What is the relationship between Toes To Waist Band (TTWB) and Left Lower Extremity (LLE)

From the Guidelines

There is no direct relationship between Toes To Waist Band (TTWB) and Left Lower Extremity (LLE) as TTWB is not a recognized medical term or concept, and the provided evidence does not support its existence or relevance to LLE. The provided evidence focuses on adaptive equipment, mobility aids, and orthotics for patients with stroke or peripheral arterial diseases, but does not mention TTWB.

• The evidence from 1 discusses the use of assistive devices, such as canes, walkers, and wheelchairs, to improve mobility and reduce the risk of falls in patients with stroke.
• The evidence from 1 discusses medical treatment options for peripheral arterial diseases, including statins, calcium antagonists, and ACEIs/ARBs, but does not mention TTWB or its relationship to LLE. In the context of weight-bearing restrictions, a more common term is Toe Touch Weight Bearing (TTWB), which allows a patient to touch only their toes to the ground for balance while using assistive devices, but this is not directly related to the term Toes To Waist Band.
• Patients with weight-bearing restrictions, such as TTWB, should maintain the restriction until their healthcare provider advances their weight-bearing status, usually after clinical and radiographic evidence of adequate healing, as mentioned in the example answer. However, without further information or context, it is not possible to provide a definitive answer on the relationship between TTWB and LLE, as TTWB is not a recognized medical term or concept.
• The provided evidence prioritizes the use of assistive devices and orthotics to improve mobility and reduce the risk of falls, and medical treatment options to improve limb symptoms and salvage, as seen in 1 and 1.

From the Research

Relationship Between Toes To Waist Band (TTWB) and Left Lower Extremity (LLE)

There is no direct evidence in the provided studies to establish a relationship between Toes To Waist Band (TTWB) and Left Lower Extremity (LLE).

Weight Bearing and Lower Extremity

• Studies have investigated patient compliance with postoperative weight-bearing restrictions for lower extremity injuries 2, 3.
• Factors such as age, gender, weight, and physical activity have been evaluated to determine their influence on weight-bearing compliance 2.
• The time of year has been found to significantly affect weight-bearing compliance, with greater weight-bearing observed in warmer months 3.
• Complications following lower extremity trauma, including wound infection, nonunion, and osteomyelitis, have been reported 4.

Patient-Reported Outcomes for Lower Extremity Trauma

• A patient-reported outcome instrument, the LIMB-Q, has been developed to assess the aspects of limb salvage and amputation most important to patients 5.
• The LIMB-Q covers 10 major themes, including appearance, environment, finances, physical, process of care, prosthesis, psychological, sexual, social, and treatment.

Weight-Bearing Rehabilitation Protocols

• Immediate weight-bearing as tolerated (WBAT) rehabilitation protocols have been assessed for safety after surgical fixation of clavicle fractures in patients with lower extremity fractures 6.
• The study found no significant difference in hardware failure or union of fracture between WBAT and non-weight-bearing (NWB) cohorts 6.