Foreword from a Clinical Biomechanist, Applied Physiologist and Prosthetist teaching graduate students in Prosthetics & Orthotics. While there are many books on Biomechanics, arguably the quintessential science of limb prosthetics, none addresses the fundamental principles in sufficient detail and depth to be practically useful to the prosthetist, rehabilitation specialist or researcher. Dr. Pitkin’s monograph is an exemplary collection of theoretical principles from his research and o- ers, presented in its clinical and applied biomechanics form. The textbook provides an excellent overview of the many facets of lower limb prosthetic design and engineering for the ardent clinician researcher and student. The book delves into many of the basic concepts that are required knowledge for the clinician and the scientist to have as the foundation for their work. Dr. Pitkin has an e- quent manner in which he reflects on the history and literature to tell the storied evolution of prosthetic design . He takes the reader on a journey to consider his theories, which have substantive foundations to contemplate. By the end of chapter one, we have the basic h- tory and an appreciation for the rationale behind the “rolling joint ankle” with evidence to support his theoretical views.
Lower-Limb Prosthetics and Orthotics: Clinical Concepts is a comprehensive overview of lower-limb prosthetics and orthotics, covering normal and pathological gait, lower-limb biomechanics, clinical applications, as well as prosthetic and orthotic designs and components. Joan Edelstein and Alex Moroz have written Lower-Limb Prosthetics and Orthotics with the clinician's perspective in mind. Clinical management is incorporated throughout the text, including basic surgical concepts, postoperative management, preprosthetic care, and training in the use of devices. Additionally, this text incorporates unique features relevant to physicians such as prescription writing and prosthetic and orthotic construction and modification, as well as, the latest research regarding energy consumption and long-term utilization of prostheses.Chapters Include: Orthotics in neuromuscular diseases Orthotics in pediatrics Functional expectations Gait and activities training Transtibial and transfemoral prostheses and components Transtibial and transfemoral biomechanics, evaluation, and gait analysis Disarticulations and Bilateral Amputations With over 150 line drawings and photographs to supplement the text, Lower-Limb Prosthetics and Orthotics: Clinical Concepts is ideal for clinicians in the fields of physical medicine and rehabilitation, orthopedics, vascular surgery, physical therapy and occupational therapy.
The reader will find in this book a new approach to improving health. The author has called this approach “sanomechanics,” combining the Latin sanus (healthy, sound) and mechanicus (science of the motion of bodies subjected to forces). The focus of sanomechanics is on exercising with an understanding of the biomechanical consequences of the actions. This understanding is based on the author’s theory of the floating skeleton, which postulates a hydraulic connection of synovial joints. The theory explains the greater or lesser success of any exercise utilizing the ability of the human skeleton to absorb and transform forces and moments from the body segments and the environment. This ability vanishes with age and illnesses, and the deeper our understanding of the nature of skeletal functioning is, the better we shall be able to improve, protect, and prolong the skeleton’s health.
Biomechanics is a component of Encyclopedia of Physical Sciences, Engineering and Technology Resources in the global Encyclopedia of Life Support Systems (EOLSS), which is an integrated compendium of twenty one Encyclopedias. The enormous progress in the field of health sciences that has been achieved in the 19th and 20th centuries would have not been possible without the enabling interaction and support of sophisticated technologies that progressively gave rise to a new interdisciplinary field named alternatively as bioengineering or biomedical engineering. Although both terms are synonymous, the latter is less general since it limits the field of application to medicine and clinical practice, while the former covers semantically the whole field of interaction between life sciences and engineering, thus including also applications in biology, biochemistry or the many '-omics'. We use in this book the second, with more general meaning, recalling the very important relation between fundamental science and engineering. And this also recognizes the tremendous economic and social impacts of direct application of engineering in medicine that maintains the health industry as one with the fastest growth in the world economy. Biomechanics, in particular, aims to explain and predict the mechanics of the different components of living beings, from molecules to organisms as well as to design, manufacture and use of any artificial device that interacts with the mechanics of living beings. It helps, therefore, to understand how living systems move, to characterize the interaction between forces and deformation along all spatial scales, to analyze the interaction between structural behavior and microstructure, with the very important particularity of dealing with adaptive systems, able to adapt their internal structure, size and geometry to the particular mechanical environment in which they develop their activity, to understand and predict alterations in the mechanical function due to injuries, diseases or pathologies and, finally, to propose methods of artificial intervention for functional diagnosis or recovery. Biomechanics is today a very highly interdisciplinary subject that attracts the attention of engineers, mathematicians, physicists, chemists, material specialists, biologists, medical doctors, etc. They work in many different topics from a purely scientific objective to industrial applications and with an increasing arsenal of sophisticated modeling and experimental tools but always with the final objectives of better understanding the fundamentals of life and improve the quality of life of human beings. One purpose in this volume has been to present an overview of some of these many possible subjects in a self-contained way for a general audience. This volume is aimed at the following major target audiences: University and College Students, Educators, Professional Practitioners, and Research Personnel.
Written by physiatrists, prosthetics, and therapists at the University of Michigan, this clinically oriented text is designed for busy practitioners managing patients with limb loss who are candidates for, or are undergoing, prosthetic restoration. The goal is to provide an illustrated, state-of-the-art overview of the science and practice of post-amputation care, prosthetic restoration, and functional rehabilitation that maximizes patient independence and quality of life. The text addresses practical questions and problems, such as how to design a care plan or select the best prosthesis for a patient to align with expected activity level or demographic, and is intended as a ready reference to support clinical decision making. The book covers both lower and upper extremity restoration and rehabilitation. Beginning with basic anatomy and kinesiology and a brief recap of surgical principles and post-operative care for amputees, chapters in each section discuss biomechanics, clinical assessment, prosthetic options, writing a complete and detailed prescription for the prosthesis, restoration and management of specific problems by region, and rehabilitation programs and strategies. Common medical issues such as phantom limb sensation and pain, skin problems, and psychological considerations are discussed as well. Prosthetic restoration for special populations and prostheses for sports and recreation are treated in a dedicated section at the end of the book. Chapters will be written in outline format and feature lots of diagrams, photos, and other illustrations for ease of use. Each chapter will conclude with 1-2 case scenarios and 5-8 multiple choice questions with answers and explanations for self-study purposes.
This issue of Clinics in Podiatric Medicine and Surgery is edited by Dr. Peter Blume and Perioperative Management of the Patient with Diabetes Mellitus, Diabetes Mellitus and Peripheral Vascular Disease, Imaging of the Diabetic Foot And Ankle, Current Therapies for Diabetic Foot Infections and Osteomyelitis, Offloading of the Diabetic Foot: Orthotic and Pedorthic Strategies, Prosthetic Management For the Diabetic Amputee, and more.
Computational biomechanics is an emerging research field that seeks to understand the complex biomechanical behaviors of normal and pathological human joints to come up with new methods of orthopedic treatment and rehabilitation. Computational Biomechanics of the Musculoskeletal System collects the latest research and cutting-edge techniques used in computational biomechanics, focusing on orthopedic and rehabilitation engineering applications. The book covers state-of-the-art techniques and the latest research related to computational biomechanics, in particular finite element analysis and its potential applications in orthopedics and rehabilitation engineering. It offers a glimpse into the exciting potentials for computational modeling in medical research and biomechanical simulation. The book is organized according to anatomical location—foot and ankle, knee, hip, spine, and head and teeth. Each chapter details the scientific questions/medical problems addressed by modeling, basic anatomy of the body part, computational model development and techniques used, related experimental studies for model setup and validation, and clinical applications. Plenty of useful biomechanical information is provided for a variety of applications, especially for the optimal design of body support devices and prosthetic implants. This book is an excellent resource for engineering students and young researchers in bioengineering. Clinicians involved in orthopedics and rehabilitation engineering may find this work to be both informative and highly relevant to their clinical practice.
Focusing on the lower extremities and spine, this extensively illustrated text presents a problem-solving approach to the evaluation and prescription of prosthetics and orthotics in physical therapy interventions. Prosthetics and Orthotics presents the latest developments in materials and fabrications, an in-depth analysis of gait deviations and interventions, conditions, psychosocial issues, biomechanics, and more. This invaluable resource also includes pediatric and geriatric perspectives, scientific literature supporting evidence-based practice, exercise and functional activities for the patient, case studies following the APTA's "Guide to Physical Therapist Practice", critical thinking questions, lab activities and practical applications.
The only physical rehabilitation text modeled after the concepts of the APTA’s Guide to Physical Therapist Practice, 2nd Edition, this detailed resource provides the most complete coverage of rehabilitation across the preferred practice patterns of physical therapy all in one place! Each chapter is consistently organized to make it easy to find the information you need, with clear guidelines, examples, and summaries based on the latest clinical evidence to help you improve quality of care and ensure positive patient outcomes. In-depth, evidence-based coverage of more key content areas than any other rehabilitation resource of its kind, including orthopedics, neurology, and wound management, ensures a comprehensive understanding of rehabilitation supported by the latest clinical research. More than 65 case studies present a problem-based approach to rehabilitation and detail practical, real-world applications. Over 600 full-color illustrations clarify concepts and techniques. A FREE companion CD prepares you for practice with printable examination forms and reference lists from the text linked to Medline abstracts and reinforces understanding through interactive boards-style review questions, and vocabulary-building exercises.