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

Frontiers in Rehabilitation Sciences

Rehabilitation Sciences

Audrey Zucker-Levin¹  Kamiar Ghoseiri² 

[1] Correspondence:;School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada;

关键词: orthotic devices;    locked knee joint;    long-term adverse effects;    knee ankle foot orthosis;    biomechanics;    physiological perils;   

DOI  :  10.3389/fresc.2023.1138792

 received in 2023-01-06, accepted in 2023-04-03,  发布年份 2023

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

Unknown   
© 2023 Ghoseiri and Zucker-Levin.