Microprocessor Stance and Swing Phase controlled Orthotics (MPSSCO): The current state of the evidence

Microprocessor- stance and swing phase controlled orthoses are an important option in the treatment of patients suffering paralysis of the knee-stabilizing muscles. The introduction of the technology has from very early on been accompanied by biomechanical analysis and clinical research.

Following a first randomized controlled x-over trial at the Research Institute of Chicago, two further independent randomized controlled trials are able to present their results: An international multicenter, randomized X-over study in a cohort of 108 patients with increased risk of falling, conducted in Europe and the USA shows significant and clinically relevant improvements in fall risk, number of falls, mobility, and quality of life. A third RCT, conducted in France and Germany, including 38 patients with higher mobility emphasized improvements in mobility, endurance, participation and health utility. Long term results from an international registry complete the findings from the controlled trials.

The symposium introduces the technology and the application in clinical practice. It discusses clinical experience as well as recent clinical evidence. The symposium hopes to spark debate on appropriate patient selection, the role during rehabilitation and practical treatment aspects.

Statement of the objective / learning objectives

We will describe this new treatment method, the underlying functional principles and report on experiences from clinical practice. We will provide insight the latest results of the extensive clinical research in this rapidly developing area.