Cargando…

Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils

A knee ankle foot orthosis (KAFO) may be prescribed to the person with severe neuromusculoskeletal impairment of the lower limb to promote walking stability. The locked knee ankle foot orthosis (L-KAFO) is among the KAFO's routinely prescribed; however, long-term use of the L-KAFO is associated...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghoseiri, Kamiar, Zucker-Levin, Audrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192684/
https://www.ncbi.nlm.nih.gov/pubmed/37214128
http://dx.doi.org/10.3389/fresc.2023.1138792
_version_ 1785043677405511680
author Ghoseiri, Kamiar
Zucker-Levin, Audrey
author_facet Ghoseiri, Kamiar
Zucker-Levin, Audrey
author_sort Ghoseiri, Kamiar
collection PubMed
description A knee ankle foot orthosis (KAFO) may be prescribed to the person with severe neuromusculoskeletal impairment of the lower limb to promote walking stability. The locked knee ankle foot orthosis (L-KAFO) is among the KAFO's routinely prescribed; however, long-term use of the L-KAFO is associated with musculoskeletal (arthrogenic and myogenic) and integumentary changes, and gait asymmetry with increased energy expenditure. Consequently, the risk of developing low back pain, osteoarthritis of the lower limbs and spinal joints, skin dermatitis, and ulceration increases, all of which impact quality of life. This article synthesizes the iatrogenic biomechanical and physiological perils of long-term L-KAFO use. It promotes using recent advances in rehabilitation engineering to improve daily activities and independence for proper patient groups.
format Online
Article
Text
id pubmed-10192684
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-101926842023-05-19 Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils Ghoseiri, Kamiar Zucker-Levin, Audrey Front Rehabil Sci Rehabilitation Sciences A knee ankle foot orthosis (KAFO) may be prescribed to the person with severe neuromusculoskeletal impairment of the lower limb to promote walking stability. The locked knee ankle foot orthosis (L-KAFO) is among the KAFO's routinely prescribed; however, long-term use of the L-KAFO is associated with musculoskeletal (arthrogenic and myogenic) and integumentary changes, and gait asymmetry with increased energy expenditure. Consequently, the risk of developing low back pain, osteoarthritis of the lower limbs and spinal joints, skin dermatitis, and ulceration increases, all of which impact quality of life. This article synthesizes the iatrogenic biomechanical and physiological perils of long-term L-KAFO use. It promotes using recent advances in rehabilitation engineering to improve daily activities and independence for proper patient groups. Frontiers Media S.A. 2023-05-04 /pmc/articles/PMC10192684/ /pubmed/37214128 http://dx.doi.org/10.3389/fresc.2023.1138792 Text en © 2023 Ghoseiri and Zucker-Levin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Ghoseiri, Kamiar
Zucker-Levin, Audrey
Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title_full Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title_fullStr Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title_full_unstemmed Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title_short Long-term locked knee ankle foot orthosis use: A perspective overview of iatrogenic biomechanical and physiological perils
title_sort long-term locked knee ankle foot orthosis use: a perspective overview of iatrogenic biomechanical and physiological perils
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192684/
https://www.ncbi.nlm.nih.gov/pubmed/37214128
http://dx.doi.org/10.3389/fresc.2023.1138792
work_keys_str_mv AT ghoseirikamiar longtermlockedkneeanklefootorthosisuseaperspectiveoverviewofiatrogenicbiomechanicalandphysiologicalperils
AT zuckerlevinaudrey longtermlockedkneeanklefootorthosisuseaperspectiveoverviewofiatrogenicbiomechanicalandphysiologicalperils