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Content available remote Development of Ergonomically Designed Functional Bra for Women with Hemiplegia
EN
Hemiplegia is the lifelong paralysis, caused by brain stroke that affects one side of the body. Stroke exerts a great threat to patient’s health and lives, and hemiplegia after stroke may severely affect their activities of daily life including self-dressing that causes fatigue and frustration and ultimately ended with “dependence on others.” This situation damages the sense of dignity, especially for women, while independently dressing intimate apparel like bra. The research through the design approach is used as the conceptual framework to design and evaluate bra for the women with hemiplegia. Three design criteria were identified from which specifications were developed, and their interrelationships explored through an interaction matrix. This article presents a research work on improving bra design, adjusted to the special needs and demands of an individual with hemiplegia, by using bi-layer knitted fabric, magnetic fasteners, and shape-memory alloys. The findings of the current study showed that adaptive bra design offers independence, concealment of the disability, and comfort and psychological contentment. This adaptive bra promotes the harmony between functionality and esthetics.
EN
Purpose: Hemiplegia is a paralysis on one side of the body resulting from disease or injury to the motor centers of the brain that may lead to difficulty in walking and problems in balance. A new methodology for hemiplegia gait patterns classification based on bicluster analysis, which aims to identify a group of patients with similar gait patterns, and verify if spatial-temporal gait parameters are correlated with the Barthel Index, has been proposed. Methods: Eighteen hemiplegia patients were recruited. Measurements included spatial-temporal gait parameters and joint moments. Gait data were measured using a motion tracking system and two force platforms. Bicluster analysis was used to classify the subjects' gait patterns. The relation between Barthel Index and spatial-temporal gait parameters was determined based on the Spearman correlation. Results: A high correlation between spatial-temporal gait parameters and Barthel Index (r > .5, p < .05) was observed. Well-separated biclusters presenting similarity among the lower limb joints during the gait cycles were obtained from the data. Conclusions: Bicluster analysis can be useful for identifying patients with similar gait patterns. The relation between the gait patterns and the underlying impairments would allow clinicians to target rehabilitation strategies at the patient’s individual needs.
PL
U pacjentów z niedowładem połowiczym występuje znacznie zaburzony wzorzec chodu. Przeprowadzono analizę rozkładu sił i symetrii ciała przy zastosowaniu standardowego zaopatrzenia ortopedycznego podczas reedukacji chodu u pacjentów z hemiplegią. Artykuł ma na celu zwrócenie uwagi na potrzebę bardzo ostrożnego doboru zaopatrzenia ortopedycznego dla pacjentów z niedowładem połowiczym oraz przedstawia alternatywne metody postępowania.
EN
Analysis of force and symmetry distribution with the use of standard orthopedic devices during the walking reeducation among patients with hemiparesis. The aim of article is to pay attention for the need of strictly carefully selection of orthopedic devices for patients with hemiparesis and to show alternative methods of coping.
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