CANADIAN PROSTHETICS & ORTHOTICS JOURNAL最新文献

{"title":"USER-CENTERED DESIGN OF LIMB PROSTHESES: A NEW UNIVERSITY COURSE DESIGNED TO SPARK INTEREST IN ORTHOTICS & PROSTHETICS FOR BIOENGINEERING STUDENTS","authors":"G. Fiedler, Joseph Samosky","doi":"10.33137/cpoj.v6i2.41789","DOIUrl":"https://doi.org/10.33137/cpoj.v6i2.41789","url":null,"abstract":"There is a current need to increase recruitment in orthotics and prosthetics, and a promising approach is to increase awareness, interest and cross-disciplinary engagement in O&P among students of allied disciplines such as bioengineering. We describe a new interdisciplinary course we jointly developed at the University of Pittsburgh and deployed for the first time in the spring of 2023. The course was built on core foci of human-centered design, design thinking, experiential learning, 3D printing, creative problem-solving and prototyping. We leveraged a real-world project-based learning approach that included early and ongoing involvement of student teams with clients who used prosthetics. We explored creating a learning environment in which bioengineering students were motivated to learn about the O&P field by partnering with clients to investigate their unmet prosthetic needs and invent new solutions, with computer-aided design and 3D printing as key enabling technologies. Each student team produced an individually designed and fitted device for a specific application for a person with limb difference. Student feedback was positive throughout with several recipients expressing enthusiasm about the field of O&P and about the opportunity to work with actual patients. Several students stated their new-found interest in pursuing a career in the field. We believe that this sort of class offering could be implemented in many institutions that host O&P graduate programs, to raise awareness of the profession and attract more and better prepared applicants.  Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/41789/32273 How To Cite: Fiedler G, Samosky J. User-centered design of limb prostheses: a new university course designed to spark interest in orthotics & prosthetics for bioengineering students. Canadian Prosthetics & Orthotics Journal. 2023; Volume 6, Issue 2, No.2. https://doi.org/10.33137/cpoj.v6i2.41789 Corresponding Author: Goeran Fiedler, PhDDepartment of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, United States.E-Mail: gfiedler@pitt.eduORCID ID: https://orcid.org/0000-0003-1532-1248","PeriodicalId":503370,"journal":{"name":"CANADIAN PROSTHETICS & ORTHOTICS JOURNAL","volume":"4 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139164350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3D PRINTING IN PROSTHETICS, ORTHOTICS AND ASSISTIVE TECHNOLOGY: MYTH AND REALITY","authors":"Silvia Ursula Raschke","doi":"10.33137/cpoj.v6i2.42222","DOIUrl":"https://doi.org/10.33137/cpoj.v6i2.42222","url":null,"abstract":"3D printing initially captured the public eye when mainstream media began writing about Enabling the Future, a volunteer network that had begun designing and 3D printing prosthetic hands.  Many of the stories focused on how this technology was going to disrupt the prosthetic sector. The response from prosthetists was skepticism and concern, in particular warning that 3D printed components would not be robust enough to withstand the activities of daily living.  Moreover, they emphasized that fit problems could potentially cause more harm than good. Several years on, this issue explores currant usage and experiences with the technology in prosthetics and, to a limited extent, orthotics. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/42222/32280 How To Cite: Raschke S.U. 3D printing in prosthetics, orthotics and assistive technology: myth and reality. Canadian Prosthetics & Orthotics Journal. 2023; Volume 6, Issue 2, No.1. https://doi.org/10.33137/cpoj.v6i2.42222E-Mail: silvia-raschke-cpoj@online-publication.com ORCID ID:https://orcid.org/0000-0001-7964-4295","PeriodicalId":503370,"journal":{"name":"CANADIAN PROSTHETICS & ORTHOTICS JOURNAL","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139165130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TRANSFORMING P & O CARE WITH 3D PRINTING– MORE THAN MEETS THE EYE","authors":"J. Andrysek, S. Ramdial","doi":"10.33137/cpoj.v6i2.42138","DOIUrl":"https://doi.org/10.33137/cpoj.v6i2.42138","url":null,"abstract":"Many within the prosthetics and orthotics (P&O) industry are embracing 3D printing technology to produce better devices more efficiently, cost-effectively and to improve patient outcomes. 3D printing is here to stay, but how much will it transform P&O practices? This paper explores the state-of 3D printing technology as it applies to P&O and aims to highlight important considerations for bringing 3D printing into mainstream practice. The paper draws from recent published literature, as well as experiences stemming from ongoing efforts focused on implementing digital workflows and 3D printing into P&O care. The paper examines the topic from the technological, research, economics, funding, and clinical perspectives. While 3D printing and digital workflows have advantages over traditional methods (i.e. ability to design more complex parts, reprinting and reproduction of parts, less labour intensive) there are also challenges limiting adoption. First, despite recent advancements in 3D printing technology, gaps still exist in terms of the materials and processes. For example, cost-effectively fabricating devices that are concurrently strong and durable, allow for colourful designs, and are thermoformable are still being developed. Cost-wise, 3D printing may currently be more viable for small, or paediatric devices. There are also limited technical standards to ensure safe and durable devices are produced, as well as a lack of evidence and information about patient outcomes and operating costs. Nevertheless, a great amount of enthusiasm and momentum exists within the industry to innovate, and with it the potential for 3D printing to one day be central to mainstream P&O care. Given the many aspects of the P&O industry, collaboration and partnerships will facilitate learning from each other to advance and realize the potential of 3D printing sooner. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/42138/32197 How To Cite: Andrysek J, Ramdial S. Transforming P & O care with 3D printing– more than meets the eye. Canadian Prosthetics & Orthotics Journal. 2023; Volume 6, Issue 2, No.3. https://doi.org/10.33137/cpoj.v6i2.42138 Corresponding Author: Jan Andrysek, PhDBloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.E-Mail:  jan.andrysek@utoronto.caORCID ID: https://orcid.org/0000-0002-4976-1228","PeriodicalId":503370,"journal":{"name":"CANADIAN PROSTHETICS & ORTHOTICS JOURNAL","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139163724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE IDEAL PHYSICAL THERAPIST FROM THE PERSPECTIVE OF INDIVIDUALS WITH LIMB LOSS","authors":"Daniel Lee, Albert Gambale, Maya Nisani, Carol Miller, Elizabeth Leung, Madeline Rodgers, Daniel Chillianis, Matthew Marra","doi":"10.33137/cpoj.v6i1.42093","DOIUrl":"https://doi.org/10.33137/cpoj.v6i1.42093","url":null,"abstract":"BACKGROUND: Effective rehabilitation after limb loss is necessary to maximize function and promote independence. Physical therapists (PT) are one of the primary drivers of the rehabilitation process. While general physical therapy knowledge and abilities have been shown to be important to the rehabilitation process, it is unclear what individuals with limb loss value in their PT’s. OBJECTIVE: The purpose of this study was to understand the elements that define an ideal PT from the perspective of individuals with limb loss. METHODOLOGY: Mixed-method design consisting of a 20-item web-based survey and semi-structured interviews that were administered to individuals 18 years or older, who spoke English, and had a history of lower limb loss. FINDINGS: Individuals with limb loss describe an ideal PT as promoting a therapeutic alliance, having specialized knowledge, and collaborating with a prosthetist. Knowledge of the PT as it relates to limb loss was found to be both the greatest facilitator and barrier to the rehabilitation process. CONCLUSION: From the perspective of those with limb loss, an ideal PT promotes a strong therapeutic alliance through communication, has specialized knowledge when it comes to the limb loss rehabilitation process, and collaborates with the prosthetist to problem-solve throughout the rehabilitation process. Layman's Abstract Individuals with limb loss require specialized care from a variety of health care providers to maximize function and mobility. Rehabilitation is generally administered by physical therapists along with other members of the medical team, including prosthetists.  Physical therapists have generalized knowledge about limb loss management, however, there is limited access to physical therapists who are specialized in this area. It is not understood if the lack of specialization is a concern for individuals in the limb loss community. Therefore, our study explored what individuals with limb loss would define as the ideal physical therapist. We reviewed responses from surveys and interviews from individuals with limb loss and found that they value the specialized knowledge of the physical therapist, as well as the therapeutic relationship between themselves, the physical therapist, and the prosthetist. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/42093/32281 How To Cite: Lee D.J, Gambale A, Nisani M, Miller C, Leung E, Rodgers M, et al. The ideal physical therapist from the perspective of individuals with limb loss. Canadian Prosthetics & Orthotics Journal. 2023; Volume 6, Issue 1, No.4. https://doi.org/10.33137/cpoj.v6i1.42093 Corresponding Author: Daniel J. Lee, PhD Department of Physical Therapy, Stony Brook University, Stony Brook, NY, USA. E-Mail: daniel.lee.8@stonybrook.edu ORCID ID: https://orcid.org/0000-0003-1805-2936","PeriodicalId":503370,"journal":{"name":"CANADIAN PROSTHETICS & ORTHOTICS JOURNAL","volume":"63 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139163268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RELIABILITY AND VALIDITY TESTING OF THE PERSIAN VERSION OF THE DERRIFORD APPEARANCE SCALE 24 IN A SAMPLE OF INDIVIDUALS WITH CRANIOFACIAL IRREGULARITY AND AMPUTATION","authors":"Alireza Khani, T. Babaee, Alireza Khaghani, Masoomeh Nakhaee, Zahra Fattahi, Timothy Moss","doi":"10.33137/cpoj.v6i1.41454","DOIUrl":"https://doi.org/10.33137/cpoj.v6i1.41454","url":null,"abstract":"BACKGROUND: Despite the recent advancements in the design and manufacture of prostheses for individuals with craniofacial irregularity and amputation, these individuals tend to become self-conscious about their appearance. The aim of this study was to investigate the reliability and validity of Persian version of the Derriford Appearance Scale24 (P-DAS24) for a sample of individuals with craniofacial irregularity and limb loss. METHODOLOGY: Reliability of the P-DAS24 was determined by computing internal consistency and test-retest reliability utilizing Cronbach’s alpha coefficient and Pearson’s correlation coefficient. Discriminant validity was investigated with comparing the total score of the P-DAS24 between disfigured participants and those with no appearance problem. Known-groups validity was evaluated regarding the participants’ gender and their level of involvement. FINDINGS: The sample size comprised of 251 individuals with disfigurement and 101 without disfigurement who were deemed normal in appearance. The P-DAS24 showed satisfactory internal consistency (Cronbach’s alpha = 0.89) and excellent test-retest reliability (r = 0.96). The total score of the P-DAS24 showed a statistically significant difference between individuals deemed disfigured or normal (P=0.01). The total scores P-DAS24 in individuals with different levels of involvement were significantly different (P<0.001). The scores of the DAS2, DAS18, DAS21, and DAS24 were significantly different between men and women (P<0.01, <0.01, 0.03, and 0.01, respectively). CONCLUSION: The P-DAS24 is a valid and reliable tool that may be utilized in clinical practice and researches to assess the outcomes of prosthetic reconstructions in individuals with disfigurement. Layman's Abstract In social interactions and experiences, appearance plays an important role. Disfigured subjects face many difficulties in their daily life compared to normal people or people deemed attractive. Generally, the perception of each individual regarding his/her appearance is influenced by two fundamental factors. The first factor is the feedback that one receives from others and the second factor is the person's self-perception that is affected by their mental health and quality of life. Limb amputation is one of the leading causes of disfigurement in low to middle-income countries. Despite the recent advancements in the design and manufacture of prostheses to improve their natural size, shape, and movement, these individuals tend to become self-conscious about their appearance. To evaluate the psychosocial problems of people with visible difference, a standard and valid tool is needed. One of these tools is the Derriford Appearance Scale 24 (DAS24). The aim of this study was to translate and cross-culturally adapt the original English version of the DAS24 to provide a Persian version. In this study a total of 251 individuals with disfigurement and 101 without disfigurement who were considered normal in appearance w","PeriodicalId":503370,"journal":{"name":"CANADIAN PROSTHETICS &amp; ORTHOTICS JOURNAL","volume":"453 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}