All Outputs (40)

Clinicians' perspectives of activity monitoring applications and facilitators for lower-limb prosthetic service provision (2024)
Journal Article
Patricks, V., Granat, M., Twiste, M., Curtin, S., & Worsley, P. (2024). Clinicians' perspectives of activity monitoring applications and facilitators for lower-limb prosthetic service provision. Journal of Prosthetics and Orthotics, https://doi.org/10.1097/JPO.0000000000000518

Introduction Clinicians involved in lower-limb prosthetic provision and care do not have an objective method for measuring patients' real-world prosthesis usage. This results in a poor understanding of the full picture of the patient's everyday life... Read More about Clinicians' perspectives of activity monitoring applications and facilitators for lower-limb prosthetic service provision.

‘A whole different ball game’: the qualitative experience of older adults with a transtibial amputation and the use of a self-aligning prosthetic ankle-foot on the STEPFORWARD trial (2023)
Journal Article
Mitchell, N., Leggett, H., Watson, J., McDaid, C. T., Barnett, C., Twiste, M., & Vanicek, N. (2024). ‘A whole different ball game’: the qualitative experience of older adults with a transtibial amputation and the use of a self-aligning prosthetic ankle-foot on the STEPFORWARD trial. Disability and Rehabilitation, 46(7), 1422-1431. https://doi.org/10.1080/09638288.2023.2199222

Background
Older patients with lower limb amputation, categorised as having “limited community mobility”, are under-researched. Understanding their experience with a new prosthetic ankle-foot is important when designing clinical trials. The aim of t... Read More about ‘A whole different ball game’: the qualitative experience of older adults with a transtibial amputation and the use of a self-aligning prosthetic ankle-foot on the STEPFORWARD trial.

Reliability of three different methods for assessing amputee residuum shape and volume: 3D scanners vs. circumferential measurements (2022)
Journal Article
Seminati, E., Young, M., Canepa Talamas, D., Twiste, M., Dhokia, V., & Bilzon, J. (2022). Reliability of three different methods for assessing amputee residuum shape and volume: 3D scanners vs. circumferential measurements. Prosthetics and Orthotics International, 46(4), 327-334. https://doi.org/10.1097/pxr.0000000000000105

Background: Objective and reliable methods are necessary to monitor and manage amputee residuum shape and volume and design prosthetic residuum-prosthesis interfaces. Portable 3D scanners are potential solutions for digitally recording the amputee re... Read More about Reliability of three different methods for assessing amputee residuum shape and volume: 3D scanners vs. circumferential measurements.

Improving competency in safe patient handling practice through online learning beyond the classroom – a longitudinal study (2022)
Journal Article
Webb, J., Hogg, P., Twiste, M., & Correa, E. (2022). Improving competency in safe patient handling practice through online learning beyond the classroom – a longitudinal study. American Journal of Occupational Therapy, 76(2), 7602205160. https://doi.org/10.5014/ajot.2022.044388

Importance
Safe patient handling is intrinsic to healthcare provision; yet, educational provision of the skills for this are inconsistently delivered, without evidence that traditional face-to-face training reduces risk.
Objective
This study asse... Read More about Improving competency in safe patient handling practice through online learning beyond the classroom – a longitudinal study.

STEPFORWARD study : a randomised controlled feasibility trial of a self-aligning prosthetic ankle-foot for older patients with vascular-related amputations (2021)
Journal Article
Vanicek, N., Coleman, E., Watson, J., Bell, K., McDaid, C., Barnett, C., …Mitchell, N. (2021). STEPFORWARD study : a randomised controlled feasibility trial of a self-aligning prosthetic ankle-foot for older patients with vascular-related amputations. BMJ Open, 11(3), e045195. https://doi.org/10.1136/bmjopen-2020-045195

Objectives: To determine the feasibility of conducting a full-scale randomised controlled trial (RCT) of the effectiveness and cost-effectiveness of a self-aligning prosthetic ankle-foot compared with a standard prosthetic ankle-foot. Design: Multice... Read More about STEPFORWARD study : a randomised controlled feasibility trial of a self-aligning prosthetic ankle-foot for older patients with vascular-related amputations.

Can high-functioning amputees with state-of-the-art prosthetics walk normally? A kinematic and dynamic study of 40 individuals (2020)
Journal Article
Jarvis, H., Reeves, N., Twiste, M., Phillip, R., Etherington, J., & Bennett, A. (2021). Can high-functioning amputees with state-of-the-art prosthetics walk normally? A kinematic and dynamic study of 40 individuals. Annals of Physical and Rehabilitation Medicine, 64(1), 101395. https://doi.org/10.1016/j.rehab.2020.04.007

Background
Previous work has highlighted the highly functional post-rehabilitation level of military individuals who sustained traumatic amputation. Understanding how these individuals walk with their prosthesis could be key to
setting a precedent... Read More about Can high-functioning amputees with state-of-the-art prosthetics walk normally? A kinematic and dynamic study of 40 individuals.

Development and validation of a bespoke phantom to test accuracy of Cobb angle measurements (2019)
Journal Article
Alrehily, F., Hogg, P., Twiste, M., Johansen, S., & Tootell, A. (2020). Development and validation of a bespoke phantom to test accuracy of Cobb angle measurements. Radiography, 26(2), e78-e87. https://doi.org/10.1016/j.radi.2019.11.002

Introduction: Adolescent idiopathic scoliosis (AIS) is a spinal deformity that causes the spine to bend laterally. Patients with AIS undergo frequent X-ray examinations to monitor the progression of the disorder by through the measurement of the Cobb... Read More about Development and validation of a bespoke phantom to test accuracy of Cobb angle measurements.

The accuracy of Cobb angle measurement on CT scan projection radiograph images (2019)
Journal Article
Alrehily, F., Hogg, P., Twiste, M., Johansen, S., & Tootell, A. (2020). The accuracy of Cobb angle measurement on CT scan projection radiograph images. Radiography, 26(2), e73-e77. https://doi.org/10.1016/j.radi.2019.11.001

Introduction: Adolescent idiopathic scoliosis (AIS) is a spinal deformity that can affect young children. It requires frequent exposure to X-rays to monitor the deformity, which can lead to the development of radiation-induced cancer later in life. T... Read More about The accuracy of Cobb angle measurement on CT scan projection radiograph images.

A self-aligning prosthetic device for older patients with vascular-related amputations: Protocol for a randomised feasibility study (the STEPFORWARD study) (2019)
Journal Article
Mitchell, N., Coleman, E., Watson, J., Bell, K., McDaid, C., Barnett, C., …Vanicek, N. (2019). A self-aligning prosthetic device for older patients with vascular-related amputations: Protocol for a randomised feasibility study (the STEPFORWARD study). BMJ Open, 9(9), e032924. https://doi.org/10.1136/bmjopen-2019-032924

Introduction
The majority of older patients with a transtibial amputation are prescribed a standard (more rigid, not self-aligning) prosthesis. These are mostly suitable for level walking, and cannot adjust to different sloped surfaces. This makes w... Read More about A self-aligning prosthetic device for older patients with vascular-related amputations: Protocol for a randomised feasibility study (the STEPFORWARD study).

Scoliosis imaging : an analysis of radiation risk in the CT scan projection radiograph and a comparison with projection radiography and EOS (2019)
Journal Article
Alrehily, F., Hogg, P., Twiste, M., Johansen, S., & Tootell, A. (2019). Scoliosis imaging : an analysis of radiation risk in the CT scan projection radiograph and a comparison with projection radiography and EOS. Radiography, 25(3), https://doi.org/10.1016/j.radi.2019.02.005

Introduction: Scoliosis is defined as a deformity of the spine with lateral curvature in the coronal plane. It requires regular X-ray imaging to monitor the progress of the disorder, therefore scoliotic patients are frequently exposed to radiation. I... Read More about Scoliosis imaging : an analysis of radiation risk in the CT scan projection radiograph and a comparison with projection radiography and EOS.

The impact of hoist sling materials on interface pressure whilst sitting in healthy volunteers and wheelchair users : a comparative study (2017)
Journal Article
Webb, J., Twiste, M., Walton, L., & Hogg, P. (2018). The impact of hoist sling materials on interface pressure whilst sitting in healthy volunteers and wheelchair users : a comparative study. Journal of Tissue Viability, 27(2), 90-94. https://doi.org/10.1016/j.jtv.2017.12.001

Aim of the study
To evaluate the effect of three sling fabrics on gluteal interface pressure whilst sitting in a population of wheelchair users and to compare these to data previously collected in a pilot study with a healthy population.
Material... Read More about The impact of hoist sling materials on interface pressure whilst sitting in healthy volunteers and wheelchair users : a comparative study.

Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA) (2017)
Journal Article
Gardiner, J., Bari, A., Kenney, L., Twiste, M., Moser, D., Zahedi, S., & Howard, D. (2017). Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA). IEEE Transactions on Neural Systems and Rehabilitation Engineering, 25(12), 2418-2426. https://doi.org/10.1109/TNSRE.2017.2763999

Current energy storage and return (ESR) prosthetic
feet only marginally reduce the cost of amputee locomotion
compared to basic solid ankle cushioned heel (SACH) feet,
possibly due to their lack of push-off at the end of stance. To our knowledge,... Read More about Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA).

Temporal spatial and metabolic measures of walking in highly functional individuals with lower limb amputations (2016)
Journal Article
Jarvis, H., Bennett, A., Twiste, M., Phillip, R., Etherington, J., & Baker, R. (2017). Temporal spatial and metabolic measures of walking in highly functional individuals with lower limb amputations. Archives of Physical Medicine and Rehabilitation, 98(7), 1389-1399. https://doi.org/10.1016/j.apmr.2016.09.134

OBJECTIVE:
The aim of this descriptive exploratory study is to record the temporal spatial parameters and metabolic energy expenditure during walking of individuals with amputation, walking with advanced prostheses and following completion of compr... Read More about Temporal spatial and metabolic measures of walking in highly functional individuals with lower limb amputations.

Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off (2016)
Journal Article
Weinert-Aplin, R., Howard, D., Twiste, M., Jarvis, H., Bennett, A., & Baker, R. (2017). Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off. Medical Engineering and Physics, 39, 73-82. https://doi.org/10.1016/j.medengphy.2016.10.005

Reduced capacity and increased metabolic cost of walking occurs in amputees, despite advances in prosthetic componentry. Joint powers can quantify deficiencies in prosthetic gait, but do not reveal how energy is exchanged between limb segments. This... Read More about Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off.

Medial-lateral centre of mass displacement and base of support are equally good predictors of metabolic cost in amputee walking (2016)
Journal Article
Weinert-Aplin, R., Twiste, M., Jarvis, H., Bennett, A., & Baker, R. (2017). Medial-lateral centre of mass displacement and base of support are equally good predictors of metabolic cost in amputee walking. Gait & Posture, 51, 41-46. https://doi.org/10.1016/j.gaitpost.2016.09.024

Amputees are known to walk with greater metabolic cost than able-bodied individuals and establishing predictors of metabolic cost from kinematic measures, such as centre of mass (CoM) motion, during walking are important from a rehabilitative perspec... Read More about Medial-lateral centre of mass displacement and base of support are equally good predictors of metabolic cost in amputee walking.

The effects of prosthetic ankle stiffness on stability of gait in people with trans-tibial amputation (2016)
Journal Article
Major, M., Twiste, M., Kenney, L., & Howard, D. (2016). The effects of prosthetic ankle stiffness on stability of gait in people with trans-tibial amputation. Journal of rehabilitation research and development, 53(6), 839-852. https://doi.org/10.1682/JRRD.2015.08.0148

The ability to control balance during walking is a critical precondition for minimizing fall risk, but is compromised in persons with lower-limb loss due to reduced sensory feedback mechanisms and inability to actively modulate prosthesis mechanical... Read More about The effects of prosthetic ankle stiffness on stability of gait in people with trans-tibial amputation.

Restricting ankle motion via orthotic bracing reduces toe clearance when walking over obstacles (2015)
Journal Article
Evangelopoulou, E., Twiste, M., & Buckley, J. (2016). Restricting ankle motion via orthotic bracing reduces toe clearance when walking over obstacles. Gait & Posture, 43, 251-256. https://doi.org/10.1016/j.gaitpost.2015.10.006

Background: When trans-tibial amputees cross obstacles leading with their prosthesis, foot clearance is achieved using compensatory swing-phase kinematics. Such compensation would suggest able-bodied individuals normally use swing-phase ankle dorsifl... Read More about Restricting ankle motion via orthotic bracing reduces toe clearance when walking over obstacles.

A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods (2014)
Journal Article
Al Qaroot, B., Hogg, P., Twiste, M., & Howard, D. (2014). A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods. Journal of X-Ray Science and Technology, 22(5), 613-625. https://doi.org/10.3233/XST-140449

BACKGROUND: Patients with vertebral column deformations are exposed to high risks associated with ionising radiation exposure. Risks are further increased due to the serial X-ray images that are needed to measure and asses their spinal deformation us... Read More about A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods.

The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait (2013)
Journal Article
Major, M., Twiste, M., Kenney, L., & Howard, D. (2014). The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait. Clinical Biomechanics, 29(1), 98-104. https://doi.org/10.1016/j.clinbiomech.2013.10.012

Background
Previous studies of commercially-available trans-tibial prosthetic components have been unable to provide clear insight into the relationships between prosthetic mechanical properties and user performance (i.e., gait quality and energy ex... Read More about The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait.

Validation of the activPAL activity monitor in children with hemiplegic gait patterns resultant from cerebral palsy (2013)
Journal Article
McAloon, M., Hutchins, S., Twiste, M., Jones, R., & Forchtner, S. (2014). Validation of the activPAL activity monitor in children with hemiplegic gait patterns resultant from cerebral palsy. Prosthetics and Orthotics International, 38(5), 393-399. https://doi.org/10.1177/0309364613506911

Background: Current investigation of treatment outcomes by clinicians is currently hampered by a lack of clinically viable tools. The use of activity monitors specifically validated for a population could help resolve this situation.
Objectives: The... Read More about Validation of the activPAL activity monitor in children with hemiplegic gait patterns resultant from cerebral palsy.