 2022 Brüggenjürgen B., Braatz F., Greitemann B., Drewitz H., Ruetz A., Schäfer M., et al.)
Databáze:	MEDLINE
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