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COMPARISON OF FREQUENCY AND CIRCUMSTANCES OF FALLS AMONG MALE AND FEMALE TRANSFEMORAL PROSTHESIS USERS Zia Rehman; Amna Jehanzeb
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 1 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (977.021 KB) | DOI: 10.36082/jpost.v1i1.645

Abstract

Incidence of amputation rises sharply with age. Most of the amputation occur above the age of 65. Lower limb amputation has a significant impact on the functional ability of the patients. The phenomenon of falls is globally recognized as the most common problem identified by health care workers. The study design is a cross sectional survey to compare the frequency and circumstances of falls among male and female transfemoral prosthetic patients. Out of the 90 patients frequency of fall in ages group 1 (15-30) is n=20, age group 2 (31-45) is n=25, age group 3 (45-60) is n=31 and ages group 4 (60+) is n=14. Also the fall frequency is higher in male patients than female. N=14 reported falls on slippery surface while n=31 reported falls on non-slippery surfaces. Out of 90 patients with Trans femoral prosthesis user n=30 falls because of mobility system failure, n=39 falls because of impaired balance and n=1 falls because of sensory impairment. The results of this study suggest that fall is quite prevalent among ambulatory transfemoral prosthetic patients and should be prioritized to evaluate the circumstances surrounding the fall so that to reduce the future risk of fall.
ATTITUDE OF STUDENTS TOWARDS PEOPLE WITH DISABILITIES Zia Rehman; Laiba Saleem
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 1 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1770.877 KB) | DOI: 10.36082/jpost.v1i1.646

Abstract

Objective. To determine the attitude of students of PIPOS (Pakistan Institute of Prosthetic and Orthotics Sciences) towards people with disabilities. Methods. Cross-sectional study. Pakistan Institute of Prosthetic and Orthotic Sciences Peshawar. Duration of the study was from September 2021 to November 2021. Research strategy for this study was a cross-sectional survey in which census sampling was used and data was collected by using standard questionnaire. Data was collected in PIPOS Peshawar and calculated sample size was 68 students studying in all semesters of PIPOS Peshawar. Out of 68 students 14 students were female and 54 students were male. Results. In this research total 68 students participated in which population of the students 60(80%) had positive attitude while rest of them 8(11%) had negative attitude towards people with disabilities. Mostly all the senior students show positive attitude i.e. semester 4th shows most positive attitude 89%, semester 8th shows second most positive response 88%, semester 6th shows positive response 86% and then semester 2nd shows positive response 80%. Overall attitude of the students was positive towards people with disabilities. Conclusion. The conclusion of our study is that mostly student’s shows positive attitude 80% towards people with disabilities while 11% of students shows a little negative attitude because they don't have much interaction with patients.
DEGREE OF CORRECTION IN BUNION USING DYNAMIC SPLINTS Zia Rehman; Osama Shahid
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 1 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (994.475 KB) | DOI: 10.36082/jpost.v1i1.653

Abstract

Background. Hallux valgus or bunions the most widely recognized issue of the forefoot in grown-ups (1). The deformity of Hallux valgus is reformist, and includes a few phases, yet starts with lateral deviation of the big toe (Hallux) and medially deviation of the first main metatarsal bone. An Hallux valgus angle more prominent than 15 degrees is viewed as unusual yet at such a point the proximal phalanx may in any case be consistent with the metatarsal head when seen on radiographs.(2) The cause of Hallux valgus has been a discuss topic for years, but is likely associated with genetic predisposition, restrictive footwear, other foot deformities such as pronation of the hind foot furthermore, (pes planus, hyper mobility, contracture of the Achilles ligament , and neuromuscular problems, for example, cerebral paralysis and stroke(3). Orthoses have been proposed to lessen the raised plantar weight under the medial ray in patients with Hallux Valgus or bunion and diminish pain (7,8) when joined with a toe separator, orthosis may likewise assist with remedying alignment. Preventing general disability and halting the progression of structural changes are important for the management of hallux valgus. Objectives. To evaluate the clinical effects of dynamic splints on Hallux valgus this study was performed. To measure the degree of correction that can be achieved using the dynamic splints. Methods. Sample size was 8. Hallux valgus patients with age from 15-60 years, Mild, moderate Hallux Valgus, Hallux valgus angle < 40 degree, Both genders. Results. Total sample size was 8, in which 6 (75%) were Female and 2 (25%) were males, and they all are from Peshawar. Total sample size was 8 and Mean of the angle before using the splint is (20.75) and standard deviation among the angle was (2.315). Total sample size was 8 and Mean of the angle after using appliance for 15 day was (19.88) and standard deviation of the total population was (2.58), while the correction achieved in degree of angle has a mean of (1.00) and standard deviation of (0.535). Data was recorded and analyzed through SPSS. Conclusion. The persistence of the effect of orthosis is another point which could be assessed by evaluating changes during the wash-out period. The fact is that the angular changes are related to the time when orthosis is worn, so these changes were returned to first state by doffing the orthosis.
PATIENT SATISFACTION WITH PROVISION OF REHABILITATION SERVICES AT PAKISTAN INSTITUTE OF PROSTHETIC AND ORTHOTIC SCIENCES (PIPOS) PESHAWAR Zia Rehman; Muhammad Salim; Shazia Asif
Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY
Publisher : POLITEKNIK KESEHATAN KEMENKES JAKARTA I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (904.676 KB) | DOI: 10.36082/jpost.v1i2.871

Abstract

Patient satisfaction with the services provided in a prosthetics and orthotics (P&O) facility has rarely been studied. This study aimed to analyze patient satisfaction regarding the services provided by seven prosthetic & orthotic (P&O) facilities at PIPOS Rehabilitation Services Program (PRSP) Peshawar. One hundred fifty patients from P&O facilities who were fitted with a prosthesis, an orthosis, or another device, were asked to rate the overall services provided and whether they were satisfied with the device provided and its delivery time by answering the questions according to their experience, provided in the questionnaire. In total, 72% of the consumers were satisfied with the service provided and with the delivery time, and 28% were not satisfied because of much time consumption. The overall consumer rating of the service provided by P&O facilities is high and mainly depends on the delivery time. The outcomes on the Patient Satisfaction Questionnaire were moderate. In the future, it is essential to study patient satisfaction more extensively to improve the quality of P&O services in daily practice. Additionally, specific questionnaires need to be developed to measure all prosthetic and orthotic care aspects to improve the services.