Computerized Orthotic Prescription System - COPS

计算机化矫形处方系统 - COPS

• 批准号: 8554918
• 负责人: Michael Orendurff
• 金额: $ 57.56万
• 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 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8554918
• 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.

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。AFO调整不当可能会导致中风患者关节疼痛、行走功能下降并增加医疗并发症。因此，由其刚度和对准决定的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。

项目成果

The effects of an articulated ankle-foot orthosis with resistance-adjustable joints on lower limb joint kinematics and kinetics during gait in individuals post-stroke.

• DOI: 10.1016/j.clinbiomech.2018.08.003
• 发表时间: 2018-11
• 期刊: Clinical biomechanics (Bristol, Avon)
• 作者: Kobayashi T;Orendurff MS;Hunt G;Gao F;LeCursi N;Lincoln LS;Foreman KB
• 通讯作者: Foreman KB

The effect of ankle-foot orthosis plantarflexion stiffness on ankle and knee joint kinematics and kinetics during first and second rockers of gait in individuals with stroke.

踝足矫形器跖屈刚度对中风患者步态第一和第二摇动过程中踝关节和膝关节运动学和动力学的影响。

• DOI: 10.1016/j.clinbiomech.2014.09.001
• 发表时间: 2014
• 期刊: Clinical biomechanics (Bristol, Avon)
• 作者: Singer,MadelineL;Kobayashi,Toshiki;Lincoln,LucasS;Orendurff,MichaelS;Foreman,KBo
• 通讯作者: Foreman,KBo

The effect of changing plantarflexion resistive moment of an articulated ankle-foot orthosis on ankle and knee joint angles and moments while walking in patients post stroke.

• DOI: 10.1016/j.clinbiomech.2015.06.014
• 发表时间: 2015-10
• 期刊: Clinical biomechanics (Bristol, Avon)
• 作者: Kobayashi T;Singer ML;Orendurff MS;Gao F;Daly WK;Foreman KB
• 通讯作者: Foreman KB

The effects of alignment of an articulated ankle-foot orthosis on lower limb joint kinematics and kinetics during gait in individuals post-stroke.

铰接式踝足矫形器的对准对中风后个体步态下肢关节运动学和动力学的影响。

• DOI: 10.1016/j.jbiomech.2018.11.019
• 发表时间: 2019
• 期刊: Journal of biomechanics
• 影响因子: 2.4
• 作者: Kobayashi,Toshiki;Orendurff,MichaelS;Hunt,Grace;Gao,Fan;LeCursi,Nicholas;Lincoln,LucasS;Foreman,KBo
• 通讯作者: Foreman,KBo

An articulated ankle-foot orthosis with adjustable plantarflexion resistance, dorsiflexion resistance and alignment: A pilot study on mechanical properties and effects on stroke hemiparetic gait.

• DOI: 10.1016/j.medengphy.2017.02.012
• 发表时间: 2017-06
• 期刊: Medical engineering & physics
• 影响因子: 2.2
• 作者: Kobayashi T;Orendurff MS;Hunt G;Lincoln LS;Gao F;LeCursi N;Foreman KB
• 通讯作者: Foreman KB