Diabetic foot is a common complication affecting more than one-fifth of patients with diabetes.If not treated in time,it may lead to diabetic foot ulcers or Charcot arthropathy.For the management of diabetic foot,shoe...Diabetic foot is a common complication affecting more than one-fifth of patients with diabetes.If not treated in time,it may lead to diabetic foot ulcers or Charcot arthropathy.For the management of diabetic foot,shoe modifications and orthoses can be used to reduce pressure on the affected foot or provide the foot with increased stability.In addition,the shoe modifications and orthotic devices can relieve patient discomfort during walking.Appropriate shoe modifications include changing the insole material,modifying the heel height,adding a steel shank or rocker sole,and using in-depth shoes.Alternatively,a walking brace or ankle-foot orthosis can be used to reduce the pressure on the affected foot.The purpose of this narrative review was to provide a reference guide to support clinicians in prescribing shoe modifications and foot orthoses to treat diabetic foot ulcers and Charcot arthropathy.展开更多
Paraplegic gait orthosis has been shown to help paraplegic patients stand and walk, although this method cannot be individualized for patients with different spinal cord injuries and functional recovery of the lower e...Paraplegic gait orthosis has been shown to help paraplegic patients stand and walk, although this method cannot be individualized for patients with different spinal cord injuries and functional recovery of the lower extremities. There is, however, a great need to develop individualized paraplegic orthosis to improve overall quality of life for paraplegic patients. In the present study, 36 spinal cord（below T4） injury patients were equally and randomly divided into control and observation groups. The control group received systematic rehabilitation training, including maintenance of joint range of motion, residual muscle strength training, standing training, balance training, and functional electrical stimulation. The observation group received an individualized paraplegic locomotion brace and functional training according to the various spinal cord injury levels and muscle strength based on comprehensive systematic rehabilitation training. After 3 months of rehabilitation training, the observation group achieved therapeutic locomotion in 8 cases, family-based locomotion in 7 cases, and community-based locomotion in 3 cases. However, locomotion was not achieved in any of the control group patients. These findings suggest that individualized paraplegic braces significantly improve activity of daily living and locomotion in patients with thoracolumbar spinal cord injury.展开更多
基金Supported by the National Research Foundation of Korea Grant that was funded by the Korean Government,No.NRF-2019M3E5D1A02069399.
文摘Diabetic foot is a common complication affecting more than one-fifth of patients with diabetes.If not treated in time,it may lead to diabetic foot ulcers or Charcot arthropathy.For the management of diabetic foot,shoe modifications and orthoses can be used to reduce pressure on the affected foot or provide the foot with increased stability.In addition,the shoe modifications and orthotic devices can relieve patient discomfort during walking.Appropriate shoe modifications include changing the insole material,modifying the heel height,adding a steel shank or rocker sole,and using in-depth shoes.Alternatively,a walking brace or ankle-foot orthosis can be used to reduce the pressure on the affected foot.The purpose of this narrative review was to provide a reference guide to support clinicians in prescribing shoe modifications and foot orthoses to treat diabetic foot ulcers and Charcot arthropathy.
文摘Paraplegic gait orthosis has been shown to help paraplegic patients stand and walk, although this method cannot be individualized for patients with different spinal cord injuries and functional recovery of the lower extremities. There is, however, a great need to develop individualized paraplegic orthosis to improve overall quality of life for paraplegic patients. In the present study, 36 spinal cord（below T4） injury patients were equally and randomly divided into control and observation groups. The control group received systematic rehabilitation training, including maintenance of joint range of motion, residual muscle strength training, standing training, balance training, and functional electrical stimulation. The observation group received an individualized paraplegic locomotion brace and functional training according to the various spinal cord injury levels and muscle strength based on comprehensive systematic rehabilitation training. After 3 months of rehabilitation training, the observation group achieved therapeutic locomotion in 8 cases, family-based locomotion in 7 cases, and community-based locomotion in 3 cases. However, locomotion was not achieved in any of the control group patients. These findings suggest that individualized paraplegic braces significantly improve activity of daily living and locomotion in patients with thoracolumbar spinal cord injury.
