Prevalence of use of lower limb orthoses by people with spinal cord injury post-rehabilitation
DOI:
https://doi.org/10.4025/ciencuidsaude.v24i1.74549Keywords:
Spinal Cord Injuries, Rehabilitation, Rehabilitation Nursing, Orthotic Devices, Activities of Daily LivingAbstract
Objetivo: to describe the prevalence of use of lower limb orthoses in the daily home of people with spinal cord injury after physical rehabilitation program. Method: quantitative, cross-sectional and descriptive study, developed with 121 individuals with spinal cord injury in a rehabilitation center in southern Brazil, between October 2019 and January 2020. Data were collected through interviews guided by a semi-structured script. They were analyzed in IBM SPSS Statistics 22, with the Kolmogorov-Smirnov test for normality, and the Pearson Chi-square and Mann-Whitney U tests for statistical analysis. Results: of the 121 individuals with spinal cord injury, 60.3% (n=73) received lower limb orthoses. Of these, 65.7% (n=48) maintained the use of orthoses for three days per week in daily household and 34.2% (n=25) stopped using the orthoses after the rehabilitation program. Conclusion: the low prevalence of use of lower limb orthoses in the home, post-rehabilitation program, can compromise the health and quality of the individual with spinal cord injury, leading to waste of public spending. Thus, it is inferred that the monitoring of these individuals and awareness of the benefits of using them can contribute to the adherence to the use of this assistive technology in daily home post-rehabilitation program.
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References
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20. Barbiellini Amidei C, Salmaso L, Bellio S, Saia M. Epidemiology of traumatic spinal cord injury: a large population-based study. Spinal Cord. 2022; 60:812–819. DOI: https://doi.org/10.1038/s41393-022-00795-w
21. Rodrigues SS, Pacífico GC, Buosi BP, Ponce KB, de Castro Amorim ML, Lopes KAT. Perfil epidemiológico de indivíduos com lesão medular atendidos pelo programa de atividades motoras para deficientes na cidade de Manaus. Revista da Associação Brasileira de Atividade Motora Adaptada. 2021; 21(2):225-236. DOI: https://doi.org/10.36311/2674-8681.2020.v21n2.p225-236
22. Liu J, Liu HW, Gao F, Li J, Li JJ. Epidemiological features of traumatic spinal cord injury in Beijing, China. The Journal of Spinal Cord Medicine. 2022; 45(2):214-220. DOI: https://doi.org/10.1080/10790268.2020.1793505
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24. Wang ZM, Zou P, Yang JS, Liu TT, Song LL, Lu, Y et al. Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study. Journal of orthopaedic surgery and research. 2020; 15:1-7. DOI: https://doi.org/10.1186/s13018-020-01729-z
25. Rocha MA, Coura AS, França ISX de, Feijão AR, Almeida IJS de, Aragão J da S. Funcionalidade familiar e estratégias de enfrentamento em pessoas com lesão medular. Acta paul enferm [Internet]. 2021; 34:eAPE000635. DOI: https://doi.org/10.37689/acta-ape/2021AO000635
26. Moreno FT de H. Aderência ao tratamento com órteses, próteses e meios auxiliares de locomoção dispensados através do programa de OPM. 2021. [Dissertação] São Paulo (SP). Programa de Mestrado Profissional em Medicina, da Faculdade de Medicina da USP de Ribeirão Preto. Universidade de São Paulo - USP. 2021.
27. Chen S, Wang Z, Li Y, Tang J, Wang X, Huang L et al. Safety and feasibility of a novel exoskeleton for locomotor rehabilitation of subjects with spinal cord injury: a prospective, multi-center, and cross-over clinical trial. Frontiers in neurorobotics. 2022; 16, 848443. DOI: https://doi.org/10.3389/fnbot.2022.848443
28. de Jong L, Kerkum YL, de Groot, T, Vos-van der Hulst M, van Nes IJ, Keijsers NL. Assessment of the shank-to-vertical angle while changing heel heights using a single inertial measurement unit in individuals with incomplete spinal cord injury wearing an ankle-foot-orthosis. Sensors. 2021; 21(3):985. DOI: https://doi.org/10.3390/s21030985
29. Febrer-Nafría M, Fregly BJ, Font-Llagunes JM. Evaluation of optimal control approaches for predicting active knee-ankle-foot-orthosis motion for individuals with spinal cord injury. Frontiers in Neurorobotics. 2022; 15:748148. DOI: https://doi.org/10.3389/fnbot.2021.748148
30. Koyuncu E, NakipoÄŸlu Yüzer G, Çam P, Özgirgin N. Investigating the status of using lower extremity orthoses recommended to patients with spinal cord injury. Spinal Cord. 2016; 54:996–1000. DOI: https://doi.org/10.1038/sc.2016.39
2. Cui Y, Cheng S, Chen X, Xu G, Ma N, Li H et al. Advances in the clinical application of orthotic devices for stroke and spinal cord injury since 2013. Front Neurol. 2023; 14:1108320. DOI: https://doi.org/10.3389/fneur.2023.1108320
3. Fallahzadeh Abarghuei A, Karimi MT. The Effects of Lower Limb Orthoses on Health Aspects of the Spinal Cord Injury Patients: A Systematic Review Using International Classification of Functioning, Disability, and Health (ICF) as a Reference Framework. Med J Islam Repub Iran. 2022; 36:153. DOI: https://doi.org/10.47176/mjiri.36.153
4. Pereira JDS, Xavier ASMS, Monteiro RDS, Cruz VV, Pereira MFDS, Tholl AD et al. 3D-printed orthoses and prostheses for people with physical disability in rehabilitation centers: a scoping review. BMC Musculoskelet Disord. 2024; 25:783. DOI: https://doi.org/10.1186/s12891-024-07875-3
5. Zhang C, Li N, Xue X, Lu X, Li D, Hong Q. Effects of lower limb exoskeleton gait orthosis compared to mechanical gait orthosis on rehabilitation of patients with spinal cord injury: A systematic review and future perspectives. Gait & Posture. 2023; 102: 64-71. DOI: https://doi.org/10.1016/j.gaitpost.2023.03.008
6. Barati K, Kamyab M, Kamali M. Comparison of the quality of life in individuals with spinal cord injury wearing either reciprocating gait orthosis or hip knee ankle foot orthosis: a cross-sectional study. Disability and Rehabilitation: Assistive Technology. 2021; 16(6), 562-566. DOI: https://doi.org/10.1080/17483107.2019.1685014
7. Dantas VLGSF, Marques KBBV, de Sousa LVC. Treino de ortostatismo na lesão medular. Reabilitação: Teoria e Prática. 2022 [acesso em: 07 nov. 2024], 175. Disponível em: https://books.google.com.br/books?hl=pt-BR&lr=&id=pviTEAAAQBAJ&oi=fnd&pg=PA177&dq=Treino+de+ortostatismo+na+les%C3%A3o+medular.&ots=9msIbmu3zf&sig=XMhKNV2L-wRoNXLTsBObroMYyYM&redir_esc=y#v=onepage&q=Treino%20de%20ortostatismo%20na%20les%C3%A3o%20medular.&f=false.
8. Lima TCS, Tholl AD, Nitschke RG, Veigas SMF, Cruz DA, Silva, TC. Support networks in the continuum rehabilitation process in the daily life of people with spinal cord injury. Ciencia Cuid Saúde. 2023; 22:e6589. DOI:
https://doi.org/ 10.4025/ciencuidsaude.v22i0.65897
9. Tholl AD, Nitschke RG, Viegas SM da F, Potrich T, Marques-Vieira C, Castro FFS. Strenghts and limits in the daily life of the adherence to rehabilitation of people with spinal cord injury and their families. Texto contexto - enferm [Internet]. 2020; 29:e20190003. DOI: https://doi.org/10.1590/1980-265X-TCE-2019-0003
10. SavaÅŸ S, AydoÄŸan Ç. Factors affecting orthosis adherence after acute traumatic hand tendon repairs: A prospective cohort study. Journal of Hand Therapy. 2020; 35(1):32-40. DOI: https://doi.org/10.1016/j.jht.2020.10.005
11. Van Netten JJ, Jarl G, Postema K, Williams AE. A toolkit for prosthetists and orthotists to facilitate progress in professional communication over the next 50 years. Prosthet Orthot Int. 2020; 44(6):408-415. DOI: https://doi.org/10.1177/0309364620962325
12. Riberto M, Alves LBP, Honorato DLP, Galliano FT, Albuquerque TVC, Herrero CFPS. Study of cost determinants in the care of subjects with traumatic spinal cord injury. Acta Fisiátr. 2023; 30(1):7-12. DOI: https://doi.org/10.11606/issn.23170190.v30i1a206648
13. Cardoso ECF. Análise da relação público-privada e a utilização de OPME no SUS.2019. 33 p. Monografia (Graduação de Ciências Contábeis) – Universidade de Brasília, Brasília, 2019 [acesso em: 08 nov. 2024]. Disponível em: https://bdm.unb.br/bitstream/10483/22762/1/2019_EduardaCristinaFreireCardoso_tcc.pdf.
14. Chagas CP das, Santos FP dos. Efeitos do gasto com a judicialização da saúde no orçamento da Secretaria Estadual de Saúde do Distrito Federal entre 2013 e 2017. Cadernos Ibero-Americanos de Direito Sanitário. 2018; 7(2):147-172. DOI: https://doi.org/10.17566/ciads.v7i2.496
15. van Diemen T, Verberne DP, Koomen PS, Bongers-Janssen HM, van Nes IJ. Interdisciplinary follow-up clinic for people with spinal cord injury: a retrospective study of a carousel model. Spinal Cord Series and Cases. 2021; 7(1):86. DOI: https://doi.org/10.1038/s41394-021-00451-0
16. Desmond D, Gallagher P. Reflections and future directions for psychological science in Prosthetics and Orthotics International. Prosthet Orthot Int. 2020; 44(6):402-407. DOI: https://doi.org/10.1177/0309364620967780
17. Yemisci OU, Ozen S, Saracgil CSN, Afsar SI. Compliance with Long-Term Use of Orthoses Following Spinal Cord Injury. Neurology India. 2022; 70(2):618-622. DOI: https://doi.org/10.4103/0028-3886.344618
18. Faleiros F, Marcossi M, Ribeiro O, Tholl A, Freitas G, Riberto M. Epidemiological profile of spinal cord injury in Brazil. The Journal of Spinal Cord Medicine. 2022; 46(1):75–82. DOI: https://doi.org/10.1080/10790268.2021.1947679
19. Tholl AD, Lima TCS, Nogueira SPBO, Faleiros F, Viegas SM da F, Marques-Vieira C et al. Labour market participation among rehabilitated individuals
with spinal cord injury in Brazil: a cross-sectional study. Spinal Cord. 2023; 61:119–124. DOI: https://doi.org/10.1038/s41393-022-00846-2
20. Barbiellini Amidei C, Salmaso L, Bellio S, Saia M. Epidemiology of traumatic spinal cord injury: a large population-based study. Spinal Cord. 2022; 60:812–819. DOI: https://doi.org/10.1038/s41393-022-00795-w
21. Rodrigues SS, Pacífico GC, Buosi BP, Ponce KB, de Castro Amorim ML, Lopes KAT. Perfil epidemiológico de indivíduos com lesão medular atendidos pelo programa de atividades motoras para deficientes na cidade de Manaus. Revista da Associação Brasileira de Atividade Motora Adaptada. 2021; 21(2):225-236. DOI: https://doi.org/10.36311/2674-8681.2020.v21n2.p225-236
22. Liu J, Liu HW, Gao F, Li J, Li JJ. Epidemiological features of traumatic spinal cord injury in Beijing, China. The Journal of Spinal Cord Medicine. 2022; 45(2):214-220. DOI: https://doi.org/10.1080/10790268.2020.1793505
23. Cordeiro de Faria M, Rocha AS, Oliveira MC, Souza TD, Silva FAR da, Corrêa PFL. Interferência da dor neuropática no nível de independência funcional em indivíduos com lesão medular. Rev Neurocienc. 2022; 30:1-19. DOI: https://doi.org/10.34024/rnc.2022.v30.11745
24. Wang ZM, Zou P, Yang JS, Liu TT, Song LL, Lu, Y et al. Epidemiological characteristics of spinal cord injury in Northwest China: a single hospital-based study. Journal of orthopaedic surgery and research. 2020; 15:1-7. DOI: https://doi.org/10.1186/s13018-020-01729-z
25. Rocha MA, Coura AS, França ISX de, Feijão AR, Almeida IJS de, Aragão J da S. Funcionalidade familiar e estratégias de enfrentamento em pessoas com lesão medular. Acta paul enferm [Internet]. 2021; 34:eAPE000635. DOI: https://doi.org/10.37689/acta-ape/2021AO000635
26. Moreno FT de H. Aderência ao tratamento com órteses, próteses e meios auxiliares de locomoção dispensados através do programa de OPM. 2021. [Dissertação] São Paulo (SP). Programa de Mestrado Profissional em Medicina, da Faculdade de Medicina da USP de Ribeirão Preto. Universidade de São Paulo - USP. 2021.
27. Chen S, Wang Z, Li Y, Tang J, Wang X, Huang L et al. Safety and feasibility of a novel exoskeleton for locomotor rehabilitation of subjects with spinal cord injury: a prospective, multi-center, and cross-over clinical trial. Frontiers in neurorobotics. 2022; 16, 848443. DOI: https://doi.org/10.3389/fnbot.2022.848443
28. de Jong L, Kerkum YL, de Groot, T, Vos-van der Hulst M, van Nes IJ, Keijsers NL. Assessment of the shank-to-vertical angle while changing heel heights using a single inertial measurement unit in individuals with incomplete spinal cord injury wearing an ankle-foot-orthosis. Sensors. 2021; 21(3):985. DOI: https://doi.org/10.3390/s21030985
29. Febrer-Nafría M, Fregly BJ, Font-Llagunes JM. Evaluation of optimal control approaches for predicting active knee-ankle-foot-orthosis motion for individuals with spinal cord injury. Frontiers in Neurorobotics. 2022; 15:748148. DOI: https://doi.org/10.3389/fnbot.2021.748148
30. Koyuncu E, NakipoÄŸlu Yüzer G, Çam P, Özgirgin N. Investigating the status of using lower extremity orthoses recommended to patients with spinal cord injury. Spinal Cord. 2016; 54:996–1000. DOI: https://doi.org/10.1038/sc.2016.39
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2025-04-30
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Prevalence of use of lower limb orthoses by people with spinal cord injury post-rehabilitation. (2025). Ciência, Cuidado E Saúde, 24(1). https://doi.org/10.4025/ciencuidsaude.v24i1.74549
