Assistive devices: Regaining mobility in myositis

Assistive devices (ADs) refer to external devices adapted to improve tasks and function. The common types of ADs include those improving mobility such as wheelchairs and walkers, positioning devices such as standing frames, custom-made devices (orthotics) such as fitted shoes and braces, and daily l...

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Main Authors: Samira Davalbhakta, Akshay Oswal, Sanat Phatak
Format: Article
Language:English
Published: SAGE Publishing 2020-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=6;spage=175;epage=179;aulast=Davalbhakta
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author Samira Davalbhakta
Akshay Oswal
Sanat Phatak
author_facet Samira Davalbhakta
Akshay Oswal
Sanat Phatak
author_sort Samira Davalbhakta
collection DOAJ
description Assistive devices (ADs) refer to external devices adapted to improve tasks and function. The common types of ADs include those improving mobility such as wheelchairs and walkers, positioning devices such as standing frames, custom-made devices (orthotics) such as fitted shoes and braces, and daily living devices. In inflammatory myositis, ADs are of utility in combating weakness, improving mobility, preventing and treating contractures, preventing falls, and assisting in daily chores. This narrative review looks at the evidence for the use of ADs in myositis and disorders with a similar pattern of muscle weakness (e.g., muscular dystrophy) subsequent to a literature search. A range of devices, from ankle orthoses to robotic exoskeletons, has been used in children with these diseases, and is part of the rehabilitation process. Evidence for their use in inflammatory myositis comes mainly from inclusion body myositis where progression is usual, and distal movement loss additionally affects functionality. In these patients, gait ADs and lower limb orthoses have been shown to be useful. Patient acceptability of these interventions is paramount in choosing the correct device and fit. An interaction of the treating rheumatologist with the physiatrist, the physical therapist, the occupational therapist, and the patient is paramount in ensuring compliance and benefit.
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spelling doaj-art-9c79e58059f447afb2f9f660ff89cdfe2025-02-03T00:25:18ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012020-01-0115617517910.4103/injr.injr_90_20Assistive devices: Regaining mobility in myositisSamira DavalbhaktaAkshay OswalSanat PhatakAssistive devices (ADs) refer to external devices adapted to improve tasks and function. The common types of ADs include those improving mobility such as wheelchairs and walkers, positioning devices such as standing frames, custom-made devices (orthotics) such as fitted shoes and braces, and daily living devices. In inflammatory myositis, ADs are of utility in combating weakness, improving mobility, preventing and treating contractures, preventing falls, and assisting in daily chores. This narrative review looks at the evidence for the use of ADs in myositis and disorders with a similar pattern of muscle weakness (e.g., muscular dystrophy) subsequent to a literature search. A range of devices, from ankle orthoses to robotic exoskeletons, has been used in children with these diseases, and is part of the rehabilitation process. Evidence for their use in inflammatory myositis comes mainly from inclusion body myositis where progression is usual, and distal movement loss additionally affects functionality. In these patients, gait ADs and lower limb orthoses have been shown to be useful. Patient acceptability of these interventions is paramount in choosing the correct device and fit. An interaction of the treating rheumatologist with the physiatrist, the physical therapist, the occupational therapist, and the patient is paramount in ensuring compliance and benefit.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=6;spage=175;epage=179;aulast=Davalbhaktaassistive devicesmuscle weaknessmyositisorthoticsphysical therapy
spellingShingle Samira Davalbhakta
Akshay Oswal
Sanat Phatak
Assistive devices: Regaining mobility in myositis
Indian Journal of Rheumatology
assistive devices
muscle weakness
myositis
orthotics
physical therapy
title Assistive devices: Regaining mobility in myositis
title_full Assistive devices: Regaining mobility in myositis
title_fullStr Assistive devices: Regaining mobility in myositis
title_full_unstemmed Assistive devices: Regaining mobility in myositis
title_short Assistive devices: Regaining mobility in myositis
title_sort assistive devices regaining mobility in myositis
topic assistive devices
muscle weakness
myositis
orthotics
physical therapy
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2020;volume=15;issue=6;spage=175;epage=179;aulast=Davalbhakta
work_keys_str_mv AT samiradavalbhakta assistivedevicesregainingmobilityinmyositis
AT akshayoswal assistivedevicesregainingmobilityinmyositis
AT sanatphatak assistivedevicesregainingmobilityinmyositis