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All Journal Journal of Prosthetics Orthotics and Science Technology (JPOST)
Uzma, Bibi
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Health Professions Materials Science & Nanotechnology Nursing Public Health

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Effectiveness of Lateral Heel Wedge in Patient Suffering from Knee Osteoarthritis Faim, Zarmina; Khan, Muhammad Kamran; Shah, Wisal; Uzma, Bibi
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 2 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v2i2.1194

Abstract

Background: Knee osteoarthritis, which most commonly affects the medial compartment of the knee, is a chronic joint disorder that imposes a major healthcare burden. As no cure exists, traditional management aims to reduce pain, improve function, and enhance the quality of life while minimizing the adverse effects of therapy. Non-drug conservative interventions are considered the first-line approach to osteoarthritis management. Patients with medial compartment osteoarthritis of the knee typically exhibit genu varum on weight-bearing. This misalignment shifts the mechanical axis medially at the level of the knee joint, increasing the stresses on the medial compartment of the knee and potentially exacerbating knee osteoarthritis. Methods: The study design was a cross-sectional survey to determine the effectiveness of the lateral heel wedge in patients suffering from knee osteoarthritis. This study was conducted at the Pakistan Institute of Prosthetic and Orthotic Sciences in Peshawar. Results: This study concluded that there is a considerable effectiveness of the lateral heel wedge in patients with OA knee. There is some evidence to suggest that they do have some symptomatic effect, and it also shows that the ratio of females to males is high. Additionally, the rate of Knee OA is greater in older age.  
The Etiology of Upper Extremity Amputation in Lower Punjab Pakistan Khan, Muhammad Kamran; Israr, HM; Shah, Wisal; Uzma, Bibi
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1510

Abstract

Background: Amputation, a common orthopedic procedure, is often necessary due to severe trauma or vascular diseases, yet it can lead to psychological issues. This study investigates the causes of upper limb amputation in a specific region of Pakistan to raise awareness and mitigate risks. Aims: To identify causes of upper limb amputation in a specific region of Pakistan and raise awareness to prevent such occurrences. Methods: A cross-sectional study was conducted on upper limb amputations in South Punjab between January 2015 and June 2017. Data from 1174 patients, collected at the Physical Rehabilitation Centre in Muzaffargarh, were analyzed based on age, gender, amputation level, and affected side using HMIS, PMRN, and Microsoft Excel. Results: Analysis revealed a male-to-female ratio of 824:350, with the highest incidence among individuals aged 31 to 45. Crush injuries, primarily caused by the "TOKKA" machine, accounted for 66.4% of cases, followed by road traffic accidents at 10.7%. Domestic violence and electric shocks were also observed. Conclusion: Crush injuries from the "TOKKA" machine were the leading cause of upper limb amputations, highlighting the need for machinery safety awareness. Additionally, promoting protective gear use like helmets and early intervention in domestic violence can help reduce such injuries.
Comparison the Posterior Shell and Posterior Leaf Spring Socket Design for Syme’s Amputee in Terms of Normal Gait Kinematics: Case Study Shah, Wisal; Uzma, Bibi; Khan, Muhammad Kamran
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (784.669 KB) | DOI: 10.36082/jpost.v2i1.975

Abstract

Background: Syme’s amputee patient commonly walks on the distal end of the stump. Two types of sockets are commonly prescribed to these patients; Syme socket with either complete posterior shell or leaf spring design. The purpose of this kinematic study was to compare the effectiveness of both these socket designs in terms of different gait variables. Methods: The study design was a case study, therefore, only a single syme’s amputee was selected for data collection. Both posterior shell and posterior leaf spring sockets were made for the study participant. The study participant was given the opportunity to use each socket for 15 days before data collection in 2D gait analysis lab. The data was compared with normal gait values, so the socket which had gait parameter values was closer to the normal gait kinematic values. That was considered as the most effective socket. Results: The results of this study showed that the posterior leaf spring socket design has closer to normal Stance phase (62%) as compared to complete posterior shell design (65%). Similarly, the values of swing phase were 38% for leaf spring design and 35% for posterior shell design which clearly indicate that the posterior leaf spring socket design is more effective than posterior shell socket design.
Co-Authors Faim, Zarmina Israr, HM Khan, Muhammad Kamran Shah, Wisal