Prosthetics and Orthotics International最新文献

{"title":"Normative population data for the Orthotics and Prosthetics User's Survey (OPUS) Client Satisfaction with Services (CSS) module in Australia: A pilot study.","authors":"Emily Ridgewell, Anastasia Haloulos, Jessica Landers, Michael P Dillon","doi":"10.1097/PXR.0000000000000456","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000456","url":null,"abstract":"<p><strong>Background: </strong>Many funding and accreditation bodies require orthotic and prosthetic (O&P) services to measure consumer satisfaction. While the Orthotics and Prosthetics User's Survey Client Satisfaction with Services (OPUS-CSS) module is a valid and reliable instrument to measure consumer satisfaction with O&P services, there are no normative population data to facilitate benchmarking.</p><p><strong>Objectives: </strong>Describe normative population data for the OPUS-CSS in Australia and identify demographic and service-related factors for the most and least satisfied quartiles.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Participants were adult O&P consumers, or parents/guardians of pediatric O&P consumers. Consumers were convenience sampled from O&P services enrolled in the Australian Orthotic Prosthetic Association Consumer Experience Program. As part of the Consumer Experience Program, an electronic survey was administered when a new orthosis/prosthesis was provided. The survey included demographics, service-related factors, and the OPUS-CSS module.</p><p><strong>Results: </strong>Consumers (n = 180) were highly satisfied with the O&P service they received (OPUS-CSS median score 78.7, interquartile range 55.1-100); acknowledging the distribution of scores was positively skewed with a ceiling effect. The factors that varied most between the upper and lower quartiles included age, education, income, work status, number of comorbidities, identifying as Aboriginal or Torres Strait Islander, and speaking a language other than English at home.</p><p><strong>Conclusions: </strong>On average, consumers were highly satisfied with the O&P services received. Given the ceiling effect, the OPUS-CSS may not adequately distinguish between consumers who were highly satisfied. These pilot data can help inform future research to identify the factors that most influence consumer satisfaction with O&P services.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the rationale for prescribing ankle-foot orthoses and supramalleolar orthoses to children with cerebral palsy among pediatric orthotists in Australia.","authors":"Asumi H Dailey, Sarah Anderson, Michael P Dillon","doi":"10.1097/PXR.0000000000000457","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000457","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the rationale for prescribing ankle-foot orthoses and supramalleolar orthoses in children with cerebral palsy among pediatric orthotists in Australia.</p><p><strong>Methods: </strong>Purposive, convenience, and snowballing sampling were used to recruit pediatric orthotists across Australia. Semistructured interviews were recorded and transcribed. The data were independently coded to derive themes and subthemes with illustrative first-person quotes.</p><p><strong>Results: </strong>Participants (n = 16) in the sample were diverse in their age, years of clinical experience, and state of residence reflecting the breadth of pediatric orthotists in Australia. Two themes were generated: rationale for orthotic prescription and alignment of prescription rationale with child/family goals. Experienced clinicians could clearly articulate the key factors that influence their orthotic prescription aligned to the reasons why children/families sought orthotic intervention. Early to mid-career clinicians found this more challenging.</p><p><strong>Conclusions: </strong>The rationale for the orthotic prescription should be aligned with the child/family's treatment goals. With a clear focus on treatment goals, the rationale for prescribing either ankle-foot orthoses or supramalleolar orthoses could be clearer if clinicians focused on key primary factors (eg, presence of crouch gait) and then optimized the prescription using a range of secondary factors (eg, body mass).</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Custom-made foot orthoses with and without heel plugs and their effect on treatment outcomes and plantar pressures in patients with plantar fasciitis: A crossover study.","authors":"Megan E R Balsdon, Colin E Dombroski","doi":"10.1097/PXR.0000000000000450","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000450","url":null,"abstract":"<p><strong>Background: </strong>Plantar fasciitis (PF) is considered to be the most common cause of plantar heel pain in adults. Various types of foot orthoses (FOs) have been used to treat plantar heel pain, between flat ethylene-vinyl acetate (EVA) devices, to prefabricated orthoses, to completely custom FOs. The objective of this crossover study was to quantify both objective plantar pressures, and subjective foot function and comfort ratings for two custom foot orthoses (CFOs), one with a heel plug (HP) and one without.</p><p><strong>Methods: </strong>Twenty-one patients with diagnosed PF participated in this study and were casted using a semi-weight-bearing foam box cast. Both CFOs were made with the same materials and specifications, but the HP orthosis had a softer blue PORON® plug under the heel for added cushioning. The foot function index (FFI) was given at weeks 0, 4, and 8, as well as a subjective comfort rating at 4 and 8 weeks. Plantar pressures were recorded during treadmill walking for both devices in a running shoe after 8 weeks, after having worn each pair for 4 weeks. Average pressure, peak pressure, and pressure contact area were determined for 3 regions of the foot: hindfoot, midfoot, and forefoot. A paired samples t test determined differences in each region.</p><p><strong>Results: </strong>Average pressure, peak pressure, and pressure contact area were significantly reduced at the hindfoot in the HP orthosis (P < 0.001), and peak pressure was significantly reduced at the midfoot with the HP orthosis (P < 0.05). Total FFI scores were significantly reduced with both orthosis types compared to baseline (P < 0.01), but there was no difference in FFI scores or comfort scores between CFO conditions.</p><p><strong>Conclusions: </strong>CFOs with heel plugs are more effective at reducing plantar pressure at the heel in patients with PF compared to CFOs without heel plugs. Both CFOs were effective at reducing FFI scores, showing an improvement in pain, and an increase in function and activity after both 4 and 8 weeks of treatment.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knee biomechanics during walking in individuals with anterior cruciate ligament repair: The role of a custom 3D-printed knee brace.","authors":"Florian Mougin, Mickaël Begon, Gauthier Desmyttere, Jacinte Bleau, Marie-Lyne Nault, Yosra Cherni","doi":"10.1097/PXR.0000000000000452","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000452","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament (ACL) injuries frequently lead to altered gait biomechanics and muscle activation patterns, increasing the risk of osteoarthritis. Knee braces are commonly used to address these issues although a lack of consensus remains regarding their clinical benefits. The most recent 3D-printed braces, lighter and personalized, could improve rehabilitation.</p><p><strong>Objectives: </strong>To evaluate the effect of a novel custom-made 3D-printed knee brace (Provoke™) in individuals after unilateral ACL reconstruction during walking. The brace incorporates an asymmetrical hinge system aimed at stabilizing the knee joint while minimizing compensatory movements.</p><p><strong>Methods: </strong>Fourteen participants with unilateral ACL reconstruction wore the Provoke™ brace while walking at comfortable and fast paces. Knee kinematics and kinetics and muscular activity (rectus femoris, vastus medialis, and semitendinosus) were assessed with and without the brace. Nonparametric paired t tests were used to assess the biomechanical effect of the brace.</p><p><strong>Results and conclusions: </strong>The Provoke™ brace improved knee kinematics, facilitating a more neutral knee position by reducing valgus angles (-1.95°) and increasing flexion angles (+1.14°). In addition, it enhanced muscle activation, particularly of the rectus femoris, suggesting improved quadriceps function. Overall, the Provoke™ brace effectively improves knee function and reduces muscle imbalances in individuals undergoing ACL reconstruction. It may help prevent further injury and reduce the risk of post-traumatic osteoarthritis development. The long-term effects of brace use in ACL rehabilitation must be investigated.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of dual-task training with ankle-foot orthosis on stroke gait.","authors":"Negin Mizangir, Aliyeh Daryabor, Maryam Samadian, Seyyed Payam Shariatpanahi, Sedigheh Sadat Naimi","doi":"10.1097/PXR.0000000000000451","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000451","url":null,"abstract":"<p><strong>Background and objective: </strong>There is limited research on the use of ankle-foot orthosis (AFO) with dual-task training. The aim of the study was to assess impact of orthotic use during dual-task training in patients who have had a stroke during walking.</p><p><strong>Study design: </strong>The quasi-experimental study.</p><p><strong>Methods: </strong>Eleven hemiplegic people after stroke, aged 35-65 years, underwent gait training with dual task for 10 daily sessions over 4 weeks, guided by a physiotherapist while wearing an AFO. Gait was measured under 2 conditions-only dual-task walking and dual-task walking with the AFO-at baseline and after 4 weeks of training using a motion capture system. The gait parameters were compared before and after intervention in each condition and between 2 walking conditions after intervention using paired t test.</p><p><strong>Results: </strong>After 4-week intervention, there was no significant difference in any gait parameters between 2 walking conditions. In dual-task walking alone, several gait parameters were significantly increased compared to baseline, including peak ankle plantarflexion angle, peak knee flexion angle in loading response, peak knee extension moment in response loading, and peak hip flexion moment in preswing. In dual-task walking with AFO, peak knee flexion angle and peak knee and hip extension moments in loading response phase were significantly increased after intervention compared to baseline.</p><p><strong>Conclusions: </strong>Although the dual-task training has had a positive effect on some aspects of gait kinetics and kinematics in patients who have had a stroke, the AFO had no additional effect on dual-task walking.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individualized task difficulty promotes balance training outcomes and self-efficacy in individuals with lower limb loss.","authors":"Fu-Lien Wu, Yu-Chen Chung, Szu-Ping Lee","doi":"10.1097/PXR.0000000000000454","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000454","url":null,"abstract":"<p><p>An ideal motor skill learning typically features adaptive task difficulty to facilitate training outcomes and avoid frustration, yet this concept has not been explored in balance training for individuals with diminished postural control including lower limb loss. The purposes of this study were (1) to examine a novel stabilometer-based task with individualized difficulty levels as a balance training protocol and (2) to compare the task performance and self-efficacy between participants receiving the training with and without individualized task difficulty. Ten older adults and 10 individuals with unilateral lower limb amputation were recruited. The experimental group received training with task difficulty individualized based on their pretraining weight-bearing capacities, whereas the control group received standard training without difficulty adjustment. Participants were instructed to maintain the stabilometer in a horizontal position for as long as possible over 20 trials (4 blocks, 30 s per trial). Performance feedback and task-related self-efficacy were assessed after each block. Participants in the 2 groups were comparable in age (62.1 vs. 63.5 years), gender composition (4 females), and amputation levels (3 with transfemoral amputation). Significant interactions between group and trial/block in time in balance (experimental group: 7.8 to 16.9 s, control: 8.5 to 8.2 s, P = 0.002), root-mean-square error (experimental group: 10.9° to 6.8°, control: 10.9° to 10.8°, P = 0.002), and self-efficacy (P = 0.005∼0.012) were detected. The training protocol with individualized difficulty levels promoted greater improvements in balance performance and self-efficacy. Individualizing task difficulty based on participant's capacity is important for improving balance performance and self-efficacy. This training protocol is feasible and can be applied clinically to improve balance and postural confidence in individuals with lower limb loss.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the effect of gait plate insole and medial-wedge insole on foot progression angle and balance of children with in-toeing gait.","authors":"Farzaneh Manouchehri, Mohammad Hadadi, Mokhtar Arazpour","doi":"10.1097/PXR.0000000000000447","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000447","url":null,"abstract":"<p><strong>Background: </strong>Rotational deformities, particularly in-toeing gait, are prevalent in children's lower limbs.</p><p><strong>Objectives: </strong>To assess the effects of gait plate insoles (GPI) and medial-wedge insoles (MWI) on foot progression angle (FPA) and balance in children with in-toeing gait.</p><p><strong>Study design: </strong>A randomized controlled trial.</p><p><strong>Methods: </strong>The study involved 30 children aged 3 to 10 years, divided into 2 equal groups: 1 received GPI, and the other received MWI. FPA and balance parameters were measured using motion analysis and force plate devices before and after 1 month of intervention. Children walked a 10-m path, with a force plate placed in the middle that recorded foot data separately to evaluate the balance. The FPA was calculated based on marker data placed on lower limbs as the children walked barefoot at a normal speed.</p><p><strong>Results: </strong>Both insoles significantly increased FPA (6.67 and 4.76 degrees for the right foot and 9.62 and 6.56 degrees for the left foot, respectively). The GPI significantly increased the total standard deviation of the center of pressure (COP) displacement (P < 0.001), COP velocity (P < 0/001), and phase plane portrait of the COP of the right foot (P < 0/001). The MWI decreased COP velocity and phase plane portrait in the left foot (P = 0.01) and increased COP displacement in both feet significantly.</p><p><strong>Conclusions: </strong>Both gait plate and MWI effectively enhance FPA and improve the gait of children with in-toeing gait, with different effects on balance, suggesting that MWI may better reduce fall risk.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of printing orientation on structural strength of 3D-printed polylactic acid prosthetic socket using fused deposition modeling.","authors":"Adila Fazliana Che Manan, Mohd Juzaila Abd Latif, Misalini Narasamman, Masjuri Musa, Mohd Nazim Abdul Rahman, Guo Dong Lim, Parathy Rajaandra","doi":"10.1097/PXR.0000000000000444","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000444","url":null,"abstract":"<p><strong>Background: </strong>Recent fused deposition modeling (FDM) technology could offer accessible socket fabrication and resolve conventional fabrication issues. However, the printing orientation in FDM affects the structural integrity and reliability.Objective:To examine the effect of printing orientation on the structural strength of 3D-printed sockets using FDM.Study Design:Experimental study of 3D-printed socket at different printing orientations in static and cyclic loadings.</p><p><strong>Methods: </strong>This study scanned residual limbs of 2 transtibial amputees weighing 53 kg (P4) and 125 kg (P6) to create 3D-printed prosthetic sockets using FDM. Ten sockets of a P4 amputee were printed at various orientations from 0° to 90° for a structural static test. In addition, 6 sockets of the P6 amputee were printed at 90° for static and cyclic tests according to ISO 10328.</p><p><strong>Results: </strong>Based on the results, sockets printed at 0° and 90° for the P4 amputee exceeded static ultimate force under condition I according to ISO 10328 standards with 4880 N and 4430 N, respectively. Sockets at 30°, 45°, and 60° failed before the minimum force requirement was reached. Further validation of the 90° printed socket passed the static test in conditions I and II, and the cyclic test in condition II, enduring 3 million cycles without failure.</p><p><strong>Conclusion: </strong>The 0° and 90° printing orientations are recommended for their superior mechanical properties, whereas other orientations may pose safety risks because of insufficient structural strength. These findings could contribute to developing more reliable and durable prosthetic sockets that meet ISO 10328 standards to enhance the quality of life for amputees.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The biomechanical effect of different spring extension assist mechanisms in mechanical 4-bar polycentric prosthetic knees for unilateral above/through-knee amputees.","authors":"Diana Toderita, Clement D Favier, Giovanni S Milandri, Vasiliki Vardakastani, David P Henson, Anthony Mj Bull","doi":"10.1097/PXR.0000000000000448","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000448","url":null,"abstract":"<p><strong>Background: </strong>Passive prosthetic knees incorporate extension assist mechanisms to enhance the swing phase of the gait cycle for persons with above/through-knee amputations. In conventional polycentric knees using a 4-bar linkage, the extension assist mechanism connects one of the bars to the body of the prosthesis. However, this design introduces a singularity in the spring action delivery, causing the spring to push the knee into flexion beyond a certain angle. In contrast, polycentric prosthetic knees with an extension assist mechanism that links the upper and lower parts of the knee eliminate the singularity feature, ensuring that the knee is pushed toward extension throughout the full range of motion.</p><p><strong>Objective: </strong>This study aims to investigate the effects of different spring extension assist mechanisms in polycentric knees on the walking capacity of unilateral above/through-knee amputees.</p><p><strong>Study design: </strong>Repeated measures.</p><p><strong>Methods: </strong>Gait data were collected at self-selected and fast speeds from 8 unilateral above/through-knee traumatic amputees using a 10-camera motion capture system. Participants trialed 2 different polycentric prosthetic knees with and without the singularity feature, both coupled with a solid-ankle-cushioned-heel prosthetic foot. They underwent gait analysis with both prosthetic knees, and a comparison analysis was conducted to examine the trial conditions.</p><p><strong>Results: </strong>The symmetry between the prosthetic and intact knee flexion angles was higher for the design without singularity by 5.2% (p = 0.025) at self-selected speeds and by 7.7% (p = 0.003) at fast speeds. Also, peak prosthetic knee flexion angles were lower for the design without singularity by 9.4° (p < 0.001) at self-selected speeds and by 9.6° (p = 0.012) at fast speeds.</p><p><strong>Conclusions: </strong>The extension assist mechanism without singularity improved the symmetry between the intact and prosthetic knee flexion angles by preventing excessive prosthetic knee flexion in the swing phase of the gait cycle.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monofilament testing to identify insensate regions of the residual limb of individuals with transtibial amputation.","authors":"Sara Peterson, Chang Dae Lee, Mary Ann Miknevich, Rory Cooper, Alicia Koontz","doi":"10.1097/PXR.0000000000000442","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000442","url":null,"abstract":"<p><strong>Introduction: </strong>Living with a lower limb amputation is a life-altering complication. This condition is often associated with a high prevalence of pressure ulcers and skin breakdown at the interface between the prosthetic socket and the residual limb. The purpose of this study was to describe a monofilament test method for identifying areas that lack protective sensation in individuals with transtibial amputation (TTA).</p><p><strong>Methods: </strong>Fifteen males and 5 females with TTA were evaluated using a standard 5.07/10 g monofilament test, which was adapted to test sensation at 10 locations on the residual limb.</p><p><strong>Results: </strong>Thirty-five percent of the participants experienced loss of protective sensation on their distal anterior tibial crest, 50% of the participants had absent sensation along their incision line, and 20% of the participants experienced loss of sensation at the center of the distal end of the limb. The test method showed excellent intrarater reliability (Kappa = 1).</p><p><strong>Conclusions: </strong>Implementing a monofilament test is a reliable and practical option for practitioners to use in testing for loss of protective sensation in TTA because of the ease and speed of the test, as well as its low cost and potential for standardization.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}