International Journal of Neurosurgery
Volume 3, Issue 2, December 2019, Pages: 21-25
Received: Oct. 27, 2019;
Accepted: Nov. 19, 2019;
Published: Nov. 25, 2019
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Fabiha Alam, Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Center for the Rehabilitation of the Paralysed (CRP), Dhaka Bangladesh
Nadia Afrin Urme, Department of Physiotherapy, Center for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh
Firoz Ahmed Mamin, Department of Physiotherapy, Bangladesh Health Professions Institute (BHPI), Dhaka, Bangladesh
Background: Assistive devices used externally which made for adaptation with appropriate assisted an impaired person to perform their daily functions. It may be simple, low cost types and also controlled by specialized computer software. Various types of positional devices, mobility devices, daily living devices & also prosthetics, orthotics were used for support. Some evidence suggested that assistive devices helped for ambulation & ambulatory function assessment should be depending on the requirements of assistive device uses in neurological conditions especially on stroke and SCI. Study focused that applicationof stretch splint on experimental thumb where reduced the space. But resultshowed that intensive stretch which applied regularly for three months did not reduce thumb web-space contractures. On the other hand, other study suggested everyday used of assistive devices with environmental modification improves GMFS levels in CP children. Another RCT discussed that h-AFO may reduce toe walking on the hemi paretic side into a heel–toe gait pattern & it also controlled excessive ankle plantar flexion in swing phase. This study also focused that h AFO was more effective than dynamic AFO in gait rehabilitation for hemiplegic CP. Objective: To focus on the uses of assistive devices in neurology. Methodology: Study was done by narrative review. Conclusion: Assistive device helped a physiotherapist to achieve maximum goal during rehabilitation in neurological conditions. Some assistive devices were used for treatment purpose as well as ADL modification & it improved, maintain their quality of life. But it was very much important to know the proper use of devices with their rational and important concerning issue about the overuses and inappropriate uses of assistive devices which may lead to more dependency of neurological patients and also negatively impact on their rehabilitation process. If more RCT will be done about the use and effect of assistive devices may help us to clear conception about the uses of assistive devices and its importance on rehabilitation of neurological conditions.
Nadia Afrin Urme,
Firoz Ahmed Mamin,
Commonly Used Assistive Devices in Neurological Conditions, International Journal of Neurosurgery.
Vol. 3, No. 2,
2019, pp. 21-25.
Bateni, H., & Maki, B. E. (2005). Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Archives of physical medicine and rehabilitation, 86 (1), 134-145.
Brooke, M. M., de Lateur, B. J., Diana-Rigby, G. C., &Questad, K. A. (1991). Shoulder subluxation in hemiplegia: effects of three different supports. Archives of physical medicine and rehabilitation, 72 (8), 582-586.
Calabrò, R. S., Cacciola, A., Bertè, F., Manuli, A., Leo, A., Bramanti, A.,...&Bramanti, P. (2016). Robotic gait rehabilitation and substitution devices in neurological disorders: where are we now?. Neurological Sciences, 37 (4), 503-514.
Clark, B. C., Manini, T. M., Ordway, N. R., &Ploutz-Snyder, L. L. (2004). Leg muscle activity during walking with assistive devices at varying levels of weight bearing. Archives of physical medicine and rehabilitation, 85 (9), 1555-1560.
Cornman, J. C., Freedman, V. A., & Agree, E. M. (2005). Measurement of assistive device use: Implications for estimates of device use and disability in late life. The Gerontologist, 45 (3), 347-358.
Field-Fote, E. C., Fluet, G. G., Schafer, S. D., Schneider, E. M., Smith, R., Downey, P. A., &Ruhl, C. D. (2001). The spinal cord injury functional ambulation inventory (SCI-FAI). Journal of rehabilitation medicine, 33 (4), 177-181.
Gitlin, L. N., & Burgh, D. (1995). Issuing assistive devices to older patients in rehabilitation: an exploratory study. The American Journal of Occupational Therapy, 49 (10), 994-1000.
Gupta, A., Taly, A. B., Srivastava, A., &Murali, T. (2010). Guillain-Barre Syndrome–rehabilitation outcome, residual deficits and requirement of lower limb orthosis for locomotion at 1-year follow-up. Disability and rehabilitation, 32 (23), 1897-1902.
Huang, I. C., Sugden, D., &Beveridge, S. (2009). Assistive devices and cerebral palsy: factors influencing the use of assistive devices at home by children with cerebral palsy. Child: care, health and development, 35 (1), 130-139.
Khasnabis, C., Heinicke, M. K., Achu, K., Al Jubah, K., Brodtkorb, S., Chervin, P.,...&Goerdt, A. (2010). Community-based rehabilitation: CBR guidelines.
Lannin, N. A., Horsley, S. A., Herbert, R., McCluskey, A., &Cusick, A. (2003). Splinting the hand in the functional position after brain impairment: a randomized, controlled trial. Archives of physical medicine and rehabilitation, 84 (2), 297-302.
Mahoney, J. E., Sager, M. A., &Jalaluddin, M. (1999). Use of an ambulation assistive device predicts functional decline associated with hospitalization. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 54 (2), M83-M88
Masiero, S., Armani, M., Ferlini, G., Rosati, G., & Rossi, A. (2014). Randomized trial of a robotic assistive device for the upper extremity during early inpatient stroke rehabilitation. Neurorehabilitation and neural repair, 28 (4), 377-386.
Mayaud, L., Cabanilles, S., Van Langhenhove, A., Congedo, M., Barachant, A., Pouplin, S.,...&Hugeron, C. (2016). Brain-computer interface for the communication of acute patients: a feasibility study and a randomized controlled trial comparing performance with healthy participants and a traditional assistive device. Brain-Computer Interfaces, 3 (4), 197-215.
Michael, K. M., Allen, J. K., &Macko, R. F. (2005). Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Archives of physical medicine and rehabilitation, 86 (8), 1552-1556.
Ostensjo, S., Carlberg, E. B., &Vøllestad, N. K. (2005). The use and impact of assistive devices and other environmental modifications on everyday activities and care in young children with cerebral palsy. Disability and Rehabilitation, 27 (14), 849-861.
Roelands, M., Van Oost, P., Stevens, V., Depoorter, A., &Buysse, A. (2004). Clinical practice guidelines to improve shared decision-making about assistive device use in home care: a pilot intervention study. Patient education and counseling, 55 (2), 252-264.
Romkes, J., & Brunner, R. (2002). Comparison of a dynamic and a hinged ankle–foot orthosis by gait analysis in patients with hemiplegic cerebral palsy. Gait & posture, 15 (1), 18-24.
Sohn, M. K., Jee, S. J., Hwang, P., Jeon, Y., & Lee, H. (2015). The effects of shoulder slings on balance in patients with hemiplegic stroke. Annals of rehabilitation medicine, 39 (6), 986.
van de Port, I. G., Kwakkel, G., & Lindeman, E. (2008). Community ambulation in patients with chronic stroke: how is it related to gait speed? Journal of Rehabilitation Medicine, 40 (1), 23-27.
Wang, R. Y., Yen, L. L., Lee, C. C., Lin, P. Y., Wang, M. F., & Yang, Y. R. (2005). Effects of an ankle-foot orthosis on balance performance in patients with hemiparesis of different durations. Clinical rehabilitation, 19 (1), 37-44.