Investigating the Status of Using Lower Extremity Orthoses Recommended to Patients with Spinal Cord Injury

Overview

Journal Spinal Cord

Specialty Neurology

Date 2016 Mar 16

PMID 26976531

Citations 2

Authors

E Koyuncu

G F Nakipoglu Yuzer

P Cam

N Ozgirgin

Affiliations

Soon will be listed here.

Abstract

Study Design: Retrospective descriptive study.

Objectives: The present study aimed to investigate the rate of using orthosis among spinal cord injury (SCI) patients for whom orthosis was recommended for standing and walking, the relationship between the clinical and demographic characteristics of SCI and the use of orthosis and the reasons for not using orthosis.

Setting: Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Turkey.

Methods: The study included 62 SCI patients for whom orthosis was recommended for standing and ambulation. The patients were classified into two groups as individuals using and not using the recommended orthosis every day in order to evaluate the effect of age, gender, residence, duration of disease/recommended duration of orthosis, recommended orthosis, lesion level-degree, lower extremity tonus-range of motion and ambulation level on the frequency of orthosis use.

Results: The orthosis most commonly recommended was hip-knee-ankle-foot orthosis with waist or pelvic belt (45.2%). Of the patients, 25.8% have never used the orthosis. The most common reason for not using the recommended orthosis was the failure to facilitate the daily life activities of the patient (30%), the difficulties in putting them on and taking them off (20%), the belief that it is unnecessary (15%) and the pressure (15%). In addition, the assessed clinical and demographic features were detected as not important risk factors for not using orthosis.

Conclusion: At least one out of four patients with SCI do not use the recommended lower extremity orthosis. Selecting eligible patients, patient training and follow-up are important for increased frequency of orthosis usage.

Citing Articles

Patient Compliance With Wearing Lower Limb Assistive Devices: A Scoping Review.

Bashir A, Dinkel D, Pipinos I, Johanning J, Myers S J Manipulative Physiol Ther. 2022; 45(2):114-126.

PMID: 35753880 PMC: 9329246. DOI: 10.1016/j.jmpt.2022.04.003.

Efficacy of Knee-Ankle-Foot Orthosis on Functional Mobility and Activities of Daily Living in Patients with Stroke: A Systematic Review of Case Reports.

Kobayashi E, Hiratsuka K, Haruna H, Kojima N, Himuro N J Rehabil Med. 2022; 54:jrm00290.

PMID: 35582910 PMC: 9285852. DOI: 10.2340/jrm.v54.87.

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