SE Farmer

Robert Jones and Agnes Hunt Orthopaedic Hospital

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Andrew Roberts

Baker Hughes (United Kingdom)

J H Patrick

Manhattan College

Caroline Stewart

Robert Jones and Agnes Hunt Orthopaedic Hospital

W. Bromwich

Robert Jones and Agnes Hunt Orthopaedic Hospital

J. Keeling Patrick

Neil Postans

Robert Jones and Agnes Hunt Orthopaedic Hospital

JH Patrick

Robert Jones and Agnes Hunt Orthopaedic Hospital

Adam H. Sanford

University of Virginia

Rosaline C. M. Quinlivan

National Hospital for Neurology and Neurosurgery

Malcolm Forward

Ghent University Hospital

Cooperative Institutions

Robert Jones and Agnes Hunt Orthopaedic Hospital

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust

Keele University

University of Queensland

UNSW Sydney

North Tyneside General Hospital

Shriners Hospitals for Children - Galveston

Shriners Hospitals for Children

The University of Texas Medical Branch at Galveston

Shriners Hospitals for Children - Erie

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The Use of Stock Orthoses to Assist Gait in Neuromuscular Disorders

Prosthetics and Orthotics International (2006)

SE Farmer Gillian Pearce Jonathan Whittall Rosaline C. M. Quinlivan J H Patrick

This pilot study compares the effect on walking speed, in eight subjects with neuromuscular conditions, of wearing Ligaflex ankle-foot orthoses (AFO), Leafspring orthoses and shoes or with shoes alone. Range of motion, muscle strength and sensation were tested in the lower leg. Subjects underwent a standardized timed 10-m walking test five times in each of the orthoses and shoes as a measure of gait efficiency. A self-administered questionnaire was used to seek the subjects' perceptions of their functional difficulties and their opinions about the relative comfort and stability of these orthoses. Subjects had reduced ranges and strength of dorsiflexion and eversion. Some had proprioceptive deficiencies. Mean walking speed was 0.99 m/s (Leafspring) and 1.1 m/s (Ligaflex or shoes) compared to about 1.3 m/s for a normal population. Repeated measures ANOVA revealed that subjects were significantly slower in Leafspring compared to Ligaflex or to shoes. Questionnaire results rated the Leafspring as least comfortable and the Ligaflex most stable. Providing stability may be more important than assisting foot clearance when weakness is restricted to distal muscles. Further research is required to evaluate the comfort and effectiveness of orthoses to compensate for ankle instability in people with neuromuscular conditions.

Proprioception

10.1080/03093640600585223

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Citations (18)

Early Ambulation Following Dorsal Foot Release Using the “Dynamic Metatarsophalangeal Joint Flexion Tunnel Boot”

Journal of Burn Care & Rehabilitation (2001)

SE Farmer M. Serghiou Adam H. Sanford David N. Herndon

Foot (prosody)

Boot camp

10.1097/00004630-200103002-00206

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Citations (0)

A practical application of transverse plane data in 3 dimensional movement analysis

Gait & Posture (1997)

Anthony P. Roberts Celia Stewart MJ Forward SE Farmer J. Keeling Patrick

10.1016/s0966-6362(97)90072-2

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Conservative treatment of crouch gait

Gait & Posture (1994)

SE Farmer PB Butler

10.1016/0966-6362(94)90026-4

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Dynamic orthoses in the management of joint contracture

Journal of Bone and Joint Surgery - British Volume (2005)

SE Farmer P. J. Woollam J H Patrick Andrew Roberts W. Bromwich

Joint contractures may occur following treatment in an intensive-care unit[1][1] after operations on the leg such as a knee replacement,[2–][2],[4][3] after bed-care in the elderly[5][4] or secondary to neurological,[6–][5],[8][6] neuromuscular[9][7] and arthritic conditions.[10][8] Clinical

Joint Contracture

Muscle contracture

Joint replacement

10.1302/0301-620x.87b3.15445

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Citations (25)

14.7 Measuring hip and knee intra-limb coordination in gait of normal children: Implications for children with cerebral palsy

Gait & Posture (2005)

SE Farmer Caroline Stewart

Motor coordination

Knee flexion

Treadmill

10.1016/s0966-6362(05)80277-2

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Citations (0)

Improvement in gait parameters following late intervention in traumatic brain injury: a long-term follow-up report of a single case

Clinical Rehabilitation (1997)

PB Butler SE Farmer Richard E. Major

Objective: To evaluate the effect of using an optimally adjusted fixed ankle foot orthosis to control knee pain and promote improvement in gait parameters in a subject with hemiplegia following a traumatic brain injury 11 years previously. Design: This is the report of a single case, using gait laboratory facilities to monitor force alignment relative to the knee and single leg balance time with the subject barefoot. Subject: A 35-year-old woman with a right hemiplegia seen 11 years after onset. Intervention: A polypropylene fixed ankle foot orthosis was supplied to the hemiplegic limb and shoe modifications were made to optimize the position of the ground reaction force relative to the knee during stance phase of gait. This orthosis was used on a daily basis for one year. Results: Knee pain was controlled after three months use of the orthosis. Graphical results of force alignment during stance phase of gait are presented for initial assessment and at one and four years postorthotic supply. A large knee-extending effect was noted on the hemiplegic limb at initial assessment and this was reduced by 67% of its initial value at one year. A compensatory early heel lift was initially noted on the opposite limb and this was reduced by 42% of the initial height at one year. These results were maintained at four years. Right leg standing balance was not initially possible but was recorded as 5 s duration at three months and this was maintained at one and at four years. Conclusions: The use of an optimally adjusted ankle foot orthosis was effective in controlling knee pain and improving barefoot gait parameters with maintenance of the improvement after use of the orthosis was discontinued. Further research is required to fully establish the potential of this approach in subjects with traumatic brain injury.

10.1177/026921559701100305

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Citations (24)

Mechanically Applied Stretch in the Treatment of Contractures

Physiotherapy (2002)

W. Bromwich SE Farmer Malcolm Forward Andrew Roberts JH Patrick

Muscle contracture

10.1016/s0031-9406(05)60535-4

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Citations (6)

O013 Development of a ‘Kinetic Index’ to quantify abnormal lower limb moments during gait

Gait & Posture (2008)