Computerized Orthotic Prescription System - COPS

描述（由申请人提供）：踝足矫形器 (AFO) 的刚度和对准应进行最佳调整，以最大限度地发挥其功能。 AFO 调整不当可能会导致关节疼痛、行走功能下降，并增加中风患者的医疗并发症。因此，AFO 配合的相对质量由其刚度和对准决定 患有 AFO 的患者在日常生活中最关心的问题。然而，目前还没有临床工具可以客观地指导矫形师调整 AFO。这导致患者的需求和交付的矫形器之间经常不匹配。拟议工作的目标是为 AFO 开发一种称为计算机矫形处方系统 (COPS) 的新型系统。 COPS 协助矫形师动态调整中风患者的 AFO 刚度和对准。 COPS 由诊断 AFO、直观的临床软件和定制的模块化 AFO 组成。诊断 AFO 和临床软件用于为交付给每位患者的定制模块化 AFO 选择最佳组件。诊断性 AFO 可以对刚度和对准进行微调，并监测踝关节力矩和运动。数据将无线传输到计算机，临床软件将指导如何调整 AFO 的刚度和对准。诊断 AFO 的调整完成后，软件会建议为模块化 AFO 选择哪些组件。 COPS 将为矫形师和患者带来信心，并显着减少 AFO 刚度和对准调整迭代过程的时间。 公共健康相关性：该项目将开发一个系统，可以帮助和改善中风患者的踝足矫形器（AFO）处方。该技术将客观地指导矫形师确定 AFO 的最佳刚度和对准，以方便且经济高效的方式最大限度地提高每位患者的动态功能。

DESCRIPTION (provided by applicant): Stiffness and alignment of ankle-foot orthoses (AFOs) should be tuned optimally to maximize their function. Improperly tuned AFO may induce joint pain, reduced ambulatory function, and increased medical complications for patients with stroke. Therefore, the relative quality of AFOs fit determined by its stiffness and alignment is of paramount concern in the daily lives of patients ambulating with an AFO. However, no clinical tool is currently available that can objectively guide orthotists to tune the AFO. This has led frequent mismatches between the needs of the patient and the delivered orthosis. The objective of the proposed work is to develop a novel system for AFOs called the Computerized Orthotic Prescription System (COPS). COPS assists orthotists in tuning the AFO stiffness and alignment dynamically in patients with stroke. COPS consists of a diagnostic AFO, intuitive clinical software and a custom-made modular AFO. The diagnostic AFO and the clinical software are used to select optimal components for the custom-made modular AFO delivered to each patient. The diagnostic AFO allows fine- tuning of stiffness and alignment and monitors ankle joint moment and motion. The data will be wirelessly transferred to the computer and the clinical software will instruct how the stiffness and alignment of an AFO should be adjusted. Once the tuning of the diagnostic AFO is completed, the software recommends which components should be selected for the modular AFO. The COPS will give confidence to both orthotists and patients and also significantly reduce time for the iterative process of stiffness and alignment tuning of a AFO. PUBLIC HEALTH RELEVANCE: This project will develop a system that can assist and improve the prescription of ankle-foot orthoses (AFOs) for patients with stroke. The technology will objectively guide the orthotists to determine the optimal stiffness and alignment of AFOs to maximize their dynamic function for each patient in an expedient and cost-effective manner.