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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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 |
doi_str_mv | 10.1007/s00402-023-04878-y |
format | Article |
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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 < 20 kg. By activating continuous biofeedback, steps with < 20 kg could be increased significantly to 61.1% upstairs (p < 0.001) and 66.1% downstairs (p < 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 & 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. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. 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 < 20 kg. By activating continuous biofeedback, steps with < 20 kg could be increased significantly to 61.1% upstairs (p < 0.001) and 66.1% downstairs (p < 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 & 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 ; Hofmann, Nina ; Schmidt, Johannes ; Dietrich, Thomas ; Knop, Christian ; Da Silva, Tomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-5df6315ccea6b58c7f91f48d8eb5f2c6b4a15b999a720a7dd7f68dac8063cd183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biofeedback</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Trauma Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Merkle, Tobias Peter</au><au>Hofmann, Nina</au><au>Schmidt, Johannes</au><au>Dietrich, Thomas</au><au>Knop, Christian</au><au>Da Silva, Tomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>143</volume><issue>9</issue><spage>5701</spage><epage>5706</epage><pages>5701-5706</pages><issn>1434-3916</issn><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>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 < 20 kg. By activating continuous biofeedback, steps with < 20 kg could be increased significantly to 61.1% upstairs (p < 0.001) and 66.1% downstairs (p < 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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37219597</pmid><doi>10.1007/s00402-023-04878-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6143-4465</orcidid></addata></record> |
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title | Continuous real-time biofeedback in orthosis improves partial weight bearing on stairs |
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