cpoj: A Pathfinder

This is a computer-generated pathfinder created against the Distant Reader study called cpoj.

Each Distant Reader study carrel is composed of many individual items. Each item is bibliographically described with author, title, date, summary, and keyword values. Below is a list of the items' most signficant keywords as well as lists of the items themselves. Purpusing the content of this pathfinder provides the student, researcher, or scholar with one way to get their heads around the scope of the carrel. The keywords include:

Prosthetics; Orthotics; Amputation; Health; Knee; Prosthesis; Socket; Care; Patients; Prosthetic; Foot; Participants; Rehabilitation; Patient; Walking; Ankle; Gait; Data; Pain; Hand; Outcomes; Individuals; Microprocessor; Skin; Device; Quality; Orthosis; System; Testing; Sockets; Group; Access; Treatment; Women; Plus; Performance; People

Depending on how this pathfinder was created, many of the bibliographic sections will include elaborations on the meaning(s) of the given keywords. These elaborations were generated by feeding the items' summaries to a large langauge model and asking the model to address the question, "What is X?", where "X" is the keyword. The result will be a few sentences of elaboration. Be forewarned. The elaborations are often plausible, but they should not be take as truth. Instead, they should be taken as points for consideration.

• THE CASE FOR BROAD-RANGE OUTCOME ASSESSMENT ACROSS UPPER LIMB DEVICE CLASSES by Fiedler, Goeran; Savage, Saiph; Schull, Jon; Mankoff, Jennifer (2018) - That many of the early generation e-NABLE devices targeted young patients with partial hand amputation6 was interpreted by proponents as finally offering this neglected population long-desired solutions, whereas skeptics felt that many of the recipients of such devices would traditionally have been deemed to have a residual functional enough to be a contra-indication for a prosthesis.7 https://doi.org/10.33137/cpoj.v1i1.29970 https://doi.org/10.33137/cpoj.v1i1.29970 https://doi.org/10.33137/cpoj.v1i1.29970 https://orcid.org/0000-0003-1532-1248 mailto:gfiedler@pitt.edu https://doi.org/10.33137/cpoj.v1i1.29970 Fiedler G, Savage S, Schull J, Mankoff J. The Case For Broad-Range Outcome Assessment Across Upper Limb Device Classes. If it generates sound evidence on the effective differences between upper limb device classes, the respective discussion will become less biased and more constructive. Keywords: assessment; classes; device; https://doi.org/10.33137/cpoj.v1i1.29970; limb; outcome; prosthetics; schull
• TRANSFORMATION, REVOLUTION, EVOLUTION: PROVOCATIVE TIMES FOR PROSTHETICS & ORTHOTICS by Raschke, Silvia Ursula (2018) - The challenges faced by the traditional, print based, peer-review publishing model are rooted in a greater wave of rapid disruptive change influencing technology innovation models and economic models in a wide range of sectors, including health care across the clinical care delivery continuum. More creative, flexible formats and portals for peer- review level research, such as open access models, video journals and publication of research protocols without results are emerging, but in future will only be one part of a massive knowledge stream within what has become a very wide and colourful information pipeline. Keywords: canadian; https://doi.org/10.33137/cpoj.v1i1.30000; orthotics; prosthetics; revolution; times
• MEASUREMENT OF THE CONSISTENCY OF PATELLA-TENDON-BEARING MODIFICATION USING CAD by O'Byrne, Marie; McFadyen, Angus K; Hannett, Dominic; McGarry, Anthony (2018) - Clinicians were asked to randomly select an identifier from a hat that numbered clinicians A-C. As shown in Table 2, one clinician (clinician 2) demonstrated moderate intra rater reliability (ICC=0.641) of modification of the patellar tendon, two other clinicians showed poor reliability (ICC<0.6). Keywords: bearing; cad; clinicians; icc; issue; modification; orthotics; prosthetics; tendon; volume
• CLINICIANS’ ACCESS TO PEER-REVIEWED PROSTHETICS RESEARCH ARTICLES by Burke, Julie; Fiedler, Goeran (2018) - Table 2: Number of reviewed journal articles (from 2007 through 2016). We found that about 75% of research articles in the field of prosthetics are freely available online. Keywords: access; articles; journal; orthotics; peer; prosthetics; research; volume
• HOW INFILL PERCENTAGE AFFECTS THE ULTIMATE STRENGTH OF 3D-PRINTED TRANSTIBIAL SOCKETS DURING INITIAL CONTACT by Campbell, Leah; Lau, Adriel; Pousett, Brittany; Janzen, Ernie; Raschke, Silvia U (2018) - They were assessed for passing brittle failure = 4,426N and ductile failure = 3,421 N. This quantitative study evaluated socket strength to provide an understanding of the materials used for prosthetic sockets. The first step to safely introducing 3D printed sockets in to prosthetics is to conduct strength testing on these sockets. Keywords: force; infill; issue; percentage; prosthetics; sockets; strength; testing; transtibial
• GLOBAL STANDARDS FOR PROSTHETICS AND ORTHOTICS by Lemaire, Edward D; Supan, Terry J; Ortiz, Marlo (2018) - FOR PROSTHETICS AND ORTHOTICS Volume 1, Issue 2, Article No.3, October 2018 Policy • Absence of policies and national plans for prosthetics and orthotics, rehabilitation, and assistive technology in most countries • Lack of awareness and understanding about the role, purpose, and benefits of prosthetics and orthotics services • Limited funding, with services frequently not included in national health and social insurance systems • Limited data on needs for these services, making it difficult to understand the practical and financial requirements of providing such services for all Products • Limited availability of appropriate products in many countries • High price of high-quality prostheses and orthoses o Even low-cost alternatives may be perceived as expensive, particularly in low- and middle- income countries • Lack of national product standards in many countries, often resulting in devices that do not meet acceptable safety standards • Limited evidence of the effectiveness and cost– effectiveness of products, technologies, and working methods Personnel • Lack of qualified personnel, reducing the quality and quantity of services • Available personnel are usually found in large cities • Limited access to schools and training opportunities for prosthetics and orthotics Provision of Services • Unequal service provision, with services are frequently available only in capital and other large cities and not to poor, isolated populations in rural areas • Services for the poor are usually provided by charities and some Government institutions, which may offer poor quality products, while rich populations are frequently served by private clinics • Prosthetics and orthotics services are frequently perceived as an expense rather than an investment POLICY (15 STANDARDS) While the principles in these broad agreements can be applied to people who would benefit from assistive technology, specific service standards are required to operationalize the CRPD and WHO objectives. Keywords: health; https://doi.org/10.33137/cpoj.v1i2.31371; international; orthotics; prosthetics; research; services; standards
• RESEARCH PRODUCTIVITY TRENDS IN PROSTHETICS AND ORTHOTICS IN CANADA by Gholizadeh, Hossein; Ale Ebrahim, Nader; Eshraghi, Arezoo; Lemaire, Edward D (2018) - While statistics show a positive global trend in the number of published articles, the number of journals that specifically publish prosthetics and orthotics research did not change, and few articles in these journals choose the optional open access publishing format. CONCLUSION Research publication trends in orthotics and prosthetics is promising in Canada. Keywords: canada; prosthetics
• USING A SWEATING RESIDUUM/SOCKET INTERFACE SIMULATOR FOR THE EVALUATION OF SWEAT MANAGEMENT LINERS IN LOWER LIMB PROSTHETICS by McGrath, Michael; Davies, KC; Gallego, Ana; Laszczak, Piotr; Tang, Jinghua; Zahedi, Saeed; Moser, David (2021) - For sweating tests, 20ml of water was added, based on an approximation calculated from reported amputee sweating rates22 and the residuum surface area. While variability increased 194% with the standard liner during sweating tests, there was no significant difference in variability of the dry and sweating tests with the perforated liner (p=0.497). Keywords: displacement; doi; https://doi.org/10.33137/cpoj.v4i1.35213; interface; limb; liner; mcgrath; prosthetics; residuum; simulator; socket; sweating; test
• HEALTH ECONOMICS IN THE FIELD OF PROSTHETICS AND ORTHOTICS: A GLOBAL PERSPECTIVE by Kannenberg, Andreas; Seidinger, Susanne (2021) - The focus of her research has been the entire spectrum of health economic studies in highly innovative medical, prosthetic and orthotic products. That indicates that it costs far more to provide health care coverage in the U.S. system than anywhere else in world. Keywords: assessment; care; cost; coverage; devices; economics; effectiveness; evidence; field; health; health economics; healthcare; hta; https://doi.org/10.33137/cpoj.v4i2.35298; internet; kannenberg; manufacturers; medical; oct; orthotics; p&o; perspective; products; prosthetics; reimbursement; research; seidinger; technology
• EVOLVING BUSINESS MODELS IN ORTHOTICS by Schneider, Nancy (2021) - Data for the public sector is derived directly from the Collective Agreements11 between the Health Sciences Association of Alberta (HSAA) and Alberta Health Services (AHS). 2021 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index ABSTRACT This submission provides an important historical context for understanding the current challenge facing the Orthotic and Prosthetic community in Alberta including Alberta Aids to Daily Living (AADL), Suppliers, and Providers: maintaining sustainable access to Orthotic care for people with mobility disorders in the face of declining real rates of reimbursement combined with increasing costs and a shortage of skilled Clinicians. Keywords: aadl; aaop; alberta; models; orthotics; prosthetics; public; schneider; sector
• VALUE AND APPLICABILITY OF LARGE ADMINISTRATIVE HEALTHCARE DATABASES IN PROSTHETICS AND ORTHOTICS OUTCOMES RESEARCH by Miller, Taavy; Wurdeman, Shane (2021) - However, additional areas of HEOR such as applications in health technology assessment, health service delivery and process of care, and patient-centered research can also lend themselves to better understanding the value of services or devices.1,2 Much of this data can be extracted and analyzed from administrative healthcare data. In the absence of high-value clinical data, the availability and quality of administrative healthcare data could be vital in the generation of evidence for O&P services. Keywords: data; databases; healthcare; o&p; orthotics; prosthetics; research; services; value
• THE VALUE OF HEALTH ECONOMICS AND OUTCOMES RESEARCH IN PROSTHETICS AND ORTHOTICS by Miller, Taavy; Wurdeman, Shane; Paul, Rajib ; Forthofer, Melinda (2021) - The integration of health economic studies and evidence into clinical practice guidelines adds a dimension that informs stakeholders (including patients) on how an intervention impacts costs, health outcomes and provides a way to evaluate potential consequences of practice. Her research focuses on health equity, reducing disparities and improving access through the assessment of health outcomes and effectiveness using administrative, clinical and patient reported data. Keywords: care; doi; economics; health; limb; miller; o&p; orthotics; outcomes; patient; prosthetics; rehabilitation; research; services; value
• AN OPERATIONAL PERSPECTIVE OF THE CHANGING PROSTHETICS & ORTHOTICS LANDSCAPE by Brandt, Jeffrey M. (2021) - https://doi.org/10.33137/cpoj.v4i2.35996 ISSN: 2561-987X AN OPERATIONAL PERSPECTIVE OF THE CHANGING P&O LANDSCAPE Brandt JM., 2021 CPOJ Special S P E C IA L I S S U E Outcome Report Current Overall Ability Patient Satisfaction Rating 95% Office: Exton, PA Timeframe: March – April 2013 Patient Referred to Ability P&O: Jon Doe (0/0/0000) Consultation till Prosthetic Delivery: 5 weeks Revision surgeries: 0 Readmissions: 0 Amputee Mobility Predictor (AMP): a series of tasks measures patient potential to ambulate with a prosthesis Patient Assessment Validation Evaluation Test (PAVET): ADLs, functional requirements, physical capabilities, special considerations PAVET Recommendation Rationalization 47 MPK Stance Indicated A PAVET™ score between 40 and 49 would indicate a median score for ADLs, Function, and Prosthetic Reliance. As P&O patient care providers, we must learn how to maximize digital options, including automation and artificial intelligence to create local clinic practitioner efficiencies. Keywords: ability; brandt; care; https://doi.org/10.33137/cpoj.v4i2.35996; landscape; measures; model; orthotics; outcome; p&o; patient; perspective; practice; profession; prosthetics; research
• CONTEMPLATING HEALTH ECONOMICS, CODING AND REIMBURSEMENT IN ORTHOTICS, PROSTHETICS AND PEDORTHICS by Highsmith, M. Jason; Fantini, Christopher M.; Smith, Douglas G. (2021) - Moving toward a novel, RVU based coding and reimbursement model used by and known to work for other healthcare service providers who also work with devices, could improve the professional standing of the O&P clinician within the interdisciplinary healthcare team and personify O&P professionals as service providers. This editorial manuscript provides a brief overview of the system the US O&P profession uses currently, particularly in the context of other healthcare professions transitioning to value based coding and reimbursement and culminates in a call to action for the profession to academically consider the strengths and weaknesses of the current system relative to alternative systems. Keywords: coding; department; doi; economics; health; highsmith; o&p; orthotics; prosthetics; reimbursement; services; system; u.s; value
• DESIGNING A DIGITAL TOOLCHAIN FOR PROSTHETICS: A RETROSPECTIVE by Ratto, Matt (2021) - In particular, funders of clinical P&O work required clinical evidence in order to continue to support this work. These typically required deep dives into the specifics of the LMIC clinics, including working with the clinical staff to access actual numbers associated with orthopaedic clinical work. Keywords: design; issue; nia; p&o; prosthetics; ratto; toolchain; work
• HEALTH SERVICE DELIVERY AND ECONOMIC EVALUATION OF LIMB LOWER BONE-ANCHORED PROSTHESES: A SUMMARY OF THE QUEENSLAND ARTIFICIAL LIMB SERVICE’S EXPERIENCE by Frossard, Laurent; Berg, Debra (2021) - 10.Haggstrom EE, Hansson E, Hagberg K. Comparison of prosthetic costs and service between osseointegrated and conventional suspended transfemoral prostheses. VOLUME 4, ISSUE 2 2021 STAKEHOLDER PERSPECTIVES Berg D, Frossard L. Health service delivery and economic evaluation of limb lower bone-anchored prostheses: A summary of the Queensland artificial limb service’s experience. Keywords: bap; berg; bone; care; consumers; cost; doi; evaluation; experience; frossard; health service; https://doi.org/10.33137/cpoj.v4i2.36210; issue; journal; l. health; limb prostheses; limb service; orthotics; project; prostheses; prostheses berg; prosthetics; provision; qals; quality; queensland; research; service; service delivery
• A BRIEF INTRODUCTION TO GAME THEORY AND ITS POTENTIAL IMPLICATIONS FOR THE ECONOMICS OF ORTHOTICS & PROSTHETICS by Fiedler, Goeran; Schikorra, Armin (2021) - VOLUME 4, ISSUE 2 2021 STAKEHOLDER PERSPECTIVES Fiedler G, Schikorra A. A brief introduction to game theory and its potential implications for the economics of orthotics & prosthetics. Schikorra A. A brief introduction to game theory and its potential implications for the economics of orthotics & prosthetics. Keywords: economics; fiedler; game; health; https://doi.org/10.33137/cpoj.v4i2.36661; o&p; orthotics; prosthetics; theory; treatment
• ACADEMIA’S ROLE TO DRIVE CHANGE IN THE ORTHOTICS AND PROSTHETICS PROFESSION by Kogler, Géza; Hovorka, Christopher (2021) - Curricular reform and innovation are therefore needed for O&P education programs to ensure that the next generation of O&P professionals are empowered to integrate emergent and novel technologies within the span of their professional careers. To cope with these demands, academic programs in O&P will need to reimagine their curriculum beyond the existing scope of practice in O&P, and will need to work with accreditation agencies (In the US, the Commission on Accreditation of Allied Health Education Programs and its committee on accreditation, the National Commission on Orthotic and Prosthetic Education, as well as relevant international organizations) to re-examine and update the core curriculum requirements of the master’s degree10,11 along the lines we have suggested, expanding both graduates' skills and their ability to adapt to future shifts in the delivery of O&P patient care. Keywords: academia; care; change; education; future; health; healthcare; o&p; orthotics; patient; practice; profession; prosthetics; role; university
• REVIEW OF PROSTHETICS & ORTHOTICS NEEDS FOR 21ST CENTURY – VISION FOR 2025 by Zahedi, Saeed (2021) - Virtual assessment in P&O services and online triage are going to stay in this New World and will be harnessed as part of cost-rationalisation. In lower limb prosthetics, the four Pillars for Heath Economic Evidence are reducing the risk of falls, tissue injury, lower back pain and osteoarthritis (Figure 4). Keywords: century; cost; data; health; https://doi.org/10.33137/cpoj.v4i2.37113; issue; needs; orthotics; p&o; prosthetics; technology; zahedi
• EDITOR’S PERSPECTIVE ON HEALTH ECONOMICS IN PROSTHETICS AND ORTHOTICS by Raschke, Silvia Ursula (2021) - The most comprehensive treatment of the topic is the recently published comprehensive systemic literature review of health economic evaluations in Prosthetics and Orthotics done by Clark, Dillon and Shiell, who noted that, to the best of their knowledge, they are the first to have done such a review and that while some published papers exist, they are limited by relatively narrow focus. BACKGROUND In preparing this Special Edition, I took time to reflect on the importance of Special Editions in the publishing cycle of academic journals. Keywords: economics; edition; health; issue; orthotics; prosthetics; special
• LETTER TO THE EDITOR REGARDING: EVOLVING BUSINESS MODELS IN ORTHOTICS by Laakso, Linda (2021) - DECLARATION OF CONFLICTING INTERESTS I have the following conflicts of interest to declare: I am President, Orthotics Prosthetics Canada (OPC), the Past President, International Society of Prosthetics and Orthotics Canada (ISPO Canada) and I am an Owner, Practitioner of the Custom Orthotic Design Group Ltd. in Mississauga, Canada. Dear Canadian Prosthetics & Orthotics Journal Editorial Board, I am the President of Orthotics Prosthetics Canada (OPC), the credentialing body for orthotic and prosthetic professionals in Canada. Keywords: canada; opc; orthotics; prosthetics; standards
• EVALUATION OF USER’S SATISFACTION WITH ORTHOTIC AND PROSTHETIC DEVICES AND SERVICES IN ORTHOTICS AND PROSTHETICS CENTER OF IRAN UNIVERSITY OF MEDICAL SCIENCES by Baghbanbashi, Ali; Farahmand, Behshid; Azadinia, Fatemeh; Jalali, Maryam (2022) - In terms of service satisfaction, the highest N Gender 100 Males, 73 Females Age (year) <10 33 10-34 63 35-64 59 >65 18 Device types Footwear / insole 145 (Flatfoot/Cavus/Heel pain/Corn&Callus/Clubfoot/Leg length discrepancy/Diabetes) Lower limb orthosis 20 (Stroke/CP/Neuropathy/Orthopedic) Hallux valgus splint 8 https://doi.org/10.33137/cpoj.v5i1.37981 4 Baghbanbashi A, Farahmand B, Azadinia F, Jalali M. Evaluation of user’s satisfaction with orthotic and prosthetic devices and services in orthotics and prosthetics center of Iran University of Medical Sciences. In terms of duration of the device use, service satisfaction was higher in the group that received the service for less than a year (Table 3). Keywords: center; device; evaluation; iran; medical; orthotics; prosthetics; satisfaction; sciences; services; university
• LETTER TO THE EDITOR REGARDING: EVOLVING BUSINESS MODELS IN ORTHOTICS BY SCHNEIDER, N. by Pardy, Connor; Scott, Steve; Barnert, Jenna; Reimer, Carla (2022) - It is not reasonable to assume that the Dual Certifees are partial to prosthetic issues over orthotic issues, nor is it reasonable to state that “prosthetic issues tend to drive the agenda”. Prior to 2001 this was the case, however, since 2002 they have been based loosely on a formula developed by Dr. Phillip Jacobs in 2001, though there are some similar points in common with the AAOP cost accounting system.5 From 2002 through to 2017, AADL pricing has been based on the following formula, Price = direct materials (materials + 12% handling/loss/rework/warranty) + Keywords: 2022; aadl; aaop; alberta; letter; orthotics; pricing; prosthetics
• EDITORIAL OPINION: VALUE WITHIN THE PROSTHETIC AND ORTHOTIC PROVISION PROCESS by Raschke, Silvia Ursula (2022) - A decade ago, payors began to require objective outcome measures at a time where few such measure existed and were never used in reporting, challenged the prosthetics and orthotics sector to objectively communicate the value they bring. As health care continues to be rationalized, the next emerging stage in health care policy and decision making is trending toward a Values Based Health Care (VBHC) model, which seeks to link funding to outcomes.5 Keywords: orthotics; process; prosthetics; provision; sector; value
• TECHNOLOGY MANAGEMENT AS A CORE COMPONENT OF A CLIENT-CENTRIC PROSTHETIC ORTHOTIC PRACTICE MODEL by Raschke, Silvia (2022) - This was a reasonable assumption at a time, when the device production process required specialized skills and equipment along with access to prosthetic orthotic components from component manufacturers who only sold them to recognized prosthetists orthotists. Extensive effort was made to update prosthetic orthotic education over the past two decades in many countries globally. Keywords: client; core; model; orthotic; practice; prosthetics; technology
• cpoj-41454 by None (None) - 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). Therefore, it is of paramount importance for the therapist/clinician to understand the psychosocial factors affecting one’s adaptation process to disfigurement/ amputation to adopt the most effective therapeutic approach and navigate a better restoration of body identity.15 Various psychometric tools have been developed to assess the psychological impact and adjustment of appearances such as the Appearance Schemas Inventory,15 the Body Image Avoidance Questionnaire,16 and the Body Dysmorphic Disorder Examination.17 These questionnaires lack the necessary sensitivity to the nature of the irregularity and were not specifically designed to fully cover the spectrum of symptoms relevant to the wide range of difficulties experienced by individuals with disfigurement.12 Given the complexity of how an appearance difference might affect one’s social interaction and the resulting distress, the measure for this assessment should be well-standardized and psychometrically robust in order to fully capture the distress and dysfunction arising from body-image disturbance.18 The Derriford Appearance Scale (DAS) is a valid and factorial scale that examines the psychosocial adjustment issues of subjects with a visible difference.18 This questionnaire examines the negative emotions of people with facial problems (such as fear, social anxiety, and shyness) and negative behaviors such as isolationism that may affect their lifestyle.19 DAS is available in two versions: DAS59 and the short form of DAS24. Keywords: amputation; appearance; appearance scale; das24; derriford; derriford appearance; individuals; orthotics; persian; prosthetics; reliability; sample; scale; validity; version
• USER-CENTERED DESIGN OF LIMB PROSTHESES: A NEW UNIVERSITY COURSE DESIGNED TO SPARK INTEREST IN ORTHOTICS & PROSTHETICS FOR BIOENGINEERING STUDENTS by Fiedler, Goeran; Samosky, Joseph (2023) - Feedback from the students was also overwhelmingly positive, with many indicating this experience marked a watershed moment in their motivation toward the course content and their enthusiasm for engaging in new prosthetic designs to address specific client needs. We decided early in course design that, while computer- aided design (CAD) and 3D printing would be core enabling technologies presented in the course, we wanted the prime focus of our students’ learning experience to be people who have unmet needs in prosthetic design. Keywords: bioengineering; course; design; interest; o&p; orthotics; prosthetics; prototype; students; university; user
• TRANSFORMING P & O CARE WITH 3D PRINTING– MORE THAN MEETS THE EYE by Andrysek, Jan; Ramdial, Sandra (2023) - As previously mentioned, implementing digital workflows and 3D printing in P&O practice presents some unique challenges, and many are related to 3D printing technology itself. OPEN ACCESS 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. Keywords: care; devices; issue; orthotics; p&o; printing; prosthetics; technology; workflows
• EXPLORING THE FUTURE OF PROSTHETICS AND ORTHOTICS: HARNESSING THE POTENTIAL OF 3D PRINTING by Gutierrez, Anthony R (2024) - We conducted a systematic review to better understand the current state of this newer fabrication method, with a focus on the structural integrity of 3D printed sockets and factors that can affect the strength of 3D printed sockets when tested using ISO 10328 standards. Regardless, our systematic review results did show that 3D printed sockets were trending towards producing similar failure forces as those observed in laminated sockets.5 Keywords: digital; issue; orthotics; patient; printing; prosthetics; socket; time; workflow
• 3D PRINTED PROSTHESES: THE PATH FROM HYPE TO REALITY by Erenstone , Jeffrey (2023) - The field of prosthetics has undergone a remarkable transformation in recent years, with 3D printing technology emerging as an innovation that promises to revolutionize the design and production of prosthetic devices. Through this time period, I worked to educate the well- meaning volunteers about complexities of prosthetic care while learning about 3D printing technology and its potential. Keywords: care; hype; internet; issue; path; printing; prostheses; prosthetics; technology
• PEER SUPPORT FOR INDIVIDUALS WITH MAJOR LIMB LOSS: A SCOPING REVIEW by Costa-Parke, Mia; Di Lella, Anna Maria; Walker, Ashley; Verweel, Lee; MacKay, Crystal (2023) - The unique value of peer support provides participants with the opportunity to obtain reassurance from others in a similar position as themselves.34 For instance, peers with major limb losses reported that they were able to provide others with feelings of optimism and hope for the future.21 Similar claims were reported in peer support studies for individuals with diabetes, stating that sharing experiences enabled participants to receive validation from others when expressing their frustrations and concerns about their diabetes management.46 Significant emphasis on knowledge exchange and education facilitated in peer support groups was also positively highlighted throughout the review.21,24-28,34,35,37,40 Peer support is a non-medical intervention that offers a supportive relationship between individuals who have shared experiences with a condition.10,11 Peer support has been shown to be an important component in the care of individuals dealing with various health conditions, such as substance abuse12 and mental health illnesses.12,13 Fortuna OPEN ACCESS ABSTRACT BACKGROUND: Major limb loss can have profound physical and psychosocial implications for individuals, impacting their quality of life and well-being. Keywords: amputation; costa; databases; doi; individuals; journal; limb; limb loss; parke; peer; peer support; prosthetics; research; review; search; studies; support
• PROSTHETIST KNOWLEDGE AND 3D PRINTING by Ratto, Matt; Southwick, Daniel (2024) - We provided details of our own work developing 3D printing design tools from 2014- 2020 noting how claims around prosthetist experience and knowledge have been supported and/or questioned in the development of new device production techniques. VOLUME 7, ISSUE 2 2024 PROFESSIONAL OPINION Ratto M, Southwick D. Prosthetist knowledge and 3D printing. Keywords: design; https://doi.org/10.33137/cpoj.v7i2.42175; journal; knowledge; orthotics; printing; prosthetics; ratto; socket
• 3D PRINTED COSMETIC COVERS FOR LOWER LIMB PROSTHETICS by Efstathiou, Kyriakos; McGarry, Anthony (2024) - In addition, the new design scored a much higher total score when compared to the second-best design (Alleles), hence identifying once again the improvement possibilities such cover design may have in the future. I C S S T A K E H O L D E R P E R S P E C T I V E S PRINTING 3D PUBLISHER: CANADIAN ONLINE PUBLICATION GROUP S P E C I A L I S S U E CPOJ ISSN: 2561-987X https://jps.library.utoronto.ca/index.php/cpoj/EDitorinchief 1 Efstathiou K, McGarry A. 3D printed cosmetic covers for lower limb prosthetics. Keywords: + +; cosmetic; cover; criteria; design; issue; limb; prosthetics
• LEVERAGING DIGITAL WORKFLOWS TO TRANSITION THE ORTHOTICS AND PROSTHETICS PROFESSION TOWARD A CLIENT-CENTRIC AND VALUES-BASED CARE MODEL by Hovorka, Christopher F. (2024) - Hence, a reassessment of the value of O&P care, and the O&P workflow process is necessary to inform an update to the value proposition and practice model for sustainability. Two complimentary practice frameworks (ICF and POP) can further enable O&P practitioners to overcome increasing demands for thoroughness and efficiency required in modern healthcare by leveraging the use of digital technologies to improve efficiencies in the O&P workflow. Keywords: care; centric; client; digital; framework; health; healthcare; hovorka; issue; model; o&p; orthotics; profession; prosthetics; technology; transition; values; workflows
• 3D PRINTING IN PROSTHETICS, ORTHOTICS AND ASSISTIVE TECHNOLOGY: MYTH AND REALITY by Ursula Raschke, Silvia (2023) - I C S S T A K E H O L D E R P E R S P E C T I V E S PRINTING 3D PUBLISHER: CANADIAN ONLINE PUBLICATION GROUP S P E C I A L I S S U E CPOJ ISSN: 2561-987X 1 Raschke S.U. 3D printing in prosthetics, orthotics and assistive technology: myth and reality. At the same time the patents on 3D printers began expiring, expanding availability and lowering costs making 3D printers available in the home and classroom. Keywords: issue; orthotics; printing; prosthetics; research; technology
• CONTEMPORARY AND FUTURE DEVELOPMENT OF 3D PRINTING TECHNOLOGY IN THE FIELD OF ASSISTIVE TECHNOLOGY, ORTHOTICS AND PROSTHETICS by Hassan Beygi, Babak; WONG, M. S. (2024) - Wong M.S. Contemporary and future development of 3D printing technology in the field of assistive technology, orthotics and prosthetics. E-Mail: m.s.wong@polyu.edu.hk ORCID ID: https://orcid.org/0000-0002-4157-9528 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index Volume 6, Issue 2, Article No.10, 2023 Special Issue https://doi.org/10.33137/cpoj.v6i2.42225 https://doi.org/10.33137/cpoj.v6i2.42225 mailto:m.s.wong@polyu.edu.hk https://orcid.org/0000-0002-4157-9528 https://jps.library.utoronto.ca/index.php/cpoj/index 2 Hassan Beygi B, Wong M.S. Contemporary and future development of 3D printing technology in the field of assistive technology, orthotics and prosthetics. Keywords: application; cad; development; future; issue; orthotics; printing; prosthetics; technology; wong
• THE EFFECT OF A MODIFIED TENODESIS WRIST-HAND ORTHOSIS ON HAND FUNCTION IN PATIENTS WITH TETRAPLEGIA by P. Sonune, Swapnil; Saha, Anyesha; Joshi, Nirav; Pathak, Smita; Bhadra, Prasenjit; Goel, Gaurav (2024) - Figure 2: Modified tenodesis wrist hand orthosis. The effect of a modified tenodesis wrist-hand orthosis on hand function in patients with tetraplegia. Keywords: function; hand; hand function; modified; orthosis; orthotics; patients; prosthetics; satisfaction; tenodesis; tetraplegia; weeks; wrist
• cpoj-43073 by None (None) - Whilst progress has been made to combat and further understand lower limb prosthetic thermal discomfort, both through design and research, a knowledge gap remains. The role of human thermoregulation in thermal discomfort in lower-limb prosthetics: A scoping review. Keywords: amputation; discomfort; et al; limb; limb prosthetics; limb skin; participants; perspiration; prosthetics; residual; review; scoping; skin; skin temperature; socket; sweat; temperature; thermal; thermoregulation
• cpoj-43716 by None (None) - Salidroside-pretreated mesenchymal stem cells enhance diabetic wound healing by promoting paracrine function and survival of mesenchymal stem cells under hyperglycemia. DOI:10.1371/journal.pone.0264775 80.Lee Y-H, Lin S-J. Chitosan/PVA Hetero-composite hydrogel containing antimicrobials, perfluorocarbon nanoemulsions, and growth factor-loaded nanoparticles as a multifunctional dressing for diabetic wound healing: synthesis, characterization, and in vitro/in vivo evaluation. Keywords: 987x wound; a. wound; amputation; analysis; biomarkers; biomarkers williams; blood; buis; care; cell; chronic; diabetes; diabetic; doi:10.1016; early; et al; evidence; factors; foot; https://doi.org/10.33137/cpoj.v7i2.43716; human; int; issn; johannesson; journal; limb; limb healing; med; no.3; orthotics; oxygen; patients; perfusion; post; pressure; prosthetics; rehabilitation; reid; reid et; research; review; risk; saturation; scoping; skin; sources; studies; study; surg; tissue; ulcers; volume; wang; williams; wound healing; wound management; wounds
• WOUND MANAGEMENT, HEALING, AND EARLY PROSTHETIC REHABILITATION: PART 3 - A SCOPING REVIEW OF CHEMICAL BIOMARKERS by Williams-Reid, Hannelore; Johannesson, Anton; Buis, Adrianus (2025) - Salidroside-pretreated mesenchymal stem cells enhance diabetic wound healing by promoting paracrine function and survival of mesenchymal stem cells under hyperglycemia. DOI:10.1097/sla.0000000000005389 110.Lee Y-H, Lin S-J. Chitosan/PVA Hetero-composite hydrogel containing antimicrobials, perfluorocarbon nanoemulsions, and growth factor-loaded nanoparticles as a multifunctional dressing for diabetic wound healing: synthesis, characterization, and in vitro/in vivo evaluation. Keywords: 987x wound; a. wound; amputation; biomarkers; biomarkers williams; blood; buis; cells; chemical; chemical biomarkers; chen; diabetes; diabetic; doi:10.1016; endothelial; et al; evidence; expression; factor; foot; growth; hemoglobin; https://doi.org/10.33137/cpoj.v8i1.43717; int; issn; johannesson; journal; july; levels; limb; med; orthotics; patients; post; predictive; prosthetics; quality; rehabilitation; reid; reid et; research; review; risk; scoping; sources; studies; study; surg; table; techniques; therapy; tissue; ulcers; volume; wang; williams; wound healing; wound management; wounds
• EXPLORING FACTORS FOR PRESCRIPTION AND VALIDATION OF ACTUATED UPPER LIMB DEVICES: A CROSS-SECTIONAL SURVEY OF ALLIED HEALTH PROFESSIONALS by Galbert, Angel; Buis, Arjan (2024) - The development of actuated assistive devices has been growing, and current literature shows promise in their clinical use. Factors abstracted from text response DISCUSSION Principal findings The study aimed to explore barriers and limitations of prescribing actuated assistive devices using a cross- sectional survey of allied health professionals. Keywords: america; buis; carpal; devices; epicondylitis; factors; galbert; hand; hand therapist; health; journal; limb; limb devices; measures; orthotics; outcome; professionals; prosthetics; survey; syndrome; therapist; tunnel; united
• cpoj-43827 by None (None) - The evolution of upper limb assistive devices has had rapid advancements in technology. Assistive devices which actuated 1 DoF had the lowest weight on average at 285g, followed by 6 DoF at 422g. Devices with higher levels of DoF tended to be designed for the hands: Average hand device DoF was 3.6, whereas wrist devices were 2.8 DoF. The categories of mechanical transmission described in Table 2, were inspired by Bos et al structured overview of dynamic hand orthoses.17 Keywords: actuator; buis; canadian; clinical; contraction; contraction hand; control; design; devices; doi; emg; exoskeletons; galbert; hand; https://doi.org/10.33137/cpoj.v7i1.43827; ieee; issue; joint; journal; limb; manual; measures; med; motors; muscle; orthotics; orthotics journal; outcome; participants; pneumatic; prosthetics; rehabil; rehabilitation; review; robot; robotic; scoping; signal; stimulation; stroke; studies; study; system; trl; user; volume; wrist; wrist emg
• EVALUATION OF THE SWEDEAMP DATABASE: FOCUS ON COVERAGE AND AMPUTATION LEVEL RATES by Johannesson, Anton G.; Scheving, Reynir; Lindgren Westlund, Karolin; Fridriksson, Thor (2024) - For hospitals performing regular amputation, the proposed benchmark - coverage of ≥60%, with ≤36.3% for transfemoral amputation (TF), ≤8.4% for knee disarticulations (KD), and ≥55.3% for transtibial amputations (TT) – could serve as a target to enhance consistency and accuracy in reporting. With a suggested minimum coverage rate of ≥60%, the proposed benchmark ratios were ≤34.3% for transfemoral (TF) amputations, ≤8.4% for knee disarticulations (KD, where the knee joint is lost), and ≥55.3% for transtibial (TT) amputations. Keywords: amputation; coverage; data; database; hospitals; ipr; johannesson; knee; level; orthotics; prosthetics; rates; ratio; regions; register; swedeamp
• GLASS CEILING AMONG FEMALE PROSTHETISTS & ORTHOTISTS: PERCEPTIONS, OPPORTUNITIES AND STRATEGIES FOR MOVING FORWARD by Eshraghi, Arezoo; Safaeepour, Zahra (2025) - The glass ceiling metaphor is frequently used to describe the obstacles and barriers in front of women seeking promotions to the top levels of organizations.1-2 There is strong evidence of the under-representation of women in leadership positions in countries such as Australia,3 China,4 France,5 and the United States.6 There is a strong need for ongoing investigations into the causes and consequences of glass ceilings, especially in corporate organizations. Therefore, this study is the first to develop pilot information on women's beliefs about glass ceilings among female prosthetists and orthotists. Keywords: career; ceiling; eshraghi; female; glass; glass ceiling; https://doi.org/10.33137/cpoj.v8i1.44720; journal; mean; orthotics; prosthetics; safaeepour; survey; women
• USING A NOVEL PSYCHOSOCIAL GROUP INTERVENTION TO IMPROVE ADAPTION, COPING AND MENTAL HEALTH OUTCOMES FOLLOWING DYSVASCULAR LIMB AMPUTATIONS: A FEASIBILITY STUDY by Steinberg, Rosalie J.; Robinson, Lawrence R.; Kachmarchuk, Oksana; Jankey, Sharon; Posa, Stephanie; Mayo, Amanda L.; Simon, Mindy; Kiss, Alex; Mackay, Crystal; Simpson, Robert; Wasilewski, Marina B.; Dilkas, Steven; Hitzig, Sander L. (2025) - A comorbid diagnosis of depression is associated with lower prosthetic use, higher perceived vulnerability, and lower self-rated health.9 Individuals with LEA undergoing inpatient rehabilitation may receive psychiatric consultations, but individual assessments can be time-consuming and costly.10,11 Group therapy is a less-resource intensive mental health intervention, whereby one or more healthcare providers can treat a group of patients simultaneously.12 There is some preliminary evidence that group therapy may be beneficial for inpatients.13-15 For instance, one randomized clinical trial reported that LEA inpatients experienced improvements in anxiety, depression and body image after participating in group therapy.15 Similarly, a three session group therapy intervention for limb loss inpatients of mixed etiologies (trauma, dysvascular), including upper limb amputation, found that group therapy participants showed significantly lower distress levels than participants in the comparison group.13 Coping mechanisms used to deal with limb loss • Participants often discussed personal coping strategies to deal with their amputation, including humor, positivity, praying, smoking, and writing. Keywords: amputation; feasibility; group; health; intervention; journal; lea; limb; orthotics; participants; prosthetics; psychosocial; segt; sessions; steinberg; study; therapy
• PROSTHETIC TREATMENT OF WOMEN WITH LOWER LIMB ABSENCE DURING PREGNANCY & THE POSTPARTUM PERIOD: A CHART REVIEW by Pousett, Brittany; Cumming, Donna; Phillips, Clara; Azhari, Fae; MacKay, Crystal (2025) - Socket adjustments were required in 11/18 pregnancies with common methods including circumferential stretching and localized adjustments. A recent clinical consensus guideline acknowledges that, during pregnancy, female patients with transfemoral amputations may need socket adjustments to accommodate volume gain, trimline modifications to allow for comfortable sitting, and alignment adjustments to account for center of mass changes.15 Keywords: absence; adjustments; canadian; journal; limb; orthotics; period; postpartum; pousett; pregnancy; prosthetics; socket; women
• SOUTH AFRICAN USERS’ FUNCTION AND EXPERIENCE WITH A MAGNETORHEOLOGICAL MICROPROCESSOR KNEE: A MIXED METHODS STUDY by Visagie, Surona; Theron, Benje (2025) - C, Hanson M, Chaturvedi R, Mattke S. Economic benefits of microprocessor controlled prosthetic knees: A modelling study. With these functional gains and previous research showing the long-term economic benefits of MPKs,6,7 it is important that the South African government and other funders of prosthetic components in South Africa consider MPKs alongside other prosthetic knees. Keywords: africa; amputation; data; doi; experience; function; knee; microprocessor; participants; post; prosthetics; south; study; test; users; visagie
• A BIOFIDELIC MOCK RESIDUAL LIMB FOR PROSTHETIC SOCKET TESTING by Phillips, Clara; Nagpal, Aaryan; Azhari, Fae (2025) - This approach limits the ability to study how the socket responds to a specific rate of limb volume change in * CORRESPONDING AUTHOR: Fae Azhari, PhD Affiliation: Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, Canada. Testing protocol (limb volume change Keywords: bladder; change; design; figure; https://doi.org/10.33137/cpoj.v8i2.45759; journal; limb; orthotics; phillips; pressure; prosthetics; socket; testing; tests; volume
• cpoj-45790 by None (None) - Walking Ascending ramp Descending ramp Ascending stairs Descending stairs A-Spatiotemporal variables Cadence (Strides/min) 49 ± 13 H 46 ± 8 L 43 ± 10 H 34 ± 6 L 45 ± 6 L Gait cycle (s) 1.3 ± 0.3 H 1.3 ± 0.2 L 1.5 ± 0.4 H 1.9 ± 0.4 H 1.4 ± 0.2 L Support (%GC) 63 ± 5 L 63 ± 4 L 62 ± 7 L 58 ± 6 L 52 ± 6 L B-Loading boundaries Minimum FLG (%BW) -0.9 ± 2.0 H -0.5 ± 0.7 H -0.4 ± 0.9 H -4.4 ± 3.5 H -2.7 ± 6.8 H FAP (%BW) -10.1 ± 3.8 H -8.8 ± 3.4 H -14.8 ± 6.2 H -19.9 ± 6.4 H -28.2 ± 7.4 H FML (%BW) -1.1 ± 1.1 H -1.1 ± 1.4 H -0.7 ± 0.6 H -0.4 ± 0.6 H -1.1 ± 1.0 H MLG (%BWm) -0.53 ± 0.33 H -0.33 ± 0.26 H -0.61 ± 0.41 H -0.81 ± 0.28 H -0.95 ± 0.41 H MAP (%BWm) -3.61 ± 1.07 H -3.50 ± 1.04 H -3.07 ± 1.10 H -2.92 ± 0.61 H -2.34 ± 0.70 H MML (%BWm) -2.32 ± 0.70 H -2.14 ± 0.62 H -3.58 ± 1.89 H -3.20 ± 1.05 H -6.14 ± 1.06 L Maximum FLG (%BW) 102.4 ± 7.1 L 100.4 ± 4.1 L 99.6 ± 11.4 L 99.4 ± 5.4 L 84.1 ± 14.8 L FAP (%BW) 16.4 ± 4.9 H 16.4 ± 3.3 H 8.6 ± 5.7 H 6.8 ± 4.6 H 4.3 ± 1.7 H FML (%BW) 10.1 ± 3.7 H 9.7 ± 3.6 H 8.5 ± 2.9 H 8.8 ± 3.7 H 6.3 ± 2.9 H MLG (%BWm) 0.88 ± 0.44 H 0.97 ± 0.34 https://doi.org/10.1097/PXR.0000000000000263 15.Lee W, Frossard L, Hagberg K, Haggstrom E, Brånemark R. Kinetics of transfemoral amputees with osseointegrated fixation performing common activities of daily living. Keywords: axis; bone; bwm; canadian; canadian prosthetics; cross; evidence; frossard; gait; geada; https://doi.org/10.33137/cpoj.v8i2.45790; knee; knee use; lechler; loading; orthotics journal; power knee; prostheses; prostheses frossard; prosthetics; study; transfemoral
• WITHIN- AND BETWEEN-SESSION RELIABILITY OF PELVIC MARKER PLACEMENT AND POSTURE IN LOWER-LIMB AMPUTEES by Withey, Alexandra; Cazzola, Dario; Tabor, Abby; Seminati, Elena (2025) - While marker placement reliability has been well- documented in the general population with skin marker placement variability (standard deviation) within 10 mm and 12 mm for intra-evaluator and inter- evaluator, respectively,4 limited research has examined its consistency in individuals with lower-limb amputation (LLA). OBJECTIVE: This study assessed within- and between-session reliability of pelvis marker placement and static posture kinematics in adults with unilateral LLA. Keywords: amputees; journal; limb; marker; pelvis; placement; posture; prosthetics; reliability; session; static

• THE ECONOMICS OF INNOVATION IN THE PROSTHETIC AND ORTHOTICS INDUSTRY by Andrysek, Jan (2021) - However, none of the regulatory bodies necessitate that P&O devices undergo formal testing for safety or effectiveness. For example, while microprocessor knee joints are shown to provide benefits including the reduction of falls, their acquisition and maintenance costs are significantly higher than their mechanical counterparts.7,10 Many public health care systems do not fully cover the cost of P&O devices, and especially those at the higher end of technological sophistication. Keywords: 2021; access; andrysek; care; devices; economics; health; industry; innovation; orthotics; p&o; prosthetic; research
• THE DIGITAL O&P WORKSHOP by Opitz, Manuel; Fröhlingsdorf, Peter (2021) - In an unlikely scenario, payors therefore use their foresight to pay extra for custom made devices that were additively manufactured to drastically reduce adoption time and thus reap the benefits much faster. But, over the last few decades, mass customization enabled by the advent of new manufacturing technologies has begun to bridge the chasm between those two extremes. Keywords: custom; design; device; digital; feb; fröhlingsdorf; https://doi.org/10.33137/cpoj.v4i2.36349; internet; manufacturing; o&p; opitz; orthotics; patient; workshop
• EXOSEKETONS: A REHAB TECH CONSUMER’S UNEXPECTED MARCH TO ACTION by Angus, Chloe (2021) - Insurance and Healthcare providers must get on board and those who can, should invest in advanced mobility technology for all. I drove myself to OPEN ACCESS Volume 4, Issue 2, Article No.2. 2021 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index ABSTRACT This paper is both a stakeholder perspectives as well as a ‘case study’ describing a journey from sudden disability to participant and investor in exoskeleton design. Keywords: angus; consumer; design; exoskeleton; https://doi.org/10.33137/cpoj.v4i2.37250; mobility; orthotics; rehab; team; technology
• OUTCOME MEASURES USED TO ASSESS HAND ACTIVITY IN AMPUTEE AND INTACT POPULATIONS: A LITERATURE REVIEW by Carlyle, Kirsty; Day, Sarah (2022) - Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Was the recruitment strategy appropriate to the aims? Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Are there any conflicts of interest? Keywords: activity; amputee; canadian; function; hand; hand activity; journal; limb; measures; orthotics; outcome; outcome measures; populations; prosthesis; review; studies; study; tools; y y
• CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE NEPALI VERSION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY SHORT-FORM (PLUS-M™/NEPALI-12SF) IN LOWER LIMB PROSTHESIS USERS: by Ratna Bajracharya, Amit; Seng-iad, Sirirat; Sasaki, Kazuhiko; Guerra, Gary (2023) - VOLUME 6, ISSUE 1 2023 RESEARCH ARTICLE Bajracharya AR, Seng-iad S, Sasaki K, Guerra G. Cross-cultural adaptation and validation of the Nepali version of the Prosthetic Limb Users Survey of Mobility Short-Form (PLUS-M™/Nepali-12SF) in lower limb prosthesis users. Volume 6, Issue 1, No.1. https://doi.org/10.33137/cpoj.v6i1.41310 https://online-publication.com/wp/ http://creativecommons.org/licenses/by/4.0/ https://jps.library.utoronto.ca/index.php/cpoj/index mailto:cpoj@online-publication.com https://publicationethics.org/about/our-organisation https://publicationethics.org/members/canadian-prosthetics-orthotics-journal https://doi.org/10.33137/cpoj.v6i1.41310 1 Bajracharya AR, Seng-iad S, Sasaki K, Guerra G. Cross-cultural adaptation and validation of the Nepali version of the Prosthetic Limb Users Survey of Mobility Short-Form (PLUS-M™/Nepali-12SF) in lower limb prosthesis users. Keywords: /nepali-12sf; doi; limb; mobility; orthotics; prosthesis; survey; test; users; walk
• cpoj-43715 by None (None) - Records excluded (n = 2,659) Reports not retrieved (n = 1) Reports excluded (n = 427): • Full methodology and results not sufficiently clear: • Clinical trial registry (n = 26) • Conference/Meeting abstract (n = 101) • Letter to editor (n = 2) • Article commentary or supplement (n = 2) • Study proposal (n = 2) • Short report (n = 1) • Review articles (n = 133) • Does not discuss biomarkers (n = 50) • Does not discuss wound healing (n = 28) • Does not correlate biomarkers with wound healing (n = 19) • Wound healing is discussed in tissue not relevant to the residuum (n = 17) • Duplicates (n = 6) • Salidroside-pretreated mesenchymal stem cells enhance diabetic wound healing by promoting paracrine function and survival of mesenchymal stem cells under hyperglycemia. Keywords: 987x wound; a. wound; amputation; articles; assessment; biomarkers; buis; chronic; complications; criteria; definitions; definitions williams; diabetes; doi:10.1016; early; et al; evidence; example; factors; foot; healing definitions; healing process; health; https://doi.org/10.33137/cpoj.v7i2.43715; infection; int; int wound; issn; johannesson; journal; level; limb; literature; med; non; number; objective; orthotics; orthotics journal; patients; pressure; prosthetic; quality; rehabilitation; reid; reid et; research; results; review; risk; scoping; scoping review; score; site; skin; sources; studies; study; surg; systematic; table; therapy; tissue; tissue healing; ulcer healing; ulcers; use; volume; wang; williams; wound care; wound healing; wound management; wounds
• cpoj-44450 by None (None) - VOLUME 7, ISSUE 2 2024 RESEARCH ARTICLE Theron B, Visagie S. Exploring the need for lower limb prosthetic guidelines in South Africa's private healthcare sector. Volume 7, Issue 2, No. 8. Https://doi.org/10.33137/cpoj.v7i2.44450 https://jps.library.utoronto.ca/index.php/cpoj/index mailto:cpoj@online-publication.com https://publicationethics.org/about/our-organisation https://pmc.ncbi.nlm.nih.gov/journals/?term=%22Canadian+Prosthetics+%26+Orthotics+Journal%22 https://members.publicationethics.org/members/canadian-prosthetics-orthotics-journal https://doi.org/10.33137/cpoj.v7i2.44450 https://pmc.ncbi.nlm.nih.gov/journals/?term=%22Canadian+Prosthetics+%26+Orthotics+Journal%22 1 Theron B, Visagie S. Exploring the need for lower limb prosthetic guidelines in South Africa's private healthcare sector. Keywords: agree; data; guidelines; healthcare; healthcare sector; https://doi.org/10.33137/cpoj.v7i2.44450; journal; limb; need; orthotics; prescription; prosthetic; sector; south; south africa; study; theron; users; visagie
• DEVELOPMENT AND EVALUATION OF AN ANTERIORLY MOUNTED MICROPROCESSOR-CONTROLLED POWERED HIP JOINT PROSTHESIS by Brannen, Kelly; Baddour, Natalie; Cho, Lucas; Langlois, David; Dumond, Patrick; Lemaire, Edward (2025) - As a result, more than 50% of such individuals opt for alternative solutions such as wheelchairs for daily mobility.4 A powered prosthetic hip joint could solve common challenges in current hip-knee-ankle-foot (HKAF) prostheses, namely stability, metabolic cost, and range of motion, allowing people to recover a more natural gait.5 Commonly used prosthetic hip joints can be grouped into single-axis or polycentric joints, based on the number of pivot points and linkages involved in the mechanism. Prostheses – Structural testing of hip joints Keywords: brannen; design; figure; hip; https://doi.org/10.33137/cpoj.v7i2.44494; joint; journal; microprocessor; orthotics; php; prosthesis; system; testing
• HEALTH ECONOMIC EVALUATION OF MICROPROCESSOR AND NON-MICROPROCESSOR CONTROLLED PROSTHETIC KNEES by Bosman, Charlotte E.; van der Sluis, Corry K.; Vrieling, Aline H.; Geertzen, Jan H.B.; Seves, Bregje L.; Groen, Henk (2025) - Moreover, we were unable to obtain prosthesis costs at the individual level, leading to absence of variation in prosthesis cost as a major component of total costs. This allows for a more detailed understanding of how cost differences between prosthetic knees can impact prosthesis users' daily lives. Keywords: appointments; bosman; care; cost; effectiveness; evaluation; health; https://doi.org/10.33137/cpoj.v8i2.45823; journal; knees; mean; microprocessor; months; mpk; nmpk; non; orthotics; peq; prosthesis; question; utility

• A DEPICTION OF REHABILITATION PATIENTS 65 YEARS AND YOUNGER WITH DYSVASCULAR LOWER EXTREMITY AMPUTATION by Mayo, Amanda Lee; Hitzig, Sander; Cimino, Stephanie (2019) - Younger dysvascular LLA patients may have different psychosocial challenges, such as employment and childcare responsibilities, than geriatric patients.21 To maximize return of function and community reintegration post-amputation, rehabilitation programs must address the unique needs of younger dysvascular patients. As a population of younger dysvascular LLA patients emerges, a better understanding of their characteristics is needed. Keywords: age; amputation; care; diabetes; discharge; dysvascular; extremity; fim; health; https://doi.org/10.33137/cpoj.v2i1.31950; https://jps.library.utoronto.ca/index.php/cpoj/index; limb; lla; pain; patients; rehabilitation; years
• ASSISTIVE TECHNOLOGIES FOR PAIN MANAGEMENT IN AMPUTEES: A REVIEW by Ghoseiri, Kamiar; Allami, Mostafa; Soroush, Mohammad Reza; Rastkhadiv, Mohammad Yusuf (2018) - • There are few available assistive devices/technologies to relieve residual limb pain and phantom limb pain. • More attention to resolve post amputation pain is required from researchers, clinicians, designers, engineers and manufacturers REFERENCES 1. Keywords: amputation; pain; technologies
• CHANGES IN POSTURAL STEADINESS FOLLOWING TRANS-TIBIAL AMPUTATIONS by Henness, Douglas; Medema, Arianna; Steinhorst, Kendra; Moauro, Robert; Reuland, Michael; Whelan, Robert; Kester, Shawna; Bateni, Hamid (2018) - We hypothesized that postural steadiness is deteriorated following trans-tibial amputation as compared to age matched younger adults. CONCLUSION Our results indicate that postural steadiness is altered following amputation both in time and frequency domain. Keywords: amputation; frequency; trans
• EFFECT OF LEVEL OF AMPUTATION ON POSTURAL STEADINESS AMONG LOWER EXTREMITY AMPUTEES by Medema, Arianna; Henness, Douglas; Steinhorst, Kendra; Moauro, Robert; Reuland, Michael; Whelan, Robert; Kester, Shawna; Bateni, Hamid (2018) - This study aims to compare postural steadiness of different levels of lower extremity amputees through comparison of time and frequency domain variables of postural sway. Figure 1: comparison of ML distance of postural sway for different levels of amputation. Keywords: amputation; extremity; level
• BACK PAIN AND OSTEOARTHRITIS AS SECONDARY DISABILITIES OF LOWER LIMB AMPUTATION by Pröbsting, Eva; Kannenberg, Andreas; Blumentritt, Siegmar (2018) - Pain site and impairment in individuals with amputation pain. Back pain as a secondary disability in persons with lower limb amputations. Keywords: amputation; limb; pain
• WHICH IS THE BEST WAY TO PERFORM THE PHYSIOLOGICAL COST INDEX IN ACTIVE INDIVIDUALS WITH UNILATERAL TRANS-TIBIAL AMPUTATION? by Brunelli, Stefano; Sancesario, Andrea; Iosa, Marco; Delussu, Anna Sofia; Gentileschi, Noemi; Bonanni, Cinzia; Foti, Calogero; Traballesi, Marco (2019) - PCI is a reliable alternative measure of energy expenditure during walking in active individuals with trans-tibial amputation when performing over-ground or at high intensity effort on treadmill. Physiological cost index in individuals with trans-tibial amputation Physiological Cost Index (PCI) considers heart rate as an indicator of energy expenditure. Keywords: amputation; amputees; correlation; cost; ecw; index; individuals; pci; physiological; trans; treadmill; walking
• ULTRASOUND-GUIDED CONTINUOUS RADIOFREQUENCY ABLATION OF PAINFUL RESIDUAL LIMB NEUROMA IN INDIVIDUALS WITH LIMB AMPUTATION- A RETROSPECTIVE CASE SERIES by Guo, Shigong; Mansour, Ramy; Henderson Slater, David (2019) - Although the mechanism of interaction is not fully understood, residual limb pain and phantom pain often coexist post-amputation and Montoya et al have reported a significant correlation between the severities of these two types of pain in individuals with limb amputation.6 There is a paucity of studies in the literature concerning ultrasound-guided (US) radiofrequency ablation (RFA) as a treatment for residual limb neuroma pain in terms of its effectiveness in reducing pain and analgesic requirements, improving comfort when wearing prosthetic limbs and reducing the need for surgical intervention This study aims to investigate the effects of US-guided RFA as a treatment for residual limb neuroma- associated pain. Continuous RFA is known to be more effective than pulsed RFA in the treatment of facet joint-related low back pain 14-16 and a similar trend may also be apparent in residual limb neuroma associated pain in individuals with limb amputation. Keywords: ablation; amputation; limb; limb neuroma; nerve; neuroma; pain; patients; post; radiofrequency; rfa; treatment; ultrasound
• A LITERATURE REVIEW OF THE QUALITY OF LIFE, HEALTH STATUS AND PROSTHESIS SATISFACTION IN OLDER PATIENTS WITH A TRANS-TIBIAL AMPUTATION by Brunelli, Stefano; Bonanni, Cinzia; Foti, Calogero; Traballesi, Marco (2020) - Study quality The methodological quality of the selected articles was assessed using the Critical Review Form-Quantitative Studies checklist.24 The checklist consists of 15 questions pertaining to the quality of reporting, internal validity, external validity, and power of the studies. The assessment of perceived OPEN ACCESS Volume 3, Issue 1, Article No.3. 2020 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index ABSTRACT BACKGROUND: Several reviews have been published regarding quality of life (QoL) and Health Status (HS) in persons with lower limb amputation (LLA). Keywords: amputation; health; life; limb; prosthesis; qol; quality; review; satisfaction; status; studies; study; tta
• POSTURAL SWAY IN LOWER EXTREMITY AMPUTEES AND OLDER ADULTS MAY SUGGEST INCREASED FALL RISK IN AMPUTEES by Bateni, Hamid (2020) - VOLUME 3, ISSUE 2 2020 RESEARCH ARTICLE Bateni H. Postural sway in lower extremity amputees and older adults may suggest increased fall risk in amputees. https://doi.org/10.33137/cpoj.v3i2.33804 https://online-publication.com/wp/ http://creativecommons.org/licenses/by/4.0/ https://jps.library.utoronto.ca/index.php/cpoj/index mailto:cpoj@online-publication.com https://publicationethics.org/about/our-organisation https://publicationethics.org/about/our-organisation https://publicationethics.org/members/canadian-prosthetics-orthotics-journal https://doi.org/10.33137/cpoj.v3i2.33804 1 Bateni H. Postural sway in lower extremity amputees and older adults may suggest increased fall risk in amputees. Keywords: adults; amputation; amputees; conditions; data; doi; extremity; eyes; foam; power; standing; study; sway; velocity
• COMORBIDITY AND NON-PROSTHETIC INPATIENT REHABILITATION OUTCOMES AFTER DYSVASCULAR LOWER EXTREMITY AMPUTATION by Marquez, Michelle G.; Kowgier, Matthew; Journeay, W. Shane (2020) - Determinants of postacute care discharge destination after dysvascular lower limb amputation. DOI: 10.1503/cjs.013115 4.Imam B, Miller WC, Finlayson HC, Eng JJ, Jarus T. Incidence of lower limb amputation in Canada. Keywords: amputation; comorbidity; fim; functional; inpatient; outcomes; patients; rehabilitation
• HEMODIALYSIS IS NOT ASSOCIATED WITH PRE-PROSTHETIC INPATIENT REHABILITATION OUTCOMES AFTER DYSVASCULAR LOWER EXTREMITY AMPUTATION: A RETROSPECTIVE COHORT STUDY by Journeay, W. Shane; Marquez, Michelle G.; Kowgier, Matthew (2020) - CONCLUSION We conducted this study to examine the role of ESRD/HD in pre-prosthetic inpatient rehabilitation functional outcomes and LOS in a cohort of dysvascular patients with recent lower extremity amputation. VOLUME 3, ISSUE 2 2020 RESEARCH ARTICLE Journeay W.S., Marquez M.G., Kowgier M. Hemodialysis is not associated with pre-prosthetic inpatient rehabilitation outcomes after dysvascular lower extremity amputation: a retrospective cohort study. Keywords: amputation; dysvascular; fim; inpatient; patients; rehabilitation
• SELF-MANAGEMENT IN PERSONS WITH LIMB LOSS: A SYSTEMATIC REVIEW by Lee, Daniel J; Repole, Theresa ; Taussig, Emily ; Edwards, Stephanie ; Misegades, Jamie ; Guerra, Jorge ; Lisle , Amira (2021) - https://doi.org/10.33137/cpoj.v4i1.35098 ISSN: 2561-987X SELF-MANAGEMENT IN PERSONS WITH LIMB LOSS Lee et al. 2021 CPOJ While a universal definition of self-management after amputation is deficient, it is agreed that optimal self- management requires the patient to be an active participant in decisions regarding their health and own care.8 For persons with limb loss, this can be thought of in three distinctive categories: residual limb care and hygiene, problem-solving the fit of the prosthesis, and making decisions regarding self-care.9 These decisions surrounding the daily self-care and hygiene associated with residual limb includes washing regimens, liner cleaning and drying, skin inspection, and wound prevention.10 Self- management also involves problem-solving the fit of the prosthesis, which may include modification of sock-ply, sequencing components for donning, and maintaining awareness of how the fit changes throughout the day.11 Finally, decision-making is concerned with recognizing when an issue presents, such as skin breakdown, and properly contacting the correct medical professional for assistance.12 If self-management is not embodied and embraced by persons with limb loss they may be at an increased risk of injury, including but not limited to skin breakdown, wound formation, musculoskeletal issues, or falls.13-15 Conversely, proper self-management may be related to better outcomes after loss of limb, including maintaining the integrity of the skin, preventing wound formation, and improving quality of life.10,16 Currently, the greatest resources of self- management education are found in clinical textbooks, patient handouts, and through professional organizations. Therefore, the purpose of this study is to examine the available published literature on self-management interventions and/or outcomes for persons with limb loss and describe how it may impact residual limb health or prosthesis use. Keywords: amputation; articles; education; https://doi.org/10.33137/cpoj.v4i1.35098; lee; limb; limb loss; loss; management; persons; prosthesis; quality; review; self; studies; study
• CLINICAL OUTCOMES COMPARING TWO PROSTHETIC KNEE DESIGNS IN INDIVIDUALS WITH UNILATERAL TRANSFEMORAL AMPUTATION IN TURKEY by Yazgan, Ayse; Kutlutürk, Seval; Lechler, Knut (2021) - A large variety of prosthetic knee designs are available for individuals with transfemoral amputation.7 Differences in prosthetic knee designs may influence clinical outcomes. Keywords: amputation; balance; designs; group; https://doi.org/10.33137/cpoj.v4i1.35297; individuals; knee; mpk; outcomes; prosthetic; satisfaction; study; test; turkey; yazgan
• THE HYBRID SUBISCHIAL SOCKET FOR PERSONS WITH TRANSFEMORAL AMPUTATION: GAIT PARAMETERS AND CLINICAL ASSESSMENT OF A CASE SERIES by Pellegrini, Roberto ; Denza, Gabriele ; Brunelli, Stefano; Zenardi, Daniele ; Imperio, Matteo ; Vannozzi, Giuseppe ; Traballesi, Marco (2021) - Measure Patient 1 Patient 2 Patient 3 ICS HySS DIF% ICS HySS DIF% ICS HySS DIF% Hip Range of Motion Abduction° 30 ± 6 45 ± 6 +50 18 ± 6 32 ± 5 +77.78 34 ± 4 40 ± 4 +17.65 Flexion° 88 ± 11 96 ± 11 +9.09 65 ± 10 95 ± 13 +46.15 77 ± 12 110 ± 12 +42.86 Extension° 21 ± 7 25 ± 6 +19.05 10 ± 7 21 ± 9 +110 10 ± 8 20 ± 8 +100 Gait Analysis (global temporal parameters) Walking Speed (m/s) 1.1 ± 0.0 1.2 ± 0.0 +9.09 0.9 ± 0.1 1.1 ± 0 Keywords: amputation; case; gait; hip; https://doi.org/10.33137/cpoj.v4i1.36252; hyss; ics; parameters; pellegrini; persons; prosthetic; socket; walking
• A PSYCHOSOCIAL ADJUSTMENT MEASURE FOR PERSONS WITH UPPER LIMB AMPUTATION by Resnik, Linda; Ni, Pengsheng; Borgia, Matthew L.; Clark, Melissa A. (2022) - Upper limb prosthesis use and abandonment: a survey of the last 25 years. A psychosocial adjustment measure for persons with upper limb amputation. Keywords: adjustment; amputation; factor; https://doi.org/10.33137/cpoj.v5i1.37873; item; limb; limb amputation; limitation; measure; persons; prosthesis; psychosocial; reliability; resnik; work
• A NEW TEMPORARY TRAINING PROSTHESIS FOR PEOPLE WITH TRANSTIBIAL AMPUTATION: A TECHNICAL NOTE by Gholizadeh, Hossein; Baddour, Natalie; Dudek, Nancy; Lemaire, Edward D. (2024) - Various temporary training prostheses were designed and simulated using SolidWorks software, followed by fabricating and testing multiple prototypes. Temporary prostheses or post operative prosthesis can play an important role in the overall success of rehabilitation for people with lower limb amputation, contributing to the prevention of complications associated OPEN ACCESS ABSTRACT BACKGROUND: While waiting to receive a prosthesis, individuals with amputations could benefit from using a temporary training prosthesis to expedite the rehabilitation process and prepare them for subsequent walking with their prosthesis. Keywords: amputation; device; individuals; knee; people; prosthesis; shank; thigh; training
• DETECTING CHANGES IN COMFORT, PAIN, AND MOBILITY OVER CLINICAL MILESTONES FOR INDIVIDUALS WITH LOWER LIMB LOSS by Pousett, Brittany; Harasym, Charlene C; Rapaport, Malena Sofia; Richardson, Tessa; Spellen, Jesse; Moe, David W; Miller, William C (2024) - The utility of the 2-minute walk test as a measure of mobility in people with lower limb amputation. Construct validity of the prosthetic limb users survey of mobility (PLUS-M) in adults with lower limb amputation. Keywords: amputation; changes; comfort; individuals; limb; mean; mobility; pain; rehabilitation; scores; socket; treatment; values
• cpoj-44002 by None (None) - If the amputation involves the upper limb, this risk doubles for women, as the upper limb is crucial for self-expression, self-care, and communication, leading to a greater functional loss compared to lower limb amputations. Factors affecting outcome after traumatic limb amputation. Keywords: amputation; challenges; india; limb; women
• cpoj-44416 by None (None) - The first peak of vertical ground reaction forces, the peak knee adduction and extension moments increase, and the peak knee flexion moments decrease with higher amputation level. Primary hypothesis: Load on the contralateral side increases with higher amputation level. Keywords: amputation; amputation level; gait; ground; knee; level; loading; parameters; peak; sound; stance; vaulting
• EXPLORING THE CORRELATION BETWEEN GAIT SPEED AND BALANCE IN LIMB PROSTHESIS USERS: A PILOT STUDY by Alhuzaymi, Abdullah; Fiedler, Goeran (2025) - DOI:10.1097/ phm.0000000000001034 3.Kulkarni J, Wright S, Toole C, Morris J, Hirons R. Falls in patients with lower limb amputations: Prevalence and contributing factors. DOI: 10.1053/apmr.2001.24295 22.Velzen JM, Van Bennekom CAM, Polomski W, Slootman JR, Van der Woude LHV, Houdijk H. Physical capacity and walking ability after lower limb amputation: A systematic review. Keywords: amputation; balance; correlation; doi; fiedler; gait; limb; loss; pilot; prosthesis; speed; study; users; walking

• HEALTH CARE ACCESSIBILITY FOR INDIVIDUALS WITH DISABILITIES: BARRIERS AND RISK FACTORS IMPACTING CARE by Senczyszyn, Abbey; Duncan, J. Chad (2018) - ICF Framework2 METHODS Inclusion Criteria: • Health care in the United States • Individuals with a physical disability or limitation • Discussion of disparity and accessibility related to the provision of healthcare • Publication date of January 1, 2014 or later • Data from 2010 or later • Age 18 and older Exclusion Criteria: • Studies irrelevant to health care in the United States • Individuals with a mental disability or hard of hearing • Specialty care irrelevant to the purposes of this study • Pediatric patient population • DISCUSSION Disparity in the provision of health care is not a new topic of discussion; however, past research has primarily focused on age, racial/ethnic, and socioeconomic disparities related to health care. Keywords: care; disabilities; disability; factors; health; journal
• CANADA’S PROSTHETIC COVERAGE: A REVIEW OF PROVINCIAL PROSTHETIC POLICY by Howard, Calvin; Saraswat , Dave K. ; McLeod , Graham ; Yeung , Albert; Jeong , Danielle; Lam, Jack (2020) - Patient Eligibility Criteria for Prosthetic Coverage Prosthetic policy documents for each province were reviewed for inclusion or exclusion criteria regarding patients qualifying for prosthetic device coverage. https://doi.org/10.33137/cpoj.v2i2.33489 4 CPOJ Howard et al. 2019 CANADA’S PROSTHETIC COVERAGE RESULTS Eligibility for coverage of prosthetic devices We found eight provinces to have formal government policies regarding prosthetic device coverage (Table 1). Keywords: alberta; canada; canadian; cost; coverage; dec; devices; funding; health; howard; https://doi.org/10.33137/cpoj.v2i2.33489; internet; limb; patients; policy; provinces; review
• USING PERFORATED LINERS TO COMBAT THE DETRIMENTAL EFFECTS OF EXCESSIVE SWEATING IN LOWER LIMB PROSTHESIS USERS by Davies, Katherine C.; McGrath, Mike; Stenson, Alison; Savage, Zoe; Moser, David; Zahedi, Saeed (2020) - Issues at the residuum The mean number of residual limb issues reported was significantly higher in the NPL control group (2.8 (SD=1.5)) than the PL group (1.2 (SD=1.0), p<0.001). METHODOLOGY Evaluated technology This study examines the effects of a perforated liner (PL - Silcare Breathe, Blatchford Products Ltd., Hampshire, UK)I,II on patient outcome measures and residual limb health. Keywords: blatchford; control; davies; group; health; https://doi.org/10.33137/cpoj.v3i2.34610; issues; limb; limb prosthesis; liner; pain; participants; patient; pinlock; prosthesis; skin; study; sweating; users
• TRENDS AND OPPORTUNITIES IN HEALTH ECONOMIC EVALUATIONS OF PROSTHETIC CARE INNOVATIONS by Frossard, Laurent (2021) - Furthermore, standard assessments are commonly used to quantify outcomes of prosthetic fittings using self-reported satisfaction (e.g., Orthotics and Prosthetics User's Survey, Quebec User Evaluation of Satisfaction with Assistive Technology, socket prosthetic comfort score), physical tasks (e.g., Berg Balance Scale, timed get-up and go, walking speed, 2-minute walk, 6-minute walk, functional ambulation profile, amputee mobility predictor with prosthesis) as well as specific (e.g., Questionnaire for Persons with a Transfemoral Amputation) and generic (e.g., EQ-5D, SF36) health-related quality of life with an innovation.12,13,29,86 Altogether, organisation of the delivery and assessment of prosthetic care might be sufficiently transferable across innovations to consider a more uniform approach to preliminary CUAs.50-52 This creates opportunities to explore the development of a basic framework including set https://doi.org/10.33137/cpoj.v4i2.36364 11 Frossard L. Trends and opportunities in health economic evaluations of prosthetic care innovations. VOLUME 4, ISSUE 2 2021 STAKEHOLDER PERSPECTIVES Frossard L. Trends and opportunities in health economic evaluations of prosthetic care innovations. Keywords: analysis; care; care innovations; cost; cuas; describe; development; doi; economic; effectiveness; evaluations; evidence; frossard; health; https://doi.org/10.33137/cpoj.v4i2.36364; innovations; issue; limb; methods; opportunities; orthot; outcomes; prosthetic; study; technology; trends
• A PRELIMINARY COST-UTILITY ANALYSIS OF THE PROSTHETIC CARE INNOVATIONS: BASIC FRAMEWORK by Frossard, Laurent (2021) - 2021 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index ABSTRACT A preliminary cost-utility analysis (CUA) of prosthetic care innovations can provide timely information during the early stage of product development and clinical usage. Key facilitators potentially transferable across preliminary CUAs of prosthetic care innovations included choosing abided constructs, capitalizing on prior schedules of expenses, and benchmarking baseline or incremental utilities. Keywords: analysis; care; care innovations; cost; cua; cuas; doi; economic; evidence; framework; frossard; health; https://doi.org/10.33137/cpoj.v4i2.36365; innovations; outcomes; preliminary; prosthetic; step; utility; utility analysis
• A PRELIMINARY COST-UTILITY ANALYSIS OF THE PROSTHETIC CARE INNOVATIONS: CASE OF THE KEEP WALKING IMPLANT by Guirao, Lluis; Samitier , Beatriz ; Frossard, Laurent (2021) - DOI: 10.1302/0301-620X. 100B4.BJJ-2017-0968.R1 48.Haggstrom EE, Hansson E, Hagberg K. Comparison of prosthetic costs and service between osseointegrated and conventional suspended transfemoral prostheses. More broadly, this work indicates that a basic framework of preliminary CUA of prosthetic care innovation proposed previously is not only feasible but also informative when a series of assumptions is carefully considered. Keywords: analysis; care; case; cost; cua; doi; frossard; guirao; health; https://doi.org/10.33137/cpoj.v4i2.36366; implant; kwi; orthot; prosthetic; qaly; socket; utility; utility analysis; walking

• THE IMPORTANCE OF ADDITIONAL MID SWING TOE CLEARANCE FOR AMPUTEES by Lechler, Knut; Kristjansson, Kristleifur (2018) - https://doi.org/10.1016/S0167-9457(01)00061-6 4.Moosabhoy MA, Gard SA. Methodology for determining the sensitivity of swing leg toe clearance and leg length to swing leg joint angles during gait. Table 1: Comparison of prosthetic side toe clearances in mm. Keywords: amputees; clearance; falls; importance; knee; leg; length; limb; no.1; phase; swing; toe; toe clearance
• BENEFITS OF GENIUM MICROPROCESSOR CONTROLLED KNEE ON AMBULATION, MOBILITY, ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE: A SYSTEMATIC REVIEW by Mileusnic, Milana; Rettinger, Lena; Highsmith, Michael Jason; Hahn, Andreas (2018) - SIGNIFICANCE Additional benefits could be observed with Genium in above knee amputees when compared to standard MPKs. Differences in knee flexion between the Genium and C-Leg microprocessor knees while walking on level ground and ramps. Keywords: genium; knee
• INFLUENCE OF FALLS REDUCTION ON THE COST-EFFECTIVENESS OF ADVANCED HYDRAULIC MICROPROCESSOR CONTROLLED KNEE PROTHESES IN ELDERLY PATIENTS WITH LOWER LIMB AMPUTATIONS by Krüger, Henning; Hahn, Andreas; Kuhlmann, Alexander (2018) - CONCLUSION Results of the analysis indicate the cost-effectiveness of advanced hydraulic MPKs in elderly patients with lower limb amputation. OBJECTIVE Aim of this investigation is to assess the cost effectiveness of advanced hydraulic MPKs vs. non- MPKs in a population of elderly above-knee amputees. Keywords: cost; effectiveness; knee
• GAIT CHARACTERISTICS OF TRANSTIBIAL AMPUTEES ON LEVEL GROUND IN A COHORT OF 53 AMPUTEES - COMPARISON OF KINETICS AND KINEMATICS WITH NON-AMPUTEES by Pröbsting, Eva; Bellmann, Malte; Schmalz, Thomas; Hahn, Andreas (2020) - Sound side knee loading The peak values of the external knee extension moment showed no significant differences between TTs and CG. Proebsting et al. discussed the influence of sound side knee load during other activities e.g. hopping or walking with crutches without prosthesis.21 Although an influence of trauma, infection or rheumatism on knee osteoarthritis is generally known. Keywords: amputees; characteristics; gait; ground; knee; moment; parameters; prosthetic; sound; trauma; tts
• THE INFLUENCE OF HYDRAULIC ANKLES AND MICROPROCESSOR-CONTROL ON THE BIOMECHANICS OF TRANS-TIBIAL AMPUTEES DURING QUIET STANDING ON A 5° SLOPE by McGrath, Michael; Davies, Katherine C. ; Laszczak, Piotr ; Rek, Beata; McCarthy, Joe; Zahedi, Saeed; Moser, David (2020) - This is defined as the sum of the moments acting at the ankle, knee and hip, where extension moments make up the positive contribution to support and flexion moments provide a negative one.23 This study expands on the previous work19 to focus on TTAs and, in particular, how differences in prosthetic foot and ankle technology can influence the way in which they stand on non-level ground. Other work has sought to compare different types of prosthetic feet when standing on slopes, but the gradients used were higher than that in the current study (7° slope,20 10° slope21 and 15° slope,29 respectively) so direct, quantifiable comparisons are challenging. Keywords: amputees; ankle; foot; knee; limb; mpf; participants; sound; standing; support
• POLYCENTRIC EXOPROSTHETIC KNEE JOINTS – EXTENT OF SHORTENING DURING SWING PHASE by Köhler, Thomas Maximilian; Bellmann, Malte; Blumentritt, Siegmar (2020) - (B) Experimental setup with knee joint in full extension, (i) hip flexion angle (individual tube inclination was considered), (ii) distance between knee (extended) and big toe marker. KX06 low centered long medium backward forward 7.4 (SD=0.0) 3R60 medium centered long medium backward forward 10.8 (SD=0.1) 3R46/3R55 medium centered long long backward forward 14.2 (SD=0.1) *high-low: ICR above knee joint; high: more proximally located, low: more distally located. Keywords: clearance; flexion; ground; hip; joints; knee; leg; phase; shortening; swing
• INVESTIGATION OF THE EFFECTS OF PROSTHETIC KNEE CONDITION FOR INDIVIDUALS WITH TRANSFEMORAL AMPUTATION DURING ATTEMPTED RUNNING by Blakeley, Natalie; Silver-Thorn, Barbara; Cross, Janelle A. (2020) - VOLUME 3, ISSUE 2 2020 RESEARCH ARTICLE Blakeley N., Silver-Thorn B., Cross J.A. Investigation of the effects of prosthetic knee condition for individuals with transfemoral amputation during attempted running. https://doi.org/10.33137/cpoj.v3i2.34481 https://online-publication.com/wp/ http://creativecommons.org/licenses/by/4.0/ https://jps.library.utoronto.ca/index.php/cpoj/index mailto:cpoj@online-publication.com https://publicationethics.org/about/our-organisation https://publicationethics.org/about/our-organisation https://publicationethics.org/members/canadian-prosthetics-orthotics-journal https://doi.org/10.33137/cpoj.v3i2.34481 1 Blakeley N., Silver-Thorn B., Cross J.A. Investigation of the effects of prosthetic knee condition for individuals with transfemoral amputation during attempted running. Keywords: condition; effects; hip; individuals; knee; knee condition; limb; peak; running; speed; subject; swing; uk condition
• cpoj-34528 by None (None) - In our Physical Medicine and Rehabilitation (PM&R) Prosthetics and Orthotics clinic, we have found that off the shelf orthotics can be beneficial in treating gait dysfunction secondary to sensory deficits. Video 1 :Severe right knee recurvatum and gait dysfunction without the brace. Keywords: gait; knee; sherrington
• EFFECTS OF A PROSTHETIC FOOT WITH INCREASED CORONAL ADAPTABILITY ON CROSS-SLOPE WALKING by Altenburg, Björn; Ernst, Michael; Maciejasz, Pawel; Schmalz, Thomas; Braatz, Frank; Gerke, Henrik; Bellmann, Malte (2021) - https://doi.org/10.33137/cpoj.v4i1.35206 ISSN: 2561-987X EFFECTS OF PROSTHETIC FOOT ON CROSS-SLOPE WALKING Altenburg et al. 2021 CPOJ central component which offers an individual adaptability, depending on the design and materials used.3 Due to their carbon structure, common energy-storing-and- returning (ESR) feet have a certain degree of flexibility, which allows for limited adaptation under load.3 It has been shown in different studies4-6 that a mechanical ankle joint can increase the range of motion in plantar and dorsiflexion and that a sophisticated microprocessor control can improve the adaptation to uneven ground.7-9 Most studies have focused on adaptations in the sagittal plane. https://doi.org/10.33137/cpoj.v4i1.35206 ISSN: 2561-987X EFFECTS OF PROSTHETIC FOOT ON CROSS-SLOPE WALKING Altenburg et al. 2021 CPOJ assessor to distinguish between the different contributions to the frontal plane adaptations of the foot including joint adaptation, carbon base deformation and shoe/foot shell deformation.3 Keywords: adaptation; altenburg; cross; effects; feet; foot; gait; https://doi.org/10.33137/cpoj.v4i1.35206; knee; level; slope; tsf; walking
• EFFECTS OF UNITY PROSTHETIC ELEVATED VACUUM SUSPENSION SYSTEM ON MINIMUM SWING TOE CLEARANCE by Gholizadeh, Hossein; Lemaire, Edward D.; Nantel, Julie (2021) - 2022; Volume 5, Issue 1, No.1. https://doi.org/10.33137/cpoj.v5i1.36847 ISSN: 2561-987X EFFECTS OF PROSTHETIC SUSPENSION SYSTEM ON SWING TOE CLEARANCE Gholizadeh et al., 2022 CPOJ Prosthetic elevated vacuum suspension system could improve socket fit and proprioception, which could enhance gait symmetry in people with transtibial amputation.12,32 Similarly, our previous study showed better proprioception and greater comfort for Unity users with vacuum ON compared to vacuum OFF.15 VOLUME 5, ISSUE 1 2022 RESEARCH ARTICLE Gholizadeh H, Lemaire E.D, Nantel J. Effects of unity prosthetic elevated vacuum suspension system on minimum swing toe clearance. Keywords: angle; clearance; hip; knee; mstc; prosthetic; slope; suspension; swing; system; toe; vacuum; walking
• EXPERTS’ PERCEIVED PATIENT BURDEN AND OUTCOMES OF KNEE-ANKLE-FOOT-ORTHOSES (KAFOs) VS. MICROPROCESSOR-STANCE-AND-SWING-PHASE-CONTROLLED-KNEE-ANKLE-FOOT ORTHOSES (MP-SSCOs) by Brüggenjürgen, Bernd; Braatz, Frank; Greitemann, Bernhard ; Drewitz, Heiko ; Ruetz, Axel; Schäfer, Michael ; Seifert, Wolfgang ; Steinfeldt, Friedemann ; Weichold, Claudia ; Yao, Daiwei ; Stukenborg-Colsman, Christina (2022) - Unlike Yang et al., we conducted interviews with experts caring for patients in need for lower limb orthoses.10 However, despite not directly involving patients’ responses, research of health-related QoL did show that the results obtained from attending HCPs considerably overlap with patients’ individual feedback, resulting in reasonable agreement that make the HCPs’ perception a valuable source of assessment.18 However, when assessing individual patients, there was some discordance between scores obtained from HCPs compared to patients, with physicians systematically underestimating overall QoL, social functioning, and role functioning. Semi-structured interviews are employed in qualitative interview research where the order and content of questions in an interview can be modified to deepen the exploration of a research topic according to the response of the interviewee.14 The interviews were conducted by phone and survey questions were comprised of the following areas: participants’ orthotic experience, challenges in orthotic rehabilitation, patient burden and severity of this burden, patient needs and benefits, patient relevant outcomes, rehabilitation under delivery of new orthotic devices, severity and frequency of falls, adverse events other than falls. Keywords: ankle; burden; experts; foot; kafos; knee; microprocessor; orthoses; outcomes; patient; sscos
• PATIENTS’ BURDEN USING MICROPROCESSOR-STANCE-AND-SWING-CONTROL KNEE-ANKLE-FOOT ORTHOSES AND OUTCOMES COMPARED TO THOSE WITH PRIOR TRADITIONAL KNEE-ANKLE-FOOT-ORTHOSIS by Brüggenjürgen, Bernd; Eilers, Lena; Seidinger, Susanne; Kannenberg, Andreas; Stukenborg-Colsman, Christina (2024) - Orthotronic Mobility System, a new microprocessor stance and swing control orthosis. A microprocessor stance and swing control orthosis improves balance, risk of falling, mobility, function, and quality of life of individuals dependent on a knee-ankle-foot orthosis for ambulation. Keywords: ankle; brüggenjürgen; burden; canadian; falls; foot; journal; knee; microprocessor; orthosis; outcomes; pain; patients; ssco; swing
• OVERCOMING BARRIERS TO CYCLING FOR KNEE DISARTICULATION AND TRANSFEMORAL PROSTHESIS USERS: A PILOT STUDY IN THE NETHERLANDS by de Laat, Fred; Kühne, Sabine; de Vos, Wouter; Geertzen, Jan (2024) - Answers of two participants were representative of the psychological barriers mentioned: 5: “I have trouble balancing, I am getting older and more anxious… I am afraid I will fall on the prosthetic side.” 9 (CPO): “Often prosthetic users are afraid of cycling.” 3) Prosthetic barriers • Prosthetic barriers: Problems with switching the knee prosthesis mode for cycling; challenges with prosthetic suspension; and discomfort caused by the socket brim design. Keywords: barriers; cycling; disarticulation; foot; knee; participants; prosthesis; socket; study; users

• DEVELOPMENT OF A GOVERNMENT CONTINUOUS QUALITY IMPROVEMENT PROCEDURE FOR ASSESSING THE PROVISION OF BONE ANCHORED LIMB PROSTHESIS: A PROCESS RE-DESIGN DESCRIPTIVE STUDY by Frossard, Laurent; Ferrada, Luciann; Quincey, Tanya; Burkett, Brendan; Berg, Debra (2018) - Plan BAP CQI procedure (06/2016 - 12/2016) Step 2. Redisign BAP CQI procedure (01/2017 - 07/2017) Number Percentage Min Max Demographics Male 50 77 - - - - Female 15 23 - - - - Age (years) 65 100 52 13 26 74 Height (m) 58 89 1.75 0.10 1.50 1.94 Mass (kg) 62 95 82.86 17.29 45.00 128.00 Amputation Timeline Time since first amputation (years) 65 100 20 15 1 66 Time since first surgery for BAP (years) 64 98 3 1 0 6 Cause Trauma  44 68 - - - - Vascular insufficiency 9 14 - - - - Malignant neoplasma 6 9 - - - - Level of amputation Transfemoral 53 82 - - - - Transtibial 9 14 - - - - Through Knee 3 5 - - - - Hip disarticulation 1 2 - - - - Number of amputations Unilateral 58 89 - - - - Bilateral 5 8 - - - - Quadrilateral 2 3 - - - - Access to prosthetic care Distance-Residence to PSP (km) 60 92 145 212 5 1,345 Distance-Residence to QALS (km) 62 95 364 499 5 1,771 Funder QALS 38 58 - - - - DVA 8 12 - - - - NDIS 12 18 - - - - Mean SD RangeParticipants https://doi.org/10.33137/cpoj.v1i2.31326 Frossard L, Ferrada L, Quincey T, Burkett B, Berg D. Development of a government continuous quality improvement procedure for assessing the provision of bone anchored limb prosthesis: a process re-design descriptive study. Keywords: bap; bone; cqi; cqi procedure; doi; frossard; government; https://doi.org/10.33137/cpoj.v1i2.31326; improvement; issue; limb; limb prosthesis; procedure; prosthesis; provision; qals; quality; service; study; volume
• MODULAR PRINCIPLE TO PRODUCE ACTIVE PROSTHETIC HAND by Kruglov, Anton; Lein, Gregory; Shvedovchenko, Igor (2018) - There are almost no solutions on the world market for patients with partial hand amputation. All the patients with partial hand amputation were divided into groups 1.1 and 1.2. Keywords: hand; patients; prosthesis
• THE SÖDERBERG SOCKET 2.0: A TECHNICAL NOTE by Söderberg, Bengt; Guerra , Gary; Fagerstrom, Teddy; Permpool, Kwannate; Phaipool, Sarawanee (2020) - This suspension was selected based on the need for an improved connection between the residual limb and socket, to reduce volume fluctuations,9 and because of the socket’s less rigid trim lines.10 Typical below knee socket designs are higher along the lateral and medial aspects in order to provide medial lateral support around the condyles. This conventional design has still remained, even if supra- condylar and cuff suspension methods have shifted towards vacuum.1 Recent transtibial socket clinical guidelines have served to aid the prosthetist decision ABSTRACT BACKGROUND: Transtibial prosthesis socket trim lines have remained fairly consistent over the past decade, and based on methods such as a supracondylar cuff suspension. Keywords: brim; lines; note; patient; prosthesis; socket; suspension; söderberg; trim
• EFFECT OF TRANSTIBIAL PROSTHESIS MASS ON GAIT ASYMMETRIES by Seth, Mayank; Hou, Wei; Goyarts, Laura; Galassi, James; Lamberg, Eric (2020) - Using a single subject design Hillary et al. examined the effects of increasing prosthesis mass by 0.53kg and 1.46kg on limb loading in an adult with TTA.20 The increase in prosthesis mass resulted in higher limb loading forces (1st vertical ground reaction force peak) on both the prosthetic and intact side.20 These increased impact forces are concerning as they may have consequences for bone and joint health.8,9 Increasing prosthesis mass, through proximal load application, will make a prosthesis heavier, but may not always make the prosthetic side as heavy as the intact side (or 100% matching). Prosthesis mass altered to LL SESSION 3 1) Data collection with LL 2) Prosthesis mass returned to NL 1-week acclimation 1-week acclimation https://doi.org/10.33137/cpoj.v3i2.34609 4 Seth M, Hou W, Goyarts L.R, Galassi J.P, Lamberg E.M. Effect of transtibial prosthesis mass on gait asymmetries. Keywords: asymmetries; asymmetry; effect; gait; https://doi.org/10.33137/cpoj.v3i2.34609; limb; load; loading; mass; prosthesis; prosthesis mass; study; time
• TRANSFEMORAL SOCKET FABRICATION METHOD USING DIRECT CASTING: OUTCOMES REGARDING PATIENT SATISFACTION WITH DEVICE AND SERVICES by Marable, W. Russ; Smith, Christian; Sigurjónsson, Benedikt Þorri; Atlason, Ingi Freyr ; Johannesson, G. Anton (2020) - https://doi.org/10.33137/cpoj.v3i2.34672 ISSN: 2561-987X TRANSFEMORAL SOCKET FABRICATION METHOD USING DIRECT CASTING Marable et al. 2020 CPOJ CONCLUSION This study shows that following a standardized training and implementation plan, the DS-TF process can be successfully applied in caring for TF prosthetic users. It is therefore critical to follow safe DS-TF fabrication procedures using protective equipment for clinicians and amputee which means process training and practice of DS-TF fabrication should never be underrated.34 The current standard of care for TF interface design focuses on the proximal aspect of the socket to achieve a stable stance-phase connection between socket and amputee. Keywords: baseline; casting; device; direct; fabrication; https://doi.org/10.33137/cpoj.v3i2.34672; interface; limb; marable; method; outcomes; prosthesis; satisfaction; services; socket; study; subjects; transfemoral
• INVESTIGATION OF LOCALIZED SKIN TEMPERATURE DISTRIBUTION ACROSS THE TRANSTIBIAL RESIDUAL LIMB by Ghoseiri, Kamiar; Allami, Mostafa ; Murphy, Justin R. ; Page, Phillip ; Button, Duane C. (2021) - The transtibial residual limb (TRL) skin temperature measurements with the prosthesis demonstrated unequal heat buildup over different anatomical locations.8,9 Various scenarios are conceivable for unequal heat buildup over the OPEN ACCESS Volume 4, Issue 1, Article No.2. 2021 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index ABSTRACT BACKGROUND: Interventions to resolve thermal discomfort as a common complaint in amputees are usually chosen based on the residual limb skin temperature while wearing prosthesis; whereas, less attention has been paid to residual limb skin temperature while outside of the prosthesis. They measured residual limb skin temperature in a single transtibial amputee. Keywords: distribution; doi; ghoseiri; https://doi.org/10.33137/cpoj.v4i1.35070; investigation; limb; limb temperature; mean; prosthesis; residual; skin; skin temperature; study; temperature; temperature distribution; trl
• A MIXED-METHODS STUDY ON PROSTHESIS USE AMONG OLDER CANADIANS WITH LOWER-LIMB AMPUTATIONS by Pousett, Brittany; Budzinski, Colleen; Labbé, Delphine; Miller, William C. (2021) - A mixed-methods study on prosthesis use among older Canadians with lower-limb amputations. A mixed-methods study on prosthesis use among older Canadians with lower-limb amputations. Keywords: activities; activity; adults; amputations; canadians; data; factors; https://doi.org/10.33137/cpoj.v4i1.36833; limb; participants; pousett; prosthesis; prosthesis use; rehabilitation; steps; study; use; users
• cpoj-41605 by None (None) - OBJECTIVE: The objective of this study was to compare body composition in persons with lower limb amputations using the BOD POD® and DXA. Body composition was performed on eleven lower limb prosthesis users (age 53.2±14.3 years, weight 81.9±22.3kg) using ADP and DXA with and without prosthesis. Keywords: bf%; bod pod; body; body composition; composition; doi; dxa; fat; journal; limb; mass; methods; percentage; pod; prosthesis; study

• THE EFFECT OF MATERIAL CHOICE AND PROCESS PARAMETERS ON THE MECHANICAL STRENGTH OF 3D-PRINTED TRANSTIBIAL PROSTHETIC by Sabeti, Shadi; Raschke, Silvia Ursula; Mattie, Johanne (2018) - 3D printing parameters that have impact on the mechanical properties of printed sockets were explored as well. ISO standard 10328 was used to statically evaluate the strength of printed sockets. Keywords: socket; strength
• THE INFLUENCE OF PERFORATED PROSTHETIC LINERS ON RESIDUAL LIMB WOUND HEALING: A CASE REPORT by McGrath, Michael; McCarthy, Joseph; Gallego, Ana; Kercher, Alan; Zahedi, Saeed; Moser, David (2019) - The influence of perforated prosthetic liners on residual limb wound healing: a case report. The influence of perforated prosthetic liners on residual limb wound healing: a case report. Keywords: amputees; case; healing; https://jps.library.utoronto.ca/index.php/cpoj/index; limb; liners; no.3; orthot; patient; rehabil; skin; socket; suspension; use; vacuum; wound
• MECHANICAL EVALUATION OF UNITY ELEVATED VACUUM SUSPENSION SYSTEM by Gholizadeh, Hossein; Lemaire, Edward D; Salekrostam, Rasool (2020) - A comparison of trans‐tibial amputee suction and vacuum socket conditions. Active vacuum suspension systems can decrease vertical movement inside the socket, compared to non-active suction systems. Keywords: displacement; evaluation; gholizadeh; limb; load; profile; socket; standard; suspension; system; unity; vacuum
• CLINICAL OUTCOME OF TRANSFEMORAL DIRECT SOCKET INTERFACE (PART 2) by Walker, Joel; Marable, W. Russ; Smith, Christian; Sigurjónsson, Benedikt Þorri; Atlason, Ingi Freyr; Johannesson, Anton (2021) - VOLUME 4, ISSUE 1 2021 RESEARCH ARTICLE Walker J, Marable W.R, Smith C, Sigurjónsson B.Þ, Atlason I.F, Johannesson G.A. Clinical outcome of transfemoral direct socket interface (part 2). https://doi.org/10.33137/cpoj.v4i1.36065 https://online-publication.com/wp/ http://creativecommons.org/licenses/by/4.0/ https://jps.library.utoronto.ca/index.php/cpoj/index mailto:cpoj@online-publication.com https://publicationethics.org/about/our-organisation https://publicationethics.org/about/our-organisation https://publicationethics.org/members/canadian-prosthetics-orthotics-journal https://doi.org/10.33137/cpoj.v4i1.36065 1 Walker J, Marable W.R, Smith C, Sigurjónsson B.Þ, Atlason I.F, Johannesson G.A. Clinical outcome of transfemoral direct socket interface (part 2). Keywords: 6mfu; baseline; class; https://doi.org/10.33137/cpoj.v4i1.36065; interface; limb; mean; measures; mobility; need; outcome; plus; prosthetic; score; socket; socket interface; study; subjects; transfemoral; walker
• ACCESSIBLE PROSTHETIC ARMS: VICTORIA HAND PROJECT AND THE IMPACT OF 3D PRINTING by Dechev, Nikolai; Knights, Kelly; Arklie, Kim; Martindale, Michelle; Peirone, Michael (2024) - VHP offers 3D printed limb sockets for various amputation levels, including trans-radial options for below-elbow amputations, using a PLA (polylactic acid) socket for longer residual limbs, and a flexible Polypropylene inner socket with a rigid PLA outer socket for shorter residual limbs. VHP has developed a range of prosthetic arm systems, and continually worked to improve the fit, cosmetic appearance, and function of these. Keywords: design; devices; hand; parts; printing; project; socket; vhp; victoria
• METHODOLOGY TO INVESTIGATE EFFECT OF PROSTHETIC INTERFACE DESIGN ON RESIDUAL LIMB SOFT TISSUE DEFORMATION by Arnstein, Thomas; Buis, Arjan (2024) - However, the distribution of strain within residual limb tissues cannot be ascertained. The methods proposed in this report indicate deformation of residual limb soft tissues. Keywords: buis; deformation; design; distance; hands; interface; limb; methodology; prosthetic; skin; socket; surface; tissue

• (IN) ACCESS TO ARTIFICIAL LIMBS: THE PATIENT’S PERSPECTIVE ACCORDING TO THE WAR AMPS OF CANADA by Petlock, Annelise; DiMario, Keana (2021) - The federal government has also failed to set a national standard for appropriate prosthetic funding at the provincial level, enact legislation to prevent insurers from being able to create and sell insurance policies that have arbitrary caps on prosthetic funding, and include considerations for access to funding for assistive devices into accessibility legislation. In fact, there are a few provincial regimes which do not include prosthetic funding at all. Keywords: access; amps; amputees; canada; canadian; care; cost; funding; issue; limbs; public; war

• PERFORMANCE, PATIENT BENEFITS AND ACCEPTANCE OF A NEW GENERATION OF MICROPROCESSOR-CONTROLLED STANCE AND SWING CONTROL ORTHOSIS by Wismer, Nadine; Krebs, OA Alexander; Braatz, Frank; Schmalz, Thomas; Kranzl, Andreas; Breuer, Christian (2018) - In this study, extensive feedback from new SSCO users will be gathered after six months of home use. In this prospective, multicenter pilot study incorporating 3D gait analysis patients suffering from either lower limb paresis or flaccid paralysis (unilateral or bilateral) will be enrolled. Keywords: orthosis; patients; stance; swing
• MYOELECTRIC ELBOW-WRIST-HAND ORTHOSIS WITH ACTIVE GRASP FOR PATIENTS WITH STROKE: A CASE SERIES by Shoemaker, Eric (2018) - The ability to position the hand in space via elbow control and then grasp an object with the MyoPro can allow patients to perform bimanual activities such as lifting and carrying and laundry basket as was demonstrated here. Shoemaker E. MYOELECTRIC ELBOW-WRIST-HAND ORTHOSIS WITH ACTIVE GRASP FOR PATIENTS WITH STROKE: Keywords: elbow; myopro; patients
• THE IMPACT OF ANKLE-FOOT ORTHOSES ON BALANCE IN OLDER ADULTS: A SCOPING REVIEW by Laidler, Jenna (2021) - n=25 hemiplegic long duration stroke patients with spasticity Pre-/ post-test Quantitative Within- subjects comparison Thermoplastic posterior leaf spring AFO Prefabricated Unilateral BBS Postural Stability test b Fall Risk test b AFO improved balance and provided fall risk reduction in hemiparetic patients with mild/moderate spasticity; no difference in AP/ML stability scores. They observed the trend that postural balance improved overtime and did not differ between groups. Keywords: adults; afo; afos; ankle; balance; foot; https://doi.org/10.33137/cpoj.v4i1.35132; j.l; laidler; orthoses; patients; postural; review; stability; stroke; studies; study; subjects; test
• DIFFERENCES IN HIP MUSCLE STRENGTH AND STATIC BALANCE IN PATIENTS WITH TRANSFEMORAL AMPUTATIONS CLASSIFIED AT DIFFERENT K-LEVELS: A PRELIMINARY CROSS-SECTIONAL STUDY by John, Stefanie; Orlowski, Katja; Mrkor, Kai-Uwe; Edelmann-Nusser, Jürgen; Witte, Kerstin (2022) - This study was the first one to perform hip strength tests of the residual limb and static balance tests with participants with TFA classified at different K-levels to find parameters that may be suitable to enhance objective K-level classification. Performance in functional tests and walking tests are often associated with lower limb strength. Keywords: amputations; balance; differences; hip; level; limb; muscle; participants; patients; strength; study; tests
• FEASIBILITY OF A YOGA INTERVENTION IN AN INPATIENT LIMB LOSS REHABILITATION PROGRAM by Mayo, Amanda Lee; Cheung, Betty; Li, June; Jean, Stephanie; Vijayakumar, Abirami; Hitzig, Sander L; Simpson, Robert (2024) - Expectations and Openness to Yoga Most of the participants did not have any pre-set expectations of taking part in yoga, and indicated they joined to just learn more about it and how it may help them to stay more active. Yoga interventions have been found to be beneficial for improving emotional wellness and pain in other patient populations. Keywords: doi; feasibility; inpatient; intervention; limb; limb loss; loss; mayo; participants; patients; program; rehabilitation; study; video; yoga; yoga intervention

• ADJUSTABLE-VOLUME PROSTHETIC SOCKETS: MARKET OVERVIEW AND VALUE PROPOSITIONS by Klenow, Tyler; Schulz, Joel (2021) - Adjustable sockets are designed as an innovation to provide on-demand micro-adjustability to the patient and/or macro- adjustability to the prosthetist. Adjustability has been stated as a desire for patients and as a potential solution to socket fit issues for several years, but market penetration for adjustable sockets in clinical prosthetics has been limited primarily due to lack of reimbursement.2 Adjustable-volume sockets present increased options for customization to the patient, present efficiencies during the fitting process, and allow for prolonged maintenance of fit compared to rigid-volume sockets.13 Keywords: custom; fabrication; fit; https://doi.org/10.33137/cpoj.v4i2.35208; klenow; limb; market; patient; prosthetic; schulz; sockets; systems; time; volume; volume sockets
• EVALUATING FEASIBILITY AND DURABILITY OF THE AERO PROSTHETIC LINER IN TRANSTIBIAL PROSTHETIC USERS by Miyata, Yusuke; Sasaki, Kazuhiko; Guerra, Gary; Dacharux, Woratee; Chaiwan, Pilipda (2023) - And AERO liners were fit with either a prefabricated or custom-made liner. To analyze the performance on the PEQ and ESCS between Pe-Lite and AERO liner at one month and three months, a Wilcoxon signed Rank Test (p < 0.05) was used. Keywords: aero; aero liner; e r; liner; lite; m o; participants; prosthetic; r o
• 3D PRINTING AND THE EVOLUTION OF PARTIAL HAND PROSTHESES: MY JOURNEY FROM THEORY TO PRACTICE by Baschuk, Christopher M (2023) - I C S S T A K E H O L D E R P E R S P E C T I V E S PRINTING 3D PUBLISHER: CANADIAN ONLINE PUBLICATION GROUP S P E C I A L I S S U E CPOJ ISSN: 2561-987X https://jps.library.utoronto.ca/index.php/cpoj/EDitorinchief 1 Baschuk C.M. 3D printing and the evolution of partial hand prostheses: my journey from theory to practice. Early solutions were primarily cosmetic, offering passive silicone or rubber prostheses that aimed to replicate the appearance of missing fingers or parts of the hand without providing any meaningful function.4 In the 1970’s, advances in materials and technology introduced mechanical finger and partial hand prostheses. Keywords: additive; design; finger; hand; issue; manufacturing; printing; prostheses; prosthetic

• EVIDENCE ON PROSTHETIC FEET WITH ACTIVE DORSIFLEXION FEATURE, PASSIVE MICROPROCESSOR CONTROL AND ACTIVE ANKLE POWER GENERATION: A MINI LITERATURE REVIEW by Kannenberg, Andreas (2018) - INTRODUCTION Microprocessor technology has been adopted in prosthetic knees for almost 30 years and in prosthetic feet for about 10 years. CONCLUSION Prosthetic feet with non-MP or passive MP controlled hydraulic ankles/dorsiflexion feature may be considered for transtibial amputees with compromised toe clearance and tendency to trip. Keywords: ankle; doi; dorsiflexion; feature; feet; foot; microprocessor; powered; walking
• HOW REPRODUCIBLE ARE THE EFFECTS OF A MICROPROCESSOR FOOT? by McGrath, Michael; Stech, Nadine; Laszczak, Piotr; Kercher, Alan; Zahedi, Saeed; Moser, David (2018) - Another, more recent case study also showed that the level walking biomechanical effects of microprocessor-feet (MPF) persist, and the same trends can be observed in repeated gait analysis sessions, over a year apart2. This work looks to expand on both of these concepts, analysing repeated gait analysis sessions to see if the biomechanical changes of MPF during slope descent are reproducible over time. Keywords: ankle; foot; microprocessor
• AN INNOVATIVE FOOT MODULE WITH EASILY ACCESSIBLE FRONTAL PLANE ADAPTATION ENHANCES THE LOCOMOTION ON UNEVEN GROUND by Altenburg, Björn; Ernst, Michael; Schmalz, Thomas (2018) - In addition it’s the first study comparing different foot components on cross slopes and thus makes a valuable contribution to the literature of lower limb amputee’s gait. Next to the biomechanical measurements the participants walked an indoor course (gravel, obstacles, cross slopes, tight turns) and completed questionnaires with respect to socket comfort, safety and overall satisfaction during the indoor course and their >4 weeks daily use of the components. Keywords: cross; foot; ground; module
• COMPARATIVE ANALYSIS OF THREE TYPES OF THERAPEUTIC OFFLOADING DIABETIC SHOES WITH CUSTOM MADE INSOLE ON PLANTAR PRESSURE DISTRIBUTION IN SEVERE DIABETIC CHARCOT FOOT by Nouman, Muhammad; Apiputhanayut, Ravissada; Narungsri, Tuanjit; Tipchatyotin, Suttipong; Dissaneewate, Tulaya (2024) - Notably, maintaining plantar pressure below the critical physiological skin tolerance level generally acknowledged to be less than 200 kPa to reduce the risk of developing foot ulceration and re-ulceration.8 The peak plantar pressure in Charcot foot mainly occurs in the midfoot area and redistribution of plantar foot pressure is considered the main method to reduce it. These observations highlight the impact of shoe modifications on peak plantar pressure at specific regions, offering valuable insights into differential effects of various shoe types on foot pressure distribution. Keywords: charcot; diabetic; foot; forefoot; midfoot; offloading; peak; plantar; plantar pressure; pressure; relasting; rocker; shoes; types

• I AM THE BOY WITH ONE HAND WHO CAN DO ANYTHING”: PERCEPTIONS OF ABILITY AMONG PEOPLE WITH UPPER LIMB ABSENCE by McDonald, Cody L; Bennett, Cynthia L; Rosner, Daniela K; Steele, Katherine M (2018) - *Email: codym@uw.edu DOI: https://doi.org/10.33137/cpoj.v1i2.32001 INTRODUCTION Upper limb prostheses are commonly prescribed for people with upper limb absence (ULA) to restore function, cosmesis, and assist with activities of daily living. Upper limb prosthesis use and abandonment: a survey of the last 25 years. Keywords: limb; participants; ula
• DOES TRANS-RADIAL LONGITUDINAL COMPRESSION INFLUENCE MYOELECTRIC CONTROL? by Olsen, Jennifer; Day, Sarah; Dupan, Sigrid; Nazarpour, Kianoush; Dyson, Matthew (2022) - Longitudinal compression sockets have the potential to improve the reliability of multi-channel EMG control due to the maintenance of pressure during muscle contractions. In contrast, several designs have emerged with the aim of improving biomechanical stability, most notably those featuring longitudinal compression.7,20-22 It is known that consistent contact between the residuum and the electrodes is required for reliable myoelectric control,3,16 but to the best of our knowledge there is currently no published research detailing whether the enhanced tissue stabilisation provided by longitudinal compression sockets improves myoelectric prosthesis reliability. Keywords: bar; compression; control; data; doi; dupan; emg; fatigue; https://doi.org/10.33137/cpoj.v5i2.37963; limb; muscle; myoelectric; olsen; participants; pressure; sockets; target; task; trans

• ASSOCIATION BETWEEN BALANCE SELF-EFFICACY AND WALKING ABILITY IN THOSE WITH NEW LOWER LIMB AMPUTATIONS by Frengopoulos, Courtney; Zia, Zaka; Payne, Michael; Viana, Ricardo; Hunter, Susan (2022) - Table 3: Results of multivariable linear regression for the association of objective (6m straight path and L-test walking tests) and subjective (PEQ) measures of walking ability on self efficacy (Activities-specific Balance Confidence Scale). VOLUME 5, ISSUE 1 2022 RESEARCH ARTICLE Frengopoulos C, Zia Z, Payne M.W.C, Viana R, Hunter S.W. Association between balance self-efficacy and walking ability in those with new lower limb amputations. Keywords: ability; association; balance; balance self; doi; efficacy; limb; lla; rehabilitation; self; study; task; walking

• PATIENT TRIAL EVALUATION OF A PERFORATED, PIN-LOCK PROSTHETIC LINER FOR SWEAT MANAGEMENT by Gallego, Ana; McCarthy, Joe; McGrath, Michael; Kercher, Alan; Zahedi, Saeed; Moser, David (2018) - With these problems in mind, a type of silicone liner has been produced that contains perforations along the length and at the distal end. All patients transitioned from their previous prosthetic liners to perforated, pin-lock liners (Silcare Breathe Locking liner – SBL – Endolite). Keywords: liner; patient; trial
• FACTOR ANALYSIS OF UPPER LIMB PROSTHETIC ACCEPTANCE FROM RETROSPECTIVE PROSTHETIC CLINICIAN SURVEY by Stark, Gerald E. (2018) - Areas of more normalized distribution appeared to be upper limb experience for therapists, patient experience, and prosthetic description. Burrough, S., Brook, J. Patterns of acceptance and rejection of upper limb prostheses. Keywords: acceptance; limb; patient

• PERFORMANCE OF AN ACTIVITY MONITOR INTEGRATED INTO A MICROPROCESSOR KNEE by Sykes, Andy; Stech, Nadine; Laszczak, Piotr; McGrath, Michael; Kercher, Alan; Zahedi, Saeed; Moser, David (2018) - SIGNIFICANCE This technology could allow remote monitoring of patient activity, potentially providing data to justify reimbursement of advanced prostheses. The performance of the in-built step counting algorithm has been shown to be comparable to that of the market leading, purpose-built hardware device, for a range of activities. Keywords: activity; https://doi.org/10.33137/cpoj.v1i2.32031; walking
• THE SHORT-TERM EFFECTS OF RHYTHMIC VIBROTACTILE AND AUDITORY BIOFEEDBACK ON THE GAIT OF INDIVIDUALS AFTER WEIGHT-INDUCED ASYMMETRY by Michelini, Alexandria; Sivasambu, Harry; Andrysek, Jan (2022) - DOI:10.1682/JRRD.2006.11.0147 2.Nolan L, Wit A, Dudziñski K, Lees A, Lake M, Wychowañski M. Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees. Effects of extended stance time on a powered knee prosthesis and gait symmetry on the lateral control of balance during walking in individuals with unilateral amputation. Keywords: ankle; ankle weight; auditory; biofeedback; cadence; gait; individuals; ras; rvs; stimulation; symmetry; time; vibrotactile; walking; weight
• A NOVEL QUICK RELEASE MECHANISM FOR ANKLE FOOT ORTHOSIS STRUTS by Li, Wentao; Baddour, Natalie; Lemaire, Edward (2022) - A design that allows the user to swap struts for specific activities could improve mobility by varying PDEAFO stiffness, but current approaches where bolts securely connect the strut to the orthosis make quick strut swapping time-consuming and impractical. OBJECTIVES: A novel quick release mechanism for ankle foot orthosis struts. Keywords: anchor; ankle; load; mechanism; orthosis; release; seconds; strut; swap; time; walking

• TRANSTIBIAL AMPUTEE GAIT WITH THE PRO-FLEX FOOT DURING LEVEL, DECLINE, AND INCLINE WALKING by Tomkin, Matthew; Gholizadeh, Hossein; Sinitski, Emily; Lemaire, Edward D (2018) - CONCLUSION Pro-Flex ankle range of motion was greater than Pro-Flex XC; however, Pro-Flex range of motion was smaller than reported by Heitzmann et al.1, perhaps due to differences in methodologies and study populations (e.g., Heitzmann had K3 and K4 participants). As expected, Pro-Flex peak ankle power generation did not surpass Pro-Flex XC during any of the conditions, since Pro-Flex XC was designed to generate appropriate power over a larger variety of activities and impact levels compared to Pro- Flex4. Keywords: ankle; canada; motion
• BIOMECHANICAL ANALYSIS OF DIFFERENT PROSTHETIC TECHNOLOGIES FOR TRANS-FEMORAL AMPUTEES DURING SLOPE DESCENT by Stech, Nadine; McGrath, Michael; Laszczak, Piotr; Kercher, Alan; Zahedi, Saeed; Moser, David (2018) - For the cohort of trans-femoral amputees, a gait analysis motion capture system and a slope-integrated force plate were used to measure kinematic and kinetic parameters as the participant walked down a 5° slope at their comfortable walking speed. CONCLUSION This study isolated the individual effects of incremental increases in technologies design to aid ramp negotiation for trans-femoral amputees. Keywords: amputees; ankle; trans

• EXPLORATION OF VIBROTACTILE BIOFEEDBACK STRATEGIES TO INDUCE STANCE TIME ASYMMETRIES by Escamilla-Nunez, Rafael; Sivasambu, Harry ; Andrysek, Jan (2021) - CONCLUSION: The outcomes of this study provide new insights into the development and implementation of feedback strategies for gait retraining BFB systems that may ultimately benefit individuals with pathological gait. The closed-loop system includes system components, feedback strategies, and system operation. Keywords: c e; c o; e r; e s; feedback; gait; o n; strategies; w e

• A FEASIBILITY STUDY TO INVESTIGATE IF THERE IS A CORRELATION BETWEEN SOFT TISSUE DEFORMATION AND ACOUSTIC EMISSION by Buis, Arjan; Guarato, Francesco; Law, Jason; Ralston, Zoe; Courtney, Anna (2018) - AND ACOUSTIC EMISSION Volume 1, Issue 1, Article No. 5, August 2018 within muscle tissue during deformation could potentially release AE waves as atomic dislocations produce pressure waves that travel through the tissue and are detectable on the surface (23, 24) . OBJECTIVE: To determine if skeletal muscle tissue produced measurable acoustic emission during dynamic tensile loading with the aim to establish a reliable biomarker for lower limb prosthetic socket fit quantification and prosthetic health. Keywords: acoustic; data; deformation; emission; https://doi.org/10.33137/cpoj.v1i1.30354; journal; load; muscle; shear; specimen; study; tensile; testing; tissue; tissue deformation; volume

• EVALUATION OF LOCALIZED PAIN IN THE TRANSTIBIAL RESIDUAL LIMB by Ghoseiri, Kamiar; Rastkhadiv, Mohammad Yusuf; Allami, Mostafa (2018) - Figure 1: The results of pain threshold and tolerance at different locations on transtibial residual limb SIGNIFICANCE • Residual limb pain may be sourced from a misfit prosthetics socket. • In transtibial residual limb, the lowest and highest pain threshold and tolerance was related to the distal end of the residual limb and mid-patellar tendon, respectively. Keywords: limb; pain; tolerance
• FACTORS ASSOCIATED WITH MOBILITY APPREHENSION IN AMPUTEES by Mathis, Shannon L (2018) - Pain Catastrophizing 0.31 (<.0001) CONCLUSION Pain catastrophizing was positively associated with mobility apprehension. * E-mail: shannon.mathis@uah.edu DOI: https://doi.org/10.33137/cpoj.v1i2.32040 INTRODUCTION Studies report that after lower-limb amputation, patients have high levels of pain in the form of chronic low back pain, residual limb pain, and phantom pain leading to restrictions in functional activity1. Keywords: apprehension; mobility; pain

• Adjustable Liners and Sockets for Prosthetic Devices by Rasmussen, Lenore; Rodriguez, Simone; Bowers, Matthew; Smith, Damaris; Martino, Greig; Rizzo, Livia; Scheiber, Cole; d’Almeida, Jesse; Dillis, Curran (2018) - Next, we plan to add EAP fingertip sensors to replicate touch while providing life-like compliancy and grip. This is a continuation Ras Labs’ dynamic prosthetic pad project, which demonstrated how the volume of the EAP can be changed from applying a low voltage and operating temperatures for use in adjustable prosthetic liners and sockets 1-8. METHODS The EAP networks were developed by polymerization of ionic monomers with specialized cross-linking agents. Keywords: eap; expansion; hand; labs
• DO MULTI-GRIP HANDS INCREASE FUNCTION AND PATIENT SATISFACTION WHEN COMPARED TO TRADITIONAL MYOELECTRIC HANDS? by Popovic, Ivana; Cutti, Andrea; Ryan, Tiffany; Schaefer, Michael; Andres, Erik; Wuestefeld, Daniela; Winkler, Claudia; Baun, Kerstin; Bischof, Birgit; Braatz, Frank; Miguelez, John; Conyers, Dan; Hahn, Andreas (2018) - SCULPT hand selection and hand functionality scores for MGH and TH (*** p<0.001) https://doi.org/10.33137/cpoj.v1i2.32049 mailto:Andreas.Hahn@ottobock.com https://doi.org/10.33137/cpoj.v1i2.32049 Popovic I, Cutti A, Ryan T, Schaefer M, Andres E, Wuestefeld D, Winkler C, Baun K, Bischof B, Braatz F, Miguelez J, Conyers D, Hahn A. DO MULTI-GRIP HANDS INCREASE FUNCTION AND PATIENT SATISFACTION WHEN COMPARED TO TRADITIONAL MYOELECTRIC HANDS? MGH showed superiority over TH in SCULPT hand selection (p<0.001) and hand functionality scores (p<0.001) (Figure 1). Keywords: hand; mgh; p<0.05

• PROSTHETIC LIMB USER EXPERIENCES WITH CROSSOVER FEET: A FOCUS GROUP STUDY TO EXPLORE OUTCOMES THAT MATTER by McDonald, Cody L.; Cheever, Sarah M.; Morgan, Sara J.; Hafner, Brian J. (2018) - Outcome measures selected to assess comparative effectiveness of prosthetic feet are most often chosen by clinicians and researchers.1 Therefore, these measures may not reflect the outcomes that are most important to lower limb prosthesis users. Qualitative research can give voice to prosthesis users and promote the consideration of user priorities when selecting outcome measures for clinical assessment and research studies. Keywords: focus; group; outcomes

• THE IDEAL PHYSICAL THERAPIST FROM THE PERSPECTIVE OF INDIVIDUALS WITH LIMB LOSS by Lee, Daniel J.; Albert Gambale; Maya Nisani; Carol Miller; Elizabeth Leung; Madeline Rodgers; Daniel Chillianis; Matthew Marra (2023) - Credentials of the PT x. Number of persons with limb loss PT treats a month xi. The results of this study demonstrated that individuals with limb loss value the PTs knowledge regarding limb loss rehabilitation, the collaboration between the prosthetist and the PT, and a strong therapeutic alliance. Keywords: ideal; individuals; knowledge; limb; limb loss; loss; physical; study; therapist; therapy

• RESPONSE TO THE LETTER TO THE EDITOR REGARDING "HEALTH ECONOMIC EVALUATION OF MICROPROCESSOR AND NON-MICROPROCESSOR-CONTROLLED PROSTHETIC KNEES" by Bosman, Charlotte; van der Sluis, Corry; Vrieling, Aline; Geertzen, Jan; Seves, Bregje; Groen, Henk (2025) - In fact, in the first paragraph of our discussion, we refer to a previous study that suggests that cost-effectiveness of the MPK may improve in the long term due to lower healthcare costs related to falls. However, it should be noted that the ratio not only reflects the difference in costs, but also the difference in effects. Keywords: editor; groningen; microprocessor

• INHIBITING PSEUDOMONAS AERUGINOSA GROWTH ASSOCIATED WITH PROSTHETIC LINERS by Jarrell, John D; Garcia, Dioscaris R; Born, Christopher T (2018) - This phenomenon was also observed in silicone liner materials, but was inhibited by the cleaning and coating process. CONCLUSION During the testing of various liner materials cleaned and coated with a silver complex doped titanium and silicone hybrid in a Kirby Bauer bacterial-inhibition assay versus Pseudomonas aeruginosa, it was evident that the control (uncoated) materials of hybrid and silicone composition were surrounded by a very dense concentration of bacteria. Keywords: growth; liner; silicone; skin

• USER EXPERIENCES WITH TRADITIONAL AND 3D-PRINTED UPPER EXTREMITY PROSTHESES, DEVELOPMENT OF A COMPREHENSIVE SURVEY INSTRUMENT by Mankoff, Jennifer; Savage, Saiph; Eckert, Sydney; Ngo, Chelsea; Fiedler, Goeran (2018) - Survey tools can reach a large target population and have a comparably low burden of participation, which mitigates the common issue of recruiting a desirably large sample population. It is our hope that it will succeed to gather a substantial quantity of outcome data with the here presented comprehensive survey tool. Keywords: device; outcome; survey
• EVALUATING THE DYNAMIC PERFORMANCE OF INTERFACIAL PRESSURE SENSORS AT A SIMULATED BODY-DEVICE INTERFACE by Hamilton, Megan; Sivasambu, Harry; Behdinan, Kamran; Andrysek, Jan (2021) - Sensor performance has been shown to vary with the area of applied load, however, testing has not been performed under dynamic conditions,15 despite well documented differences in sensor performance under static and dynamic conditions.16 Previous research with piezo- resistive sensors has reported a trade-off between the dynamic performance (hysteresis error) and the static sensitivity, as increased stiffness will alter the viscoelastic behavior causing hysteresis and reduce static sensitivity.17–19 Commercially available pressure mapping systems designed specifically for the MAT-body interface, such as the F-socket, utilize an array of sensors to provide pressure profiles over a large portion of the interface. PROTOCOL Application Conditions To evaluate the effects of load area and elastomer puck presence on sensor dynamic performance, a full factorial experiment was conducted using eight application conditions: four loading tip areas, both with and without an elastomer puck. Keywords: area; body; calibration; conditions; device; force; hysteresis; interface; loading; performance; pressure; puck; sensors; testing

• PREVALENCE OF WORK-RELATED MUSCULOSKELETAL DISORDERS AMONG IRANIAN ORTHOTISTS AND PROSTHETISTS: A STUDY ON WORK-RELATED QUALITY OF LIFE by Azizi, Sarina; Moradi, Vahideh; Hajiaghaei, Behnam; Babaee, Taher (2025) - The association between WRQoL and the following variables: gender, work experience, age, presence of musculoskeletal disorder, and income level, was assessed using Spearman’s rho correlation coefficient. These include the physical work environment, the social atmosphere within the organization, conflicts related to work roles, job enrichment, fair compensation, flexible work hours, reward systems, the balance between work and family life, job security, and overall productivity and health.10 The connection between work-related stress and the broader idea of QoWL has been examined, revealing a link between job stress and burnout as significant negative factors affecting overall quality of life.11 Orthotists and prosthetists, as well as medical personnel, are at a higher risk of suffering from musculoskeletal disorders due to repetitive tasks, high workload, poor working conditions, psychological factors such as occupational stress, and work shifts.12 Manual handling of heavy plaster casts (sometimes more than 25 kg), limited resting time between activities, working in a limited workspace, and not having a helping hand to lift heavy objects imposes a high physical load on the musculoskeletal structure of these people.13,14 Therefore, the possibility of musculoskeletal disorders is high among orthotists and prosthetists due to long hours and heavy work, use of inappropriate and non-standard tools and machines, and lack of knowledge of the correct physical position.15 It has been reported that the prevalence of back disorders in manual labor is eight times higher than in occupations that do not involve manual work.16 Keywords: disorders; doi; iranian; life; orthotists; prevalence; prosthetists; quality; relationship; study; work; working; wrqol

• FUNCTIONAL UTILITY OF WEARING A MYOELECTRIC ORTHOSIS FOR UPPER EXTREMITY PARALYSIS DUE TO SPINAL CORD INJURY by Wengerd, Lauren (2018) - DOI: https://doi.org/10.33137/cpoj.v1i2.32021 2 OPEN ACCESS AOPA’S 101 ST NATIONAL ASSEMBLY ABSTRACTS, SEPTEMBER 26-29, VANCOUVER, CANADA, 2018 ABSTRACT (POSTER PRESENTATION) myoelectric upper extremity orthosis may increase function and quality of life for individuals with SCI. He also demonstrated significant improvements in active range of motion (Before: 0 degrees active elbow flexion against gravity; With Orthosis: 100 degrees active-assisted elbow flexion against gravity) and decreased muscle spasms when wearing the myoelectric orthosis. Keywords: extremity; injury; orthosis
• CASE STUDY: THERMOPLASTIC SCAPULOTHORACIC ORTHOSIS FOR TREATMENT OF WINGING SCAPULA by Brown, Steven; Trexler, Gary (2018) - Active range of motion at the shoulder, with no orthosis and while wearing orthosis. THERMOPLASTIC SCAPULOTHORACIC ORTHOSIS FOR TREATMENT OF WINGING SCAPULA. Keywords: orthosis; winging
• USE OF EXTERNALLY-POWERED ORTHOSIS TO ADDRESS COMPLEXITIES ASSOCIATED WITH BILATERAL BRACHIAL PLEXOPATHY by Delgado, Cassandra; Latour, Debra (2018) - Figure 1: Externally-powered technology for individual with bilateral brachial plexus injury. This paper describes the challenges experienced by an individual with bilateral brachial plexus injuries and addresses the case solutions using collaborative inter- professional practice.1-4 METHODS Keywords: injury; orthosis; plexus

• AN IMMEDIATE FIT AND ADJUSTABLE TRANSTIBIAL PROSTHETIC SYSTEM; A PROSPECTIVE FEASIBILITY AND EFFICACY STUDY by Dillingham, Timothy R; Kenia, Jessica; Shofer, Frances S; Marschalek, Jim (2018) - The IFIT prosthesis compared favorably to subjects’ conventional prostheses in terms of self-reported satisfaction and gait. Intra-Socket pressures were lower than in conventional devices. Keywords: ifit; study; system
• SATISFACTION AND EXPERIENCE WITH THE UNITY SUSPENSION SYSTEM by Gholizadeh, Hossein; Lemaire, Edward D; Nielen, David; Lebel, Patrick (2018) - * Email: gholizadeh87@yahoo.com BACKGROUND While elevated vacuum suspension systems have some benefits over the other suspension approaches 1–5, elevated vacuum may not be appropriate for all amputees. All Prosthesis Evaluation Questionnaire scores improved with Unity suspension system (Table 1). Keywords: suspension; system; unity; vacuum

• AN INVESTIGATION OF THE STRUCTURAL STRENGTH OF TRANSTIBIAL SOCKETS FABRICATED USING CONVENTIONAL METHODS AND RAPID PROTOTYPING TECHNIQUES by Pousett, Brittany; Lizcano, Aimee; Raschke, Silvia Ursula (2019) - This is to be expected, as studies have reported a large variation in socket strength depending on who manufactures it.9 Findings of the second study were supported by this study which found that set-ups failed at the modular components; either because the distal attachment screw sheared or the pylon yielded. However, as the other components in lower limb prostheses are subject to this standard and as several previous studies5,7,9 employed this methodology, it is reasonable to use 10328 as an evaluation tool for socket strength. Keywords: condition; material; methods; pousett; sockets; stance; strength; test; testing; thermoplastic; transtibial

• HOW INFILL PERCENTAGE AFFECTS THE ULTIMATE STRENGTH OF A 3D-PRINTED TRANSTIBIAL SOCKET by Campbell, Leah; Lau, Adriel; Pousett, Brittany; Janzen, Ernie; Raschke, Silvia U (2018) - RESULTS In all nine sockets, the amount of force that resulted in socket failure exceeded the ISO 10328 threshold of 4480N (Figure 3). Observational analysis of socket failure show that all sockets broke in two areas: 1) lateral mid socket or 2) medial popliteal area with the latter region being the most common. Keywords: infill; sockets; strength

• WHAT IN THE “HEEL” DO THEY FEEL? 15303 by Smith, Megan (2018) - Children with poor postural control and related gait deficits often present with anterior weight lines, which result in loss of first rocker and/or a fast transition from initial contact to foot flat. Each participant presented with anterior weight lines and poor postural control. Keywords: group; heel; modification

• ONLINE ACCESS TO RESEARCH PAPERS – CHANGES OVER TIME by Burke, Julie; Fiedler, Goeran (2018) - * Email: gfiedler@pitt.edu INTRODUCTION The successful implementation of Evidence Based Practice (EBP) depends significantly on practitioners’ access to relevant research articles. The respective data collection in the Spring of 2017 resulted in the finding that approximately 40% of search results in Google Scholar linked to freely available full papers, whereas the remaining 60% links offered only the abstract, but not the full paper, free-of-charge.3 Keywords: access; papers; research

• A PROSPECTIVE STUDY OF CRANIAL ORTHOTIC TREATMENT OF INFANTS WITH ISOLATED DEFORMATIONAL BRACHYCEPHALY by Kelly, Kevin M; Joganic, Edward; Beals, Stephen P; Riggs, Jeff A; McGuire, Mary Kay; Littlefield, Timothy R (2018) - An Analysis of Variance (ANOVA) was performed, examining the change in cephalic index with respect to three independent variables (entrance age, treatment time, initial cephalic index). The ANOVA analysis demonstrated an inverse relationship between entrance age, and both treatment outcome and treatment time. Keywords: brachycephaly; treatment

• CORRIGENDUM: INVISIBLE STRUGGLES: EXPLORING CHALLENGES FACED BY WOMEN WITH AMPUTATION IN INDIA by Editorial Team, CPOJ (2025) - Can Prosthet Orthot J. 2025; Volume 8, Issue 2, No. 5. https://doi.org/10.33137/cpoj.v8i 2.46384 Journal Homepage: https://jps.library.utoronto.ca/index.php/cpoj/index Volume 8, Issue 2, Article No. 5. 2025 1-Alam J, Joshi A, Mir N, Chawla N, Sagar S. Invisible struggles: Exploring challenges faced by women with amputation in India. 1 Corrigendum: Invisible struggles: Exploring challenges faced by women with amputation in India. Keywords: women

• JAPANESE TRANSLATION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY by Balkman, Geoffrey; Samejima, Soshi; Aoki, David; Hafner, Brian J. (2018) - Japanese translation of PLUS-M short form mailto:*%20Email:%20gbalkman@uw.edu https://doi.org/10.33137/cpoj.v1i2.32017 Balkman G, Samejima S, Aoki D, Hafner B.J. JAPANESE TRANSLATION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY. JAPANESE TRANSLATION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY Geoffrey Balkman*, Soshi Samejima, David Aoki, Brian J. Hafner Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA. Keywords: plus; translation

• PERFORMANCE TESTING IN PEOPLE WITH LOWER LIMB AMPUTATION: INTERVIEWS WITH PROSTHETISTS, PHYSICAL THERAPISTS, AND PHYSICIANS by Balkman, Geoffrey; Morgan, Sara; Gaunaurd, Ignacio; Kristal, Anat; Amtmann, Dagmar; Gailey, Robert; Hafner, Brian J. (2018) - The aim of this study was to collect information about the clinical value of performance tests, and the space, equipment, and time available to rehabilitation specialists who provide care to people with LLA (i.e., prosthetists, physical therapists (PTs), and physical medicine and rehabilitation (PM&R) physicians). Similarities in basic equipment and frequently used tasks imply that performance tests intended for use across disciplines and settings should include tasks with clinical value (i.e., sit to stand and walking) that require only basic equipment (i.e., tape measure and stopwatch). Keywords: performance; physicians; prosthetists

• ESTABLISHING THE RELIABILITY AND VALIDITY OF THE COMPONENT TIMED-UP-AND-GO TEST TO DETERMINE BASIC PROSTHETIC MOBILITY IN PEOPLE WITH LOWER LIMB AMPUTATION by Clemens, Sheila; Gaunaurd, Ignacio; Lucarevic, Jennifer; Klute, Glenn; Kirk-Sanchez, Neva; Bennett, Christopher; Gailey, Robert (2018) - The purpose of this study was to investigate the reliability and validity of a component timed-up-and-go test (cTUG), using a mobile application (App), to evaluate basic prosthetic mobility tasks in people with lower limb amputation (LLA). It was hypothesized that the cTUG would demonstrate test- retest reliability, differentiate between groups based on anatomical level of amputation, and exhibit convergent validity with other measures of prosthetic mobility and balance. Keywords: ctug; people; validity

Epilogue

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Created: 2025-12-23