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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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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 |
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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 |
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