Ben M. Oldfrey
A scoping review of digital fabrication techniques applied to prosthetics and orthotics: Part 1 of 2—Prosthetics
Oldfrey, Ben M.; Morgado Ramirez, Dafne Z.; Miodownik, Mark; Wassall, Matthew; Ramstrand, Nerrolyn; Wong, Man S.; Danemayer, Jamie; Dickinson, Alex; Kenney, Laurence; Nester, Christopher; Lemaire, Edward; Gholizadeth, Hossein; Diment, Laura E.; Donovan-Hall, Margaret K.; Holloway, Catherine
Authors
Dafne Z. Morgado Ramirez
Mark Miodownik
Matthew Wassall
Nerrolyn Ramstrand
Man S. Wong
Jamie Danemayer
Alex Dickinson
Prof Laurence Kenney L.P.J.Kenney@salford.ac.uk
Professor
Christopher Nester
Edward Lemaire
Hossein Gholizadeth
Laura E. Diment
Margaret K. Donovan-Hall
Catherine Holloway
Abstract
Background: Traditionally, the manufacture of prostheses is time-consuming and labor-intensive. One possible route to improving access and quality of these devices is the digitalizing of the fabrication process, which may reduce the burden of manual labor and bring the potential for automation that could help unblock access to assistive technologies globally. Objectives: To identify where there are gaps in the literature that are creating barriers to decision-making on either appropriate uptake by clinical teams or on the needed next steps in research that mean these technologies can continue on a pathway to maturity. Study design: Scoping literature review. Methods: A comprehensive search was completed in the following databases: Allied and Complementary Medicine Database, MEDLINE, Embase, Global Health Archive, CINAHL Plus, Cochrane Library, Web of Science, Association for Computing Machinery, Institute of Electrical and Electronics Engineers, and Engineering Village, resulting in 3487 articles to be screened. Results: After screening, 130 lower limb prosthetic articles and 117 upper limb prosthetic articles were included in this review. Multiple limitations in the literature were identified, particularly a lack of long-term, larger-scale studies; research into the training requirements for these technologies and the necessary rectification processes; and a high range of variance of production workflows and materials which makes drawing conclusions difficult. Conclusions: These limitations create a barrier to adequate evidence-based decision-making for clinicians, technology developers, and wider policymakers. Increased collaboration between academia, industry, and clinical teams across more of the pathway to market for new technologies could be a route to addressing these gaps.
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 1, 2024 |
Online Publication Date | Apr 16, 2024 |
Publication Date | Apr 16, 2024 |
Deposit Date | Apr 19, 2024 |
Publicly Available Date | Apr 29, 2024 |
Journal | Prosthetics & Orthotics International |
Print ISSN | 0309-3646 |
Electronic ISSN | 1746-1553 |
Publisher | SAGE Publications |
Peer Reviewed | Peer Reviewed |
DOI | https://doi.org/10.1097/pxr.0000000000000351 |
Keywords | Rehabilitation; Health Professions (miscellaneous) |
Files
Published Version
(2.7 Mb)
PDF
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
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