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  4. ORTHOSTATIC SUPPORT IN PARAPLEGIC AND AMPUTEE PATIENTS: A CONTROLLED TRIAL

ORTHOSTATIC SUPPORT IN PARAPLEGIC AND AMPUTEE PATIENTS: A CONTROLLED TRIAL

Acta Ortop Bras, 2024 · DOI: http://dx.doi.org/10.1590/1413-785220243201e271849 · Published: January 1, 2024

Spinal Cord InjuryOrthopedicsRehabilitation

Simple Explanation

This study investigates the benefits of using an orthostatic device for people with paraplegia or amputation. The device helps these patients stand upright, and the study looks at how this affects their physical function, pain levels, and other health measures. The results showed improvements in functionality and pain for those using the device compared to a control group, without causing harm.

Study Duration
Ten consecutive days, with a 15-day follow-up
Participants
45 participants: 15 control, 15 amputees, and 15 spinal cord injury patients
Evidence Level
Level II; Therapeutic Studies

Key Findings

  • 1
    The use of the orthostatic device improved functionality in spinal cord injury and amputee groups compared to the control group.
  • 2
    Participants with spinal cord injury experienced reduced pain interference in daily activities after using the device.
  • 3
    Thermography showed a significant temperature decrease in the hip region of the paraplegic group compared to the control group at follow-up.

Research Summary

The study evaluated the effect of an orthostatic device on function, pain, and biomechanical parameters in spinal cord injury and amputee patients. The device was used for ten consecutive days, with measurements taken at baseline, five days, ten days, and a 15-day follow-up. Results indicated improved functionality and reduced pain in the spinal cord and amputee groups, with no adverse effects observed.

Practical Implications

Improved Rehabilitation Strategies

The use of orthostatic devices can be integrated into rehabilitation programs to improve functionality and reduce pain in amputee and spinal cord injury patients.

Enhanced Quality of Life

Reducing pain interference and improving functional independence can lead to an enhanced quality of life for individuals with physical disabilities.

Cardiovascular Stability

The device can provide a safe method to help maintain cardiovascular stability during orthostatic positioning.

Study Limitations

  • 1
    Small sample size
  • 2
    Limitations in locomotion influenced patient availability
  • 3
    Study carried out during the COVID-19 pandemic

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