Highsmith M Jason, Miro Rebecca M, Kartel Michael, Ramrattan Anita, Courtade Angela, Heckman Jeffrey T, Phillips Samuel L, Wurdeman Shane R, DiBello Thomas V, England Dwiesha L, Stevens Phillip M, Campbell James H, Hyre Michael J, Maikos Jason T, Hill Owen T, Carey Stephanie L
School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States.
Orthotic, Prosthetic & Pedorthic Clinical Services (OPPCS) Program Office, Rehabilitation & Prosthetic Services, (12RPS4) US Department of Veterans Affairs, Washington, DC, United States.
Front Rehabil Sci. 2024 Jul 1;5:1277509. doi: 10.3389/fresc.2024.1277509. eCollection 2024.
Many military service members and civilians suffer from lower extremity trauma. Despite recent advancements in lower limb bracing technology, it remains unclear whether these newer advanced braces offer improved comfort and functionality compared to conventional options. The IDEO (Intrepid Dynamic Exoskeletal Orthosis), a type of "advanced" orthosis was developed to assist in maintaining high functional performance in patients who have experienced high-energy lower extremity trauma and underwent limb salvage surgeries.
A cross-sector multi-site initiative was completed to study the efficacy of advanced ankle foot orthoses (AFO) for lower limb trauma and injury compared to a conventional AFO. Following fitting, training, and accommodation, the subjects were assessed in each AFO system for mobility, self-reported function, safety and pain, and preference.
They preferred the advanced over the conventional AFO and the mobility and exertion perception improved with the advanced AFO with no difference in pain or overall health status scores.
Thus, an advanced AFO is an option for trauma affecting the lower limb. Long-term studies are required to better understand the accommodation and learning process of using an advanced AFO.
许多军人和平民都遭受下肢创伤。尽管下肢支具技术最近有所进步，但与传统支具相比，这些新型先进支具是否能提供更好的舒适度和功能性仍不清楚。IDEO（无畏动态外骨骼矫形器）是一种“先进”的矫形器，旨在帮助经历过高能下肢创伤并接受肢体挽救手术的患者保持高功能状态。
完成了一项跨部门多地点倡议，以研究与传统踝足矫形器（AFO）相比，先进踝足矫形器对下肢创伤和损伤的疗效。在适配、训练和适应之后，对每个AFO系统中的受试者进行移动性、自我报告功能、安全性和疼痛以及偏好方面的评估。
他们更喜欢先进的AFO而非传统AFO，并且使用先进AFO时移动性和用力感知有所改善，疼痛或总体健康状况评分没有差异。
因此，先进的AFO是下肢创伤的一种选择。需要进行长期研究以更好地了解使用先进AFO的适应和学习过程。
