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      Advances in the clinical application of orthotic devices for stroke and spinal cord injury since 2013

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          Abstract

          Stroke and spinal cord injury are common neurological disorders that can cause various dysfunctions. Motor dysfunction is a common dysfunction that easily leads to complications such as joint stiffness and muscle contracture and markedly impairs the daily living activities and long-term prognosis of patients. Orthotic devices can prevent or compensate for motor dysfunctions. Using orthotic devices early can help prevent and correct deformities and treat muscle and joint problems. An orthotic device is also an effective rehabilitation tool for improving motor function and compensatory abilities. In this study, we reviewed the epidemiological characteristics of stroke and spinal cord injury, provided the therapeutic effect and recent advances in the application of conventional and new types of orthotic devices used in stroke and spinal cord injury in different joints of the upper and lower limbs, identified the shortcomings with these orthotics, and suggested directions for future research.

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          Most cited references85

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          Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

          The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke.
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            Stroke in the 21 st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life

            Stroke is ranked as the second leading cause of death worldwide with an annual mortality rate of about 5.5 million. Not only does the burden of stroke lie in the high mortality but the high morbidity also results in up to 50% of survivors being chronically disabled. Thus stroke is a disease of immense public health importance with serious economic and social consequences. The public health burden of stroke is set to rise over future decades because of demographic transitions of populations, particularly in developing countries. This paper provides an overview of stroke in the 21st century from a public health perspective.
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              Advances and challenges in stroke rehabilitation

              Stroke remains a leading cause of adult disability and the demand for stroke rehabilitation services is growing. Substantial advances are yet to be made in stroke rehabilitation practice to meet this demand and improve patient outcomes relative to current care. Several large intervention trials targeting motor recovery report that participants' motor performance improved, but to a similar extent for both the intervention and control groups in most trials. These neutral results might reflect an absence of additional benefit from the tested interventions or the many challenges of designing and doing large stroke rehabilitation trials. Strategies for improving trial quality include new approaches to the selection of patients, control interventions, and endpoint measures. Although stroke rehabilitation research strives for better trials, interventions, and outcomes, rehabilitation practices continue to help patients regain independence after stroke.
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                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                17 February 2023
                2023
                : 14
                : 1108320
                Affiliations
                Rehabilitation Medicine Department, First Hospital of Jilin University , Changchun, China
                Author notes

                Edited by: Filippo Camerota, Sapienza University of Rome, Italy

                Reviewed by: Claudia Celletti, Umberto 1 Hospital, Italy; Fan Gao, University of Kentucky, United States

                *Correspondence: Zhenlan Li ✉ zhenlan@ 123456jlu.edu.cn

                This article was submitted to Neurorehabilitation, a section of the journal Frontiers in Neurology

                Article
                10.3389/fneur.2023.1108320
                9981677
                36873455
                4f74fe36-3648-4030-a2b8-973f286b012e
                Copyright © 2023 Cui, Cheng, Chen, Xu, Ma, Li, Zhang and Li.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 25 November 2022
                : 27 January 2023
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 85, Pages: 13, Words: 10023
                Funding
                Funded by: Department of Science and Technology of Jilin Province, doi 10.13039/501100011789;
                This work was financially supported by the Science and Technology Department of Jilin Province, China [No. 20200404209YY].
                Categories
                Neurology
                Review

                Neurology
                orthotics,3d-printing,motor dysfunction,stroke,spinal cord injury
                Neurology
                orthotics, 3d-printing, motor dysfunction, stroke, spinal cord injury

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