A microprocessor stance and swing control orthosis improves balance, risk of falling, mobility, function, and quality of life of individuals dependent on a knee-ankle-foot orthosis for ambulation.
| Autor: | Ruetz A; Katholisches Klinikum (Catholic Hospital) Koblenz-Montabaur, Koblenz, Germany., DiBello T; Hanger Clinic, Houston, TX, USA., Toelle C; Hanger Clinic, Sarasota, FL, USA., Hemmen B; Adelante Kenniscentrum (Adelante Rehabilitation Center), Hoensbroek, The Netherlands., Wening J; Hanger Clinic, Chicago, IL, USA., Weber E; Hanger Clinic, Seattle, WA, USA., Braatz F; Zentrum für Healthcare Technology der Privaten Hochschule Göttingen (Center of Healthcare Technology of the Private University of Göttingen), Göttingen, Germany., Winkler T; Berlin Movement Diagnostics, Berlin, Germany., Steinfeldt F; Johannesbad Raupennest GmbH & Co. KG, Altenberg, Germany., Umari M; Pohlig GmbH, Traunstein, Germany., Rupp R; Universitätsklinikum Heidelberg (University Hospital of Heidelberg), Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie (Center for Orthopedics, Trauma Surgery, and Paraplegiology), Heidelberg, Germany., Kluge S; BG Klinikum Hamburg gGmbH (Workmens's Compensation Hospital), Zentrum für Rehabilitationsmedizin (Center for Rehabilitation Medicine), Hamburg, Germany., Krebs A; Orthopädisches Spital Speising (Orthopedic Hospital Speising), Vienna, Austria., Wurdeman SR; Hanger Institute of Clinical Research and Education, Austin, TX, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2024 Aug; Vol. 46 (17), pp. 4019-4032. Date of Electronic Publication: 2023 Sep 26. |
| DOI: | 10.1080/09638288.2023.2258342 |
| Abstrakt: | Introduction: The C-Brace microprocessor stance and swing control orthosis was designed to overcome safety and functional limitations of traditional knee-ankle-foot orthoses (KAFOs) for individuals with lower limb paresis. However, a systematic comparison to established KAFO types has not been performed in a bigger sample. Methods: International multicenter, randomized, controlled, cross-over clinical trial. Legacy KAFO users at risk of falling were randomized to KAFO/C-Brace or C-Brace/KAFO use for three months with each orthosis. Primary outcome was balance assessed with the Berg Balance Scale (BBS). Secondary outcomes were falls, mobility, function, and quality of life. Results: Intention-to-treat analysis with 102 participants. With the C-Brace, the BBS improved by 3.3 ± 6.3 points ( p < 0.0001). Significantly fewer participants presented BBS scores <40 indicative of increased fall risk (16 vs. 36, p = 0.018). Mean falls reduced from 4.0 ± 16.8 to 1.1 ± 3.3 ( p = 0.002). Outcomes for function, mobility, and quality of life showed significant improvements with the C-Brace. Discussion: The improvements in fall risk and mobility can be attributed to the stumble recovery and controlled knee flexion during weight bearing of the C-Brace and have a positive impact on the quality of life of users. Conclusion: The C-Brace represents an option for KAFO users with increased fall risk and reduced mobility. |
| Databáze: | MEDLINE |
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