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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 2001 September;37(3):171-9

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: English

Knee-ankle-foot orthosis for poliomyelitis sequelae. Structural and technical evolution

Conil J. L., Fico G. *, Bardot A. **, Delarque A. **, Viton J. M. **, Kraenzler R., Lemoine F., Lachaud H.

From the Service de Rééducation Fonctionnelle du Centre Hospitalier Universitaire “La Timone” - Marseille (France) *Scuola di Specializzazione in Medicina Fisica e Riabilitazione - Firenze **Département Universitaire de Médecine Physique et Réadaptation, Université de la Méditerranée - Marseille (France)


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Back­ground. We ana­lyzed the struc­tural and tech­nical evo­lu­tion in the ­design of the ­knee-­ankle-­foot ­orthosis* for pol­i­om­ye­litic ­patients ­over a ­period of 20 ­years (1980-1999).
­Methods. Our ­study ­included 103 ­patients ­divided ­into two ­groups, the one com­prising ­users of a ­knee-­ankle-­foot ­orthosis ­before 1990 (50 ­patients, 120 ­orthoses), the ­other ­with ­users of a ­device ­before 1989 (53 ­patients, 117 ­orthoses). The two ­groups ­were com­pared ­according to mod­ifi­ca­tions ­brace ­design of the prox­imal, ­medial and ­distal seg­ments, and ­according to dif­ferent mate­rials ­used for ­their fab­ri­ca­tion, ­with ­respect to ­weight reduc­tion, ­orthosis/­lower ­limb sup­port, and dur­ability ­over a spe­cific ­period of ­time for ­each ­group.
­Results. The evo­lu­tion of the ­knee-­ankle ­foot ­orthosis has ­afforded pol­i­om­ye­litic ­patients ­better ­quality of ­life, but ­more ­studies are ­needed on improve­ment of the ­device struc­ture and mate­rials.
Con­clu­sions. ­Over the ­past 20 ­years, ortho­pedic ­devices for ­sequalae of ­acute ante­rior polio­my­e­litis ­have ­evolved con­sid­er­ably in ­design, pro­viding ­patients ­with ­better ­quality of ­life. How­ever, fur­ther improve­ments are ­needed in ­device struc­ture and mate­rial. ­Improved tech­nical fea­tures ­should ­include: ­skin-­device inter­face mate­rial ­that ­breathes ­better, a sup­port ­that com­pen­sates ­muscle flac­cidity of the ­limb, an auto­matic ­lock/­unlock ­knee ­joint ­that is ­both light­weight and ­small.

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