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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container_end_page 5706
container_issue 9
container_start_page 5701
container_title Archives of orthopaedic and trauma surgery
container_volume 143
creator Merkle, Tobias Peter
Hofmann, Nina
Schmidt, Johannes
Dietrich, Thomas
Knop, Christian
Da Silva, Tomas
description 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 
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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 &lt; 20 kg. By activating continuous biofeedback, steps with &lt; 20 kg could be increased significantly to 61.1% upstairs (p &lt; 0.001) and 66.1% downstairs (p &lt; 0.001). All subgroups profited from the BF system, independent of age, gender, side relieved, dominant or non-dominant side. Conclusions Traditional training without biofeedback led to poor performance for partial weight bearing on stairs, even among young and healthy individuals. However, continuous real-time biofeedback clearly improved compliance, indicating its potential to enhance training and support future research in patient populations.</description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-023-04878-y</identifier><identifier>PMID: 37219597</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Biofeedback ; Medicine ; Medicine &amp; Public Health ; Orthopedics ; Trauma Surgery</subject><ispartof>Archives of orthopaedic and trauma surgery, 2023-09, Vol.143 (9), p.5701-5706</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. 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The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5df6315ccea6b58c7f91f48d8eb5f2c6b4a15b999a720a7dd7f68dac8063cd183</citedby><cites>FETCH-LOGICAL-c375t-5df6315ccea6b58c7f91f48d8eb5f2c6b4a15b999a720a7dd7f68dac8063cd183</cites><orcidid>0000-0002-6143-4465</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-023-04878-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-023-04878-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37219597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Merkle, Tobias Peter</creatorcontrib><creatorcontrib>Hofmann, Nina</creatorcontrib><creatorcontrib>Schmidt, Johannes</creatorcontrib><creatorcontrib>Dietrich, Thomas</creatorcontrib><creatorcontrib>Knop, Christian</creatorcontrib><creatorcontrib>Da Silva, Tomas</creatorcontrib><title>Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>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 &lt; 20 kg. By activating continuous biofeedback, steps with &lt; 20 kg could be increased significantly to 61.1% upstairs (p &lt; 0.001) and 66.1% downstairs (p &lt; 0.001). All subgroups profited from the BF system, independent of age, gender, side relieved, dominant or non-dominant side. Conclusions Traditional training without biofeedback led to poor performance for partial weight bearing on stairs, even among young and healthy individuals. However, continuous real-time biofeedback clearly improved compliance, indicating its potential to enhance training and support future research in patient populations.</description><subject>Biofeedback</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Orthopedics</subject><subject>Trauma Surgery</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kD1PwzAQhi0EolD4AwzIEgtLwI7jrxFVfEmVWIDVchyndUniYieg_ntcWj7EwHQ3PPfe3QPACUYXGCF-GREqUJ6hnGSoEFxkqx1wgAtSZERitvurH4HDGBcI4VxItA9GhOdYUskPwPPEd73rBj9EGKxust61FpbO19ZWpTYv0HXQh37uo4vQtcvg32yESx16pxv4bt1s3sPS6uC6GfQdjL12IR6BvVo30R5v6xg83Vw_Tu6y6cPt_eRqmhnCaZ_RqmYEU2OsZiUVhtcS14WohC1pnRtWFhrTUkqpeY40rypeM1FpIxAjpsKCjMH5Jjfd9TrY2KvWRWObRnc2vaRygROLCKMJPfuDLvwQunRdoihjRVohE5VvKBN8jMHWahlcq8NKYaTW1tXGukrW1ad1tUpDp9vooWxt9T3ypTkBZAPE5dqTDT-7_4n9AGHsjsg</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Merkle, Tobias Peter</creator><creator>Hofmann, Nina</creator><creator>Schmidt, Johannes</creator><creator>Dietrich, Thomas</creator><creator>Knop, Christian</creator><creator>Da Silva, Tomas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6143-4465</orcidid></search><sort><creationdate>20230901</creationdate><title>Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs</title><author>Merkle, Tobias Peter ; 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Medicine
Medicine & Public Health
Orthopedics
Trauma Surgery
title Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs
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