Orthotics International Research Articles

Analyzing research trends and developments in osseointegration in patients with extremity amputations: Systematic bibliometric analysis and research recommendations.

Bone-anchored protheses (BAPs) by means of osseointegrated implants are increasingly being used in amputees with socket-related issues. Clinical advancements are being published by more and more centers worldwide. Although the number of publications and interest in BAP is growing, a systematic evaluation of scholarly output is lacking. To identify scholarly output, understand research trends and make research recommendations in the clinical field of BAP. Systematic searches in Medline All, Embase, Web of Science Core Collection, Cochrane Library, and Google Scholar were completed in February 2023. The results were deduplicated, screened, and assessed for quality by independent reviewers. Inclusion criteria were as follows: clinical studies and BAP in the extremities. Articles were excluded if they were animal or fundamental studies, nonclinical reports, had a study population less than 10 patients, or BAP was performed in areas other than extremities. One hundred twelve articles were included and published between 1993 and 2023. An annual growth rate of 10.3% was found and research was published in 62 different journals. Prosthetics and Orthotics International, Clinical Orthopaedics and Related Research and The Bone & Joint Journal were the most prolific journals. Hagberg K, Aschoff HH, and Branemark R were major contributors to BAP research. Collaborations are predominantly among high-income countries. Main research trends were on rehabilitation, questionnaires, complication managements, and implant treatment. Research on BAP shows an increasing global trend, highlighting key research areas and authors. A unified global research agenda, stakeholders' collaborations, and consensus are essential for addressing knowledge gaps and development future direction of BAP.

A Scientometric Analysis and Visualization of Prosthetic Foot Research Work: 2000 to 2022.

This study aims to highlight recent research work on topics around prosthetic feet through a scientometric analysis and historical review. The most cited publications from the Clarivate Analytics Web of Science Core Collection database were identified and analyzed from 1 January 2000 to 31 October 2022. Original articles, reviews with full manuscripts, conference proceedings, early access documents, and meeting abstracts were included. A scientometric visualization analysis of the bibliometric information related to the publications, including the countries, institutions, journals, references, and keywords, was conducted. A total of 1827 publications met the search criteria in this study. The related publications grouped by year show an overall trend of increase during the two decades from 2000 to 2022. The United States is ranked first in terms of overall influence in this field (n = 774). The Northwestern University has published the most papers on prosthetic feet (n = 84). Prosthetics and Orthotics International has published the largest number of studies on prosthetic feet (n = 151). During recent years, a number of studies with citation bursts and burst keywords (e.g., diabetes, gait, pain, and sensor) have provided clues on the hotspots of prosthetic feet and prosthetic foot trends. The findings of this study are based on a comprehensive analysis of the literature and highlight the research topics on prosthetic feet that have been primarily explored. The data provide guidance to clinicians and researchers to further studies in this field.

Global trends and current status of amputation: Bibliometrics and visual analysis of publications from 1999 to 2021.

To generalize the research status, hotspots, and development trends of amputation-related research. The data from 1999 to 2021 were collected from the Web of Science core collection database, and analyzed through bibliometrics software (CiteSpace and VOSviewer) for the dual-map overlay of journals, top 25 references with the strongest citation bursts, top 25 keywords with the strongest citation bursts, and timeline of keywords. A total of 8,588 literature studies were involved in this study. The United States ranks the first in terms of H-index, total number of publications, and total citations. US Department of Veterans Affairs, Veterans Health Administration, and University of Washington are the major contributors to amputation. Prosthetics and Orthotics International, Archives of Physical Medicine and Rehabilitation, and Journal of Rehabilitation Research and Development are the main publication channels for articles related to amputation. Geertzen JHB, Czerniecki J, and Dijkstra PU are major contributors to amputation. In addition, research on limb salvage treatment and surgical methods for amputation will become a hotspot in the future. The total number of publications for amputation has generally increased from 1999 to 2021. Our study is beneficial for scientists to specify the research hotspot and development direction of amputation.

Identifying and Acknowledging a Sex Gap in Lower-Limb Prosthetics Research: A Review

ABSTRACT Introduction Sex bias in research and treatment is a known phenomenon in medicine. This review seeks to identify and highlight the disparity in sex or gender representation in lower-limb prosthetic research, as well as examine what types of studies are less likely to exclude females. Methods The electronic databases of Journal of Prosthetics and Orthotics and Prosthetics and Orthotics International were reviewed for lower-limb prosthetic literature to determine how frequently sex is considered when conducting research on the fit and function of a device over the last 5 years. Metadata about various study characteristics was copied and analyzed for patterns. Results A total of 191 manuscripts were analyzed in this review. All together, the studies included 25.4% of female participants, which is below the approximate 34.6% female individuals living with amputation. No apparent difference in recruitment was noted between the sample size of the study, and a 32.9% increase of female representation was seen over the time frame of the study. Conclusions Although a positive increase in female participants over time was identified, a significant disparity in male and female research subjects is still prevalent throughout prosthetic research. In particular, high-validity study types such as randomized control trials and systematic reviews both fell well short of the approximate number of females with amputations. Studies that were analyzing prosthetic components and developing troubleshooting/diagnostic techniques were also well below the necessary female participants, likely contributing to poor fitting outcomes. Clinical Relevance Although evidence-based care aims to integrate research with clinical expertise with the ideal of providing the most appropriate treatment for the patient, this article demonstrates that a third of the population of persons living with amputation are rarely included in research trials. This article can be used as a tool for clinicians in deciding when the research should and should not be considered for a particular patient.

Prosthetics and Orthotics International.

Prosthetics and Orthotics International, ISPO, Edmonds, WA, USA Corresponding Author: David Boone, Prosthetics and Orthotics International, ISPO, 123 2nd Avenue South, Suite 220, Edmonds, WA 98020 ([email protected]).

Reflections and future directions for psychological science in Prosthetics and Orthotics International.

In the inaugural edition of Prosthetics and Orthotics International in 1977, Dr Sidney Fishman identified the Psychological Sciences as one of six indispensable areas of skill and knowledge in professional prosthetic-orthotic practice. Since then, there have been substantial changes and developments in the complexity and capabilities of assistive technologies, greater emphasis on understanding the relationships between people and enabling technologies, growing recognition of the importance of the contexts and environments that support their use, and changes in both health care services and the professional development of prosthetists and orthotists. The aim of this narrative review is to reflect on the role of Prosthetics and Orthotics International in shaping the evolving understanding of psychology in prosthetics and orthotics. There remains considerable potential and opportunity for the development and application of psychology in addressing the challenges of disability globally. However, a broad interpretation and application of the principles of rehabilitation psychology are needed if we are to meaningfully incorporate psychological science into the knowledge that informs prosthetic and orthotic practice.

Lower limb prosthetic interfaces: Clinical and technological advancement and potential future direction.

The human-prosthesis interface is one of the most complicated challenges facing the field of prosthetics, despite substantive investments in research and development by researchers and clinicians around the world. The journal of the International Society for Prosthetics and Orthotics, Prosthetics and Orthotics International, has contributed substantively to the growing body of knowledge on this topic. In celebrating the 50th anniversary of the International Society for Prosthetics and Orthotics, this narrative review aims to explore how human-prosthesis interfaces have changed over the last five decades; how research has contributed to an understanding of interface mechanics; how clinical practice has been informed as a result; and what might be potential future directions. Studies reporting on comparison, design, manufacturing and evaluation of lower limb prosthetic sockets, and osseointegration were considered. This review demonstrates that, over the last 50 years, clinical research has improved our understanding of socket designs and their effects; however, high-quality research is still needed. In particular, there have been advances in the development of volume and thermal control mechanisms with a few designs having the potential for clinical application. Similarly, advances in sensing technology, soft tissue quantification techniques, computing technology, and additive manufacturing are moving towards enabling automated, data-driven manufacturing of sockets. In people who are unable to use a prosthetic socket, osseointegration provides a functional solution not available 50 years ago. Furthermore, osseointegration has the potential to facilitate neuromuscular integration. Despite these advances, further improvement in mechanical features of implants, and infection control and prevention are needed.

Physical sciences.

In the original edition of Prosthetics and Orthotics International, Dr Sidney Fishman identified what he anticipated as foundational educational needs for the emerging field of clinical prosthetics and orthotics. Within the broader construct of the physical sciences, this included mathematics, physics, chemistry, biomechanics, and material sciences. The clinical application of these disciplines to expanding the collective understanding within the field is described, including the biomechanics of able-bodied and prosthetic gait, the material science of socket construction, the physics of suspension and load distribution, and the engineering of prosthetic components to mimic human biomechanics. Additional applications of the physical sciences to upper limb prosthetics and lower limb orthotics are also described. In contemplating the continued growth and maturation of the field in the years to come, mechatronics and statistics are suggested as future areas where clinical proficiency will be required.

A toolkit for prosthetists and orthotists to facilitate progress in professional communication over the next 50 years.

Background:In this celebratory issue of Prosthetics and Orthotics International, we review professional communication skills in the field of prosthetics and orthotics.Objective:We aim to reflect on communication skills in the past 50 years, to discuss developments in the coming 50 years, and to create a toolkit and research agenda to facilitate progress in professional communication in the next 50 years.Results:Despite being a key area in prosthetics and orthotics training programmes, we found no studies on professional communication with an experimental design published in Prosthetics and Orthotics International. As an alternative, we provide clinical reflections on the changes in professional communication in the past 50 years, and we discuss questionnaire-based and qualitative studies that provide evidence for the importance of communication in pedorthic footwear provision. In the coming 50 years, professional communication in the field of prosthetics and orthotics may be impacted by aging populations, global mobility, information technology, technological advances and emphasis on prevention. We discuss each of these topics. To facilitate progress in professional communication, we have created a toolkit with resources for prosthetics and orthotics professionals, prosthetics and orthotics students and other interested professionals.Conclusions:We hope this toolkit will inspire others to use, extend and implement it in their daily practice. As a research agenda, we strongly recommend undertaking research on interventions to improve professional communication and to study its effect on clinically meaningful outcomes.

Improving the submission, review and publication process for Prosthetics and Orthotics International

Improving the submission, review and publication process for Prosthetics and Orthotics International

Peering Into the Peer Review Process and Acknowledging Those Who Do It Well

Nerrolyn Ramstrand, on behalf of the Editors-in-Chief, Prosthetics and Orthotics International. Email: [email protected]

Keeping Pace with the Ever-Growing Orthotic and Prosthetic Profession

Dillon MP, on behalf of the Editors-in-Chief, Prosthetics and Orthotics International. Email: [email protected]

CLINICIANS’ ACCESS TO PEER-REVIEWED PROSTHETICS RESEARCH ARTICLES

BACKGROUND: Evidence-based practice (EBP) is an important cornerstone of responsible clinical decision-making, and by extension, of high quality care provision in prosthetics and orthotics. However, many clinicians have been reluctant to embrace EBP, citing barriers such as high costs and time demands that are associated with obtaining pertinent published evidence for individual care scenarios.OBJECTIVES: The purpose of this study was to determine how accessible peer-reviewed research articles are to prosthetists who seek to implement EBP techniques into their clinical work without expending unreasonable amounts of time and money. METHODOLOGY: Two approaches were utilized. An academic approach entailed a search through five peer-reviewed research journals, including the Journal of Prosthetics and Orthotics and Prosthetics and Orthotics International. A practical approach simulated a typical evidence search as it might occur in the field, using a number of different clinical questions to inform search terms in Google Scholar. The ratio of freely accessible articles was computed and compared for both approaches. FINDINGS: Out of a total of 796 prosthetics-relevant articles published in the analysed journals over the last years, 600 (75.4%) were found to be accessible to the public without any cost incurred. The practical approach showed that, among the top twenty search results for each search query, on average 40% to 75% of articles were freely available.CONCLUSIONS: A majority of pertinent research papers is already publicly available to anybody with internet access. Prosthetists would not be required to invest in journal subscriptions or have to spend time at an academic library to obtain these articles. However, it is a concern that evidence-based decision making may be flawed if not all literature on a topic is considered. There is still a substantial fraction of articles that are not freely available to practitioners, motivating a continued expansion of open-access policies in the field.LAYMAN’S ABSTRACT Medical care, including the provision of prostheses to people with limb loss, needs to be informed by scientific evidence. In order to reduce the risk of making decisions that are not ideal for a given patient and scenario, clinicians have to find out what the latest research on the topic suggests. While finding, reading, and appraising the published literature is an important aspect of Evidence Based Practice (EBP), it can be a time consuming task that interferes with the other duties of busy clinicians. Searching for literature over the internet can reduce the associated burden, as no physical copies of research articles have to be retrieved and stored anymore. However, not all research is freely available online, and accessing the full text versions of some papers can incur substantial fees.We wanted to find out how much of the scientific literature in the area of limb prosthetics is accessible free of charge on the internet. To that end, we first used the official websites of five established journals to search for prosthetics related articles and to check how many of them were free to read. Next, we used a search engine that is specialized in research articles (Google Scholar) to see how many of the offered search results point to full papers and how many are merely offering abstracts or otherwise abbreviated version of a full paper. Overall, we found that about 75% of research is freely accessible, which we believe to be sufficient for EBP in most cases.ARTICLE PDF LINK: https://jps.library.utoronto.ca/index.php/cpoj/article/view/30009/22881
 How to cite: Burke J, Fiedler G. Clinicians’ Access To Peer-Reviewed Prosthetics Research Articles. Canadian Prosthetics & Orthotics Journal, Volume 1, Issue 1, No 3, 2018. DOI: https://doi.org/10.33137/cpoj.v1i1.30009

Introduction to Translational Research for Orthotists and Prosthetists

Introduction to Translational Research for Orthotists and Prosthetists

Clinicians' perceptions and experiences of using dynamic elastomeric fibre orthoses with patients with neurological disorders

International Journal of Therapy and RehabilitationVol. 22, No. Sup8 The 34th Scientific Meeting of the Physiotherapy Research Society Conference abstractsClinicians' perceptions and experiences of using dynamic elastomeric fibre orthoses with patients with neurological disordersA Hassan, N SnowdonA HassanSearch for more papers by this author, N SnowdonSearch for more papers by this authorA Hassan; N SnowdonPublished Online:3 Aug 2015https://doi.org/10.12968/ijtr.2015.22.Sup8.S4aAboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article FiguresReferencesRelatedDetailsCited byMeaning of fabric orthoses to long-term users with multiple sclerosis: An interpretative phenomenological analysis23 March 2021 | Prosthetics & Orthotics International, Vol. 45, No. 3 1 August 2015Volume 22Issue Sup8ISSN (online): 1759-779X Metrics History Published online 3 August 2015 Published in print 1 August 2015 Information© MA Healthcare LimitedPDF download

RETRACTED

At the request of the editorMayank Shah 'Auricular prosthesis fabrication using computer-aided design and rapid prototyping technologies' Prosthetics and Orthotics International, published online before print on October 8, 2013 as doi:10.1177/0309364613504779has been retracted. This is because it contains unattributed overlap withK. Subburaj, C. Nair, S. Rajesh, S. M. Meshram, B. Ravi 'Rapid development of auricular prosthesis using CAD and rapid prototyping technologies' International Journal of Oral & Maxillofacial Surgery 2007; 36: 938-943 doi:10.1016/j.ijom.2007.07.013.

Save the date

Prosthetics and Orthotics International: October 2013 - Volume 37 - Issue 5 - p 422-423 doi: 10.1177/0309364613503759

Save the date

Prosthetics and Orthotics International: August 2013 - Volume 37 - Issue 4 - p 344-345 doi: 10.1177/0309364613497163

Save the Date

Prosthetics and Orthotics International: April 2013 - Volume 37 - Issue 2 - p 175 doi: 10.1177/0309364613482269

Reviewers for 2012

Prosthetics and Orthotics International: April 2013 - Volume 37 - Issue 2 - p 93-94 doi: 10.1177/0309364613481177