Computerized Orthotic Prescription System - COPS

计算机化矫形处方系统 - COPS

• 批准号: 8395376
• 负责人: Toshiki Kobayashi
• 金额: $ 72.73万
• 依托单位: ORTHOCARE INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-28 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8395376
• 关键词: Algorithms; Ankle; Arthralgia; Automobile Driving; Biomechanics; Caring; Characteristics; Clinic; Clinical; Code; Color; Computer software; Computers; Custom; Data; Development; Diagnosis; Diagnostic; Diagnostic tests; Effectiveness; Electronics; Evaluation; Feedback; Foot Deformities; Gait; Individual; Lower Extremity; Mechanics; Monitor; Motion; Orthotic Devices; Patients; Performance; Phase; Positioning Attribute; Process; Prosthesis; Publishing; Relative (related person); Research; Resistance; Shoes; Small Business Innovation Research Grant; Stroke; System; Technology; Testing; Time; Validation; Walking; Wireless Technology; Work; ankle joint; computerized; cost; cost effective; design; experience; foot; graphical user interface; improved; instrument; medical complication; novel; orthotics; post stroke; prototype; research clinical testing; retinal rods; software systems; tool

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.

描述（由申请人提供）：踝足矫形器（AFO）的刚度和对线应进行优化调整，以最大限度地发挥其功能。调整不当的AFO可能会导致关节疼痛，降低行走功能，并增加中风患者的医疗并发症。因此，由其刚度和对准确定的AFO配合的相对质量是 AFO是患者日常生活中最重要的问题。然而，目前没有临床工具可以客观地指导矫形师调整AFO。这导致患者的需求与所提供的矫形器之间经常不匹配。拟议的工作的目标是开发一个新的系统AFO称为计算机化矫形处方系统（COPS）。COPS辅助矫形师动态调整中风患者的AFO刚度和对线。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组配式AFO选择最佳组件。诊断AFO允许微调刚度和调整，并监测踝关节力矩和运动.数据将被无线传输到计算机，临床软件将指导如何调整AFO的刚度和对线。一旦诊断AFO的调整完成，软件会建议应该为模块化AFO选择哪些组件。COPS将给矫形师和患者带来信心，并显著减少AFO刚度和对线调整的迭代过程的时间。 公共卫生相关性：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的最佳刚度和对线，以方便和具有成本效益的方式最大限度地提高每位患者的动态功能。