Download or read book Design of a Lower Extremity Exoskeleton to Increase Knee ROM During Valgus Bracing for Osteoarthritic Gait written by Jennifer M. Cao and published by . This book was released on 2017 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Knee osteoarthritis (KOA) is the primary cause of chronic immobility in populations over the age of 65. It is a joint degenerative disease in which the articular cartilage in the knee joint wears down over time, leading to symptoms of pain, instability, joint stiffness, and misalignment of the lower extremities. Without intervention, these symptoms gradually worsen over time, decreasing the overall knee range of motion (ROM) and ability to walk. Current clinical interventions include offloading braces, which mechanically realign the lower extremities to alleviate the pain experienced in the medial compartment of the knee joint. Though these braces have proven effective in pain management, studies have shown a significant decrease in knee ROM while using the brace. Concurrently, development of active exoskeletons for rehabilitative gait has increased within recent years in efforts to provide patients with a more effective intervention for dealing with KOA. Though some developed exoskeletons are promising in their efficacy of fostering gait therapy, these devices are heavy, tethered, difficult to control, unavailable to patients, or costly due to the number of complicated components used to manufacture the device. However, the idea that an active component can improve gait therapy for patients motivates this study. This study proposes the design of an adjustable lower extremity exoskeleton which features a single linear actuator adapted onto a commercially available offloading brace. This design hopes to provide patients with pain alleviation from the brace, while also actively driving the knee through flexion and extension. The design and execution of this exoskeleton was accomplished by 3D computer simulation, 3D CAD modeling, and rapid prototyping techniques. The exoskeleton features 3D printed, ABS plastic struts and supports to achieve successful adaptation of the linear actuator to the brace and an electromechanical system with a rechargeable operating capacity of 7 hours. Design validation was completed by running preliminary gait trials of neutral gait (without brace or exoskeleton), offloading brace, and exoskeleton to observe changes between the different gait scenarios. Results from this testing on a single subject show that there was an observed, significant decrease in average knee ROM in the offloading brace trials from the neutral trials and an observed, significant increase in average knee ROM in the exoskeleton trials when compared to the brace trials as hypothesized. Further evaluation must be completed on the clinical efficacy of this device with a larger, and clinically relevant sample size to assess knee ROM, pain while using the device, and overall comfort level. Further development of this design could focus on material assessment, cost analysis, and risk mitigation through failure mode analysis.
Download or read book Lower Extremity Exoskeletons for Gait Rehabilitation of Motor impaired Patients written by Sai Kumar Banala and published by ProQuest. This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic rehabilitation for physical therapy has several advantages over conventional manual rehabilitation, especially in the aspects of accuracy and repeatability. Initial attempts at robotic rehabilitation focused on training muscles by moving limbs in a fixed repetitive pattern. Later it was realized that such an approach could be suboptimal. Better approach would be the use of 'assist-as-needed' paradigm, where an orthotic device provides just enough assistance to enable the patient to move his leg under his own control. However, at this time, lower extremity devices which can apply appropriate forces to implement this paradigm are still in research and not commercially available. The goal of this work is to develop lower extremity orthotic devices using assist-as-needed paradigm for robotic rehabilitation. To achieve this goal two orthotic devices were developed. They are Gravity Balancing leg Orthosis (GBO) and Active Leg EXoskeleton (ALEX). GBO assists persons with hemiparesis to walk by reducing or eliminating the effects of gravity on the affected limb. The amount of assistance provided can be tuned by the therapist from 0% to 100% gravity balancing. For a quantitative evaluation of the performance of the device several experiments were conducted. These experiments were performed on five healthy subjects and three stroke patients. The results showed that with the GBO set to 100% balancing the EMG activity from the rectus femoris and hamstring muscles was reduced by 75%, during static hip and knee flexion, respectively. For leg-raising tasks the average torque for static positioning reduced by 66.8% at hip joint and 47.3% at knee joint, however if transient portion of the leg raising task is included, the average torque at hip reduced by 61.3% and at knee increased by 2.7% at knee joints. In the walking experiment there was a positive impact on the range of movement at the hip and knee joints, especially for stroke patients, the range of movement increased by more than 57% at hip joint and by more than 73% at the knee joint. These results show that the GBO provides assistance which can be used for rehabilitation. An intensive training of a stroke patient was performed to study the long term effects of GBO, the training lasting for six weeks. The training started out with maximum assistance of 100% gravity balancing and gradually reduced to 0% by the end of training. Patient is also shown visual display of his gait pattern in real time and summary performance after individual sessions. Some of the effects of the training were, increase in patients preferred speed of treadmill walking from 2.72 km/h to 3.04 km/h, patient's preferred overground speed increased from 3.38 km/h to 3.86 km/h by the last evaluation. An improvement of gait pattern was seen where the patients gait pattern became more like a healthy subject's pattern. The patient was able to increase weight bearing on the hemiparetic leg and was more symmetric in his walk. ALEX, on the other hand, is a motorized orthotic device. To achieve the goal of 'assist-as-needed' paradigm for ALEX, Force-Field controller was developed. This controller generates "virtual walls'' in the plane containing human thigh and shank segments. These virtual walls guide and assist the subject's foot along the prescribed trajectory. Linear actuators were used at hip and knee joints of the device. To make the actuators back-drivable, friction compensation was used. Gait training studies with healthy subjects were conducted to measure the effectiveness of ALEX in retraining modified gait pattern. The results show that a healthy human leg muscles can be trained in about 45 to 60 minutes to a modified pattern of foot trajectory. A 15-day long gait training was conducted with a stroke patient using ALEX, the results indicate that using ALEX and force-field controller, the patient's gait pattern improved significantly in many aspects. His gait speed improved both on treadmill from 1.45 km/h to 2.57 km/h and overground from 1.82 km/h to 2.50 km/h. His foot trajectory increased and got about 85% closer to a healthy subject's foot trajectory. Knee flexion increased from 27.2 deg to 47.5 deg and ankle dorsi-flexion increased from 1.9 deg to 5.9 deg by the end of the training. All these results indicate that by using these devices suitably and implementing a long term gait training can help patients with walking disability in a speedy recovery.
Download or read book A Comprehensive Strategy for Controlling the Hip and Knee with a Muscle driven Exoskeleton for Mobility After Paraplegia written by Sarah Randall Chang and published by . This book was released on 2016 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepping can be restored in individuals with paraplegia due to spinal cord injury (SCI) with a hybrid neuroprosthesis (HNP) that combines functional neuromuscular stimulation (FNS) and passive controllable lower-limb bracing. FNS applies small electrical pulses to peripheral motor nerves, thereby contracting the paralyzed muscles and generating joint torques capable of mobilizing the limb for stepping. Passive controllable lower-limb bracing can be designed to lock, unlock, or couple joints to provide support and stability. Prior work showed that the HNP enabled individuals with motor complete thoracic SCI to stand, walk, and negotiate stairs. However, knee flexion during pre-swing phase of gait can be inadequate and result in inconsistent foot-floor clearance, increasing the risk of tripping or falling. The stand-to-sit (STS) transition was also poorly controlled and resulted in high impact with the seating surface. Therefore, we hypothesized that a HNP with context-dependent hydraulic hip-knee coupling (HKC) would more effectively normalize STS maneuvers and restore pre-swing phase knee flexion during walking in individuals with paraplegia than stimulation alone. Novel kinematic HKC and kinetic knee damping hydraulic mechanisms were incorporated into the HNP to control the knee during STS transitions. By imposing simple coupling or damping constraints, individuals with SCI completed the STS with improved coordination between hip and knee joint angles, lowered knee angular velocities, decreased upper limb forces by 70%, and reduced impact forces by half when compared to sitting with stimulation alone. To achieve sufficient foot-floor clearance by assisting pre-swing knee flexion during gait, a kinematic HKC hydraulic mechanism and kinetic elastomer spring were evaluated. The hydraulic coupling mechanism had high passive resistances, making the system impractical during gait. Future work may evaluate alternative HKC methods. The elastomer spring successfully assisted pre-swing by reducing the time to reach 30 degrees of knee flexion, increasing peak knee angular velocities, and improving foot-clearance as compared to walking without the elastomer. Incorporating a kinetic assist has potential to increase foot-clearance by assisting pre-swing knee flexion during gait. Future work incorporating electromechanical actuators to assist on an "as-needed" basis or plantar flexor muscles activation via FNS may improve step-by-step consistency and increase walking speed and distance.
Download or read book Development and Design of Lower Extremity Exoskeletons for Paraplegics written by and published by . This book was released on 2019 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Paraplegics are a type of Spinal Cord Injury (SCI) disabled persons who need walking assistance for day-to-day mobility. Reciprocating Gait Orthosis (RGO) and Exoskeletons are widely used walking systems to support lower extremities for successful walking. Stability has been a major concern while designing such walking support systems. This research is an attempt to design an Exoskeleton with necessary walking stability based on humanoid bipedal robot. A parallel-serial chain, 25 axes of rotation, legs-only Exoskeleton named "Lower Extremity Exoskeleton Robot (LEE Robot)" was designed, modeled and simulated for walking stability using posture adjustment and the law of balance techniques. The actuator torque requirements were calculated and controlled by implementing Proportional Derivative (PD) controllers for posture adjustment and walking balance. The most widely used Zero Moment Point (ZMP) technique was implemented in the simulation to test the Exoskeleton walking to be in the stability zone. The LEE Robot is expected to provide hands free walking to the paraplegics. Therefore, an important feature of fall protection was implemented and tested with a conceptual framework which included fall detection, fall avoidance and fall protection. The fall protection was achieved by calculating the coutner initial velocity of the swing foot end-effector and applying it as an input to the differential motion planning. Finally, the LEE Robot was analyzed for its structural strength using Finite Element Analysis (FEA) to assess the feasibility of realizing it as a useable device.
Download or read book Impact of Wearing a Robotic Exoskeleton on Gait Parameters and Muscle Activity in Individuals with Incomplete Spinal Cord Injury written by Sattam Almutairi and published by . This book was released on 2019 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: Robotic exoskeleton devices, such as the Ekso GTTM robotic exoskeleton (EKSO), enable individuals with lower extremity weakness to stand up and walk over ground. Research relevant to the effects of the EKSO on gait parameters and muscle activity in patients with incomplete spinal cord injury (SCI) is limited. Therefore, the purpose of this study was to evaluate whether people with incomplete SCI would walk differently when they wore the EKSO. Specifically, the temporospatial gait parameters as well as kinematics and muscle activity of the lower extremities during level walking were compared between two conditions: with and without wearing the EKSO. SUBJECTS: Ten ambulatory adults (age: 39.3 ± 11.7 years, 9 men and 1 woman) with incomplete SCI completed the study. Average time since injury was 7 ± 5.5 years with a Walking Index for Spinal Cord Injury II (WISCI II) score of 14.5±2.8. METHODS: A 10-camera motion analysis system, synchronized with a surface electromyographic (EMG) unit, was used to obtain temporospatial gait parameters, range of motions (ROMs) of hip flexion-extension, knee flexion-extension and ankle dorsiflexion-plantarflexion, and muscle activity of the lower extremities. Each participant performed walking under two conditions: with and without wearing the EKSO. RESULTS: There were significant differences between the two conditions in gait speed (p = 0.006, no EKSO: 0.56 ± 0.32m/s, EKSO: 0.20 ± 0.03m/s), stride length (p = 0.001, no EKSO: 1.04 ± 0.24m, EKSO: 0.65 ± 0.07m), step length (p = 0.001, no EKSO: 0.51 ± 0.12m, EKSO: 0.33 ± 0.03m) and swing time (p = 0.006, no EKSO: 0.61 ± 0.17s, EKSO: 0.80 ± 0.13), but not in double-limb-support time (p = 0.474, no EKSO: 0.73 ± 0.75s, EKSO: 0.90 ± 0.25s) and stance time (p = 0.413, no EKSO: 2.03 ± 01.66s, EKSO: 2.44 ± 0.42s). When wearing the EKSO, ankle dorsiflexion-plantarflexion ROM was significantly reduced during the stance phase (p = 0.020, no EKSO: 35.90 ± 26.18, EKSO: 11.34 ± 4.55), but there was no difference between conditions in the knee (p = 0.211, no EKSO: 23.92 ± 9.87, EKSO: 27.58 ± 0.4.99) or hip (p = 0.425, no EKSO: 34.14 ± 8.04, EKSO: 32.25 ± 2.64) ROMs. In addition, there were no significant differences between conditions in all three ROMs in the swing phase. Lastly, there were no significant differences in EMG activity of the lower extremities between conditions in both the stance and swing phases. CONCLUSION: Participants walked slower with shorter stride length when walking with a robotic exoskeleton. Although kinematics were unaffected in hip and knee ROM, ankle dorsiflexion-plantarflexion ROM was decreased primarily due to the rigid design of the ankle joint in the EKSO, which limited ankle motions. The finding of no significant change of muscle activity when wearing the EKSO could be due to the reduced walking speed and the heterogeneity of the participants.
Download or read book DESIGN AND OPERATION OF MINIMALLY ACTUATED MEDICAL EXOSKELETONS FOR INDIVIDUALS WITH PARALYSIS written by Wayne Yi-Wei Tung and published by . This book was released on 2013 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Powered lower-extremity exoskeletons have traditionally used four to ten powered degrees of freedom to provide ambulation assistance for individuals with spinal cord injury. Systems with numerous high-impedance powered degrees of freedom commonly suffer from cumbersome walking dynamics and decreased utility due to added weight and increased control complexity. This work proposes a new approach to powered exoskeleton design that minimizes actuation and control complexity through embedding intelligence into the hardware. Two novel, minimally actuated exoskeleton systems (the Austin and the Ryan) are presented in this dissertation. Unlike conventional powered exoskeletons, the presented devices use a single motor for each exoskeleton leg in conjunction with a unique hip-knee coupling system to enable their users to walk, sit, and stand. The two types of joint coupling systems used are as follows. The Austin Exoskeleton employs a bio-inspired mechanical joint coupling system designed to mimic the biarticular coupling of human leg muscles. This system allows a single actuator to power both hip and knee motions simultaneously. More specifically, when the mechanical hamstring and rectus femoris of the exoskeleton are activated, power from the hip actuator is transferred to the knee, generating synchronized hip-knee flexion and extension. The coupling mechanism is switched on and off at specific phases of the gait (and the sit-stand cycle) to generate the desired joint trajectories. The device has been proven to be successful in assisting a complete T12 paraplegic subject to walk, sit, and stand. The Ryan Exoskeleton (also called the Passive Knee Exoskeleton) uses dynamic joint coupling. Dynamic joint coupling refers to a method of generating knee rotation through deliberate swinging of the hip joint. This minimalistic system is the first powered exoskeleton that weighs less than 20 pounds and has a compact form factor that more closely resembles a reciprocating gait orthosis than a conventional exoskeleton. The Passive Knee Exoskeleton has been validated by several SCI test pilots with injury levels ranging from T5 to T12. The lightweight, ambulation-centric assistive device have been tested to be able to comfortably reach an average ambulation speed of 0.27 m/s and have demonstrated high levels of maneuverability. The dynamic joint coupling paradigm has been proven to be effective especially for newly injured individuals who have not yet developed significant amounts of joint contracture or sustain high levels of spasticity. Overall, this dissertation focuses on the design and operation of the Austin and Ryan Exoskeletons.
Download or read book Gait Analysis in the Science of Rehabilitation written by Joel A. DeLisa and published by DIANE Publishing. This book was released on 1998 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Instrumented gait analysis systems offer objective evaluation of the effectiveness of the various rehabilitation treatments that are aimed at improving gait disabilities. There are four sections in this report: clinical observation; review of the instrumental gait analysis systems; the value of information resulting from instrumented gait analysis from the perspective of a psychiatrist, an orthopedic surgeon, & a physical therapist; & discussion of future trends for gait laboratories. The authors are experts from multiple rehabilitation specialties to give you an understanding of how gait analysis can be used to evaluate a person's walking abilities to maximize function & maintain or improve quality of life. Illustrations.
Download or read book Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician E Book written by HSS and published by Elsevier Health Sciences. This book was released on 2006-06-08 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to help therapists provide post-surgical rehabilitation based on best practices and evidence-based research, this comprehensive reference presents effective guidelines for postsurgical rehabilitation interventions. Its authoritative material is drawn from the most current literature in the field as well as contributions from expert physical therapists, occupational therapists, and athletic trainers affiliated with the Hospital for Special Surgery (HSS). A DVD accompanies the book, featuring over 60 minutes of video of patients demonstrating various therapeutic exercises spanning the different phases of postsurgical rehabilitation. Examples include hand therapy procedures, working with post-surgical patients with cerebral palsy, sports patient injuries, and pediatric procedures for disorders such as torticollis. Material represents the best practices of experts with the Hospital of Special Surgery, one of the best known and most respected orthopedic hospitals. Phases of treatment are defined in tables to clearly show goals, precautions, treatment strategies and criteria for surgery. Many of the treatment strategies are shown in videos on the accompanying DVD, enabling the user to watch the procedure that is discussed in the text. Information on pediatric and geriatric patients explores differing strategies for treating these populations. Treatments specific to sports injuries are presented, highlighting the different rehabilitation procedures available for athletes. An entire section on hand rehabilitation provides the latest information for hand specialists. Information on the latest treatment strategies for hip replacement presents complete information on one of the most common procedures. Easy-to-follow guidelines enable practitioners to look up a procedure and quickly see the recommended rehabilitation strategy. A troubleshooting section provides solutions for common problems that may occur following each phase of the rehabilitation process. Broad coverage addresses both traditional techniques as well as newer methods in a single resource. Clear photos and illustrations show how to correctly perform the techniques described in the book.
Download or read book Pediatric Lower Limb Deformities written by Sanjeev Sabharwal and published by Springer. This book was released on 2015-11-02 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.
Download or read book Biomechanical Basis of Human Movement written by Joseph Hamill and published by LWW. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Focusing on the quantitative nature of biomechanics, this book integrates current literature, meaningful numerical examples, relevant applications, hands-on exercises, and functional anatomy, physics, calculus, and physiology to help students - regardless of their mathematical background - understand the full continuum of human movement potential.
Download or read book Current Concepts of External Fixation of Fractures written by Hans K. Uhthoff and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used.
Download or read book Functional Tissue Engineering written by Farshid Guilak and published by Springer Science & Business Media. This book was released on 2003-07-09 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: -Softcover reprint of a successful hardcover reference (370 copies sold) -Price to be accessible to the rapidly increasing population of students and investigators in the field of tissue engineering -Chapters written by well-known researchers discuss issues in functional tissue engineering as well as provide guidelines and a summary of the current state of technology
Download or read book Biotensegrity written by Graham Melvin Scarr and published by Jessica Kingsley Publishers. This book was released on 2019-03-25 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emerging science of biotensegrity provides a fresh context for rethinking our understanding of human movement, but its complexities can be formidable. Biotensegrity: The Structural Basis of Life, Second edition - now with full color illustrations throughout - explores and explains the concept of biotensegrity and provides an understanding and appreciation of anatomy and physiology in the light of the latest research findings. The reader learns that biotensegrity is an evolving science which gives researchers, teachers, and practitioners across a wide range of specialisms, including bodyworkers and movement teachers, a deeper understanding of the structure and function of the human body. They are then able to develop clinical practice and skills in light of this understanding, leading to more effective therapeutic approaches, with the aim of improved client outcomes. The second edition provides expanded coverage of the developmental and therapeutic aspects of biotensegrity. Coverage now includes: A more thorough look at life's internal processes Closed kinematic chains as the new biomechanics Embryological development as an evolutionary process The human body as a constantly evolving system based on a set of unchanging principles Emergence, heterarchies, soft-matter and small-world networks A deeper look at what constitutes the therapeutic process
Download or read book Rotatory Knee Instability written by Volker Musahl and published by Springer. This book was released on 2016-09-27 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided.
Download or read book Fundamentals of Amputation Care and Prosthetics written by Douglas Murphy, MD and published by Demos Medical Publishing. This book was released on 2013-08-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by experienced physiatrists, prosthetists, and therapists, this book provides an introduction to the field of amputee care and prosthetics. Dedicated chapters guide you through prescription of prostheses for the various levels and types of amputations in both the lower and upper extremity and address recent advances in functionality and safety. Pre- and post-operative care, prosthetic troubleshooting, gait issues and medical management of the residual limb are also addressed. With concise key information highlighted throughout, this handbook is a welcome point of care resource or study tool for trainees and practitioners in any field who work with amputees to restore function and help enrich the lives of these individuals. Fundamentals of Amputation Care and Prosthetics features: Concise, practical manual; covers the basics of upper and lower extremity amputee care and prosthetics Succinct presentation, well-illustrated; information is easy to find Portable; perfect for use on rounds or in the clinic State-of-the-art distillation of current thinking and practice; excellent transitional book for residents or ready reference for experienced practitioners
Download or read book Management of Chronic Musculoskeletal Conditions in the Foot and Lower Leg E Book written by Keith Rome and published by Elsevier Health Sciences. This book was released on 2014-09-18 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridging the gap between undergraduate and postgraduate knowledge and experience, this new full colour resource uses an interdisciplinary approach to help manage chronic conditions – osteoarthritis, Achilles tendinopathy, gout, rheumatic diseases, forefoot/rearfoot entities, stress fractures/reactions, cerebral palsy – in the lower limb and foot. Each chapter includes sections on predisposing factors, diagnosis, impairments, function, quality of life and management strategies while highlighting any complex features of a condition which may present. The latest advances are discussed with suggestions for new paths of research – ‘future directions’. The text is further supported by additional commentaries from internationally renowned researchers who highlight the key elements of the work and provide a supplementary perspective of the particular clinical condition. A general view of the patient’s needs is offered throughout, connecting clinical realities to real-world patient experiences. Management of Chronic Conditions in the Foot and Lower Leg is a comprehensive, practical tool that can be used to inform daily decision making in practice as well as to support those who build policy and management strategies in the clinical areas covered. Clear content and structure supported by full colour illustrations Includes less discussed conditions such as gout and cerebral palsy Focus on pain, impairment, function, quality of life and management strategies Critical reflections by experts highlight current clinical practice and thinking in research Provides a sound interpretation of research findings Features patient-reported outcome measures and health related behaviour strategies
Download or read book XXVI Brazilian Congress on Biomedical Engineering written by Rodrigo Costa-Felix and published by Springer. This book was released on 2019-06-03 with total page 869 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents the proceedings of the Brazilian Congress on Biomedical Engineering (CBEB 2018). The conference was organised by the Brazilian Society on Biomedical Engineering (SBEB) and held in Armação de Buzios, Rio de Janeiro, Brazil from 21-25 October, 2018. Topics of the proceedings include these 11 tracks: • Bioengineering • Biomaterials, Tissue Engineering and Artificial Organs • Biomechanics and Rehabilitation • Biomedical Devices and Instrumentation • Biomedical Robotics, Assistive Technologies and Health Informatics • Clinical Engineering and Health Technology Assessment • Metrology, Standardization, Testing and Quality in Health • Biomedical Signal and Image Processing • Neural Engineering • Special Topics • Systems and Technologies for Therapy and Diagnosis
