Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs

Introduction Climbing up and down stairs with crutches is a particular challenge. The current study evaluates a commercially available insole orthosis device for weighing an affected limb and for biofeedback training of gait. This study was done on healthy, asymptomatic individuals before applying t...

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Veröffentlicht in:Archives of orthopaedic and trauma surgery 2023-09, Vol.143 (9), p.5701-5706
Hauptverfasser: Merkle, Tobias Peter, Hofmann, Nina, Schmidt, Johannes, Dietrich, Thomas, Knop, Christian, Da Silva, Tomas
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Sprache:eng
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Zusammenfassung:Introduction Climbing up and down stairs with crutches is a particular challenge. The current study evaluates a commercially available insole orthosis device for weighing an affected limb and for biofeedback training of gait. This study was done on healthy, asymptomatic individuals before applying to the intended postoperative patient. The outcomes should demonstrate whether a continuous real-time biofeedback (BF) system is more effective on stairs than the current protocol involving a bathroom scale. Materials and methods 59 healthy test subjects received both crutches and an orthosis and learned to apply a 3-point gait with a partial load of 20 kg using a bathroom scale. Thereafter, the participants were asked to complete an up-and-down course, first without (control group) and then with (test group) an audio-visual real-time biofeedback (BF). Compliance was evaluated using an insole pressure measurement system. Results Using the conventional therapy technique, 36.6% of the steps up and 39.1% of the steps down in the control group were loaded with 
ISSN:1434-3916
0936-8051
1434-3916
DOI:10.1007/s00402-023-04878-y