Journal articles on the topic 'Prosthetics and orthotics'

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1

Anderson, Sarah, Rwth Stuckey, and Jodi R. Oakman. "Prosthetists’ and Orthotists’ experience of their work and workspace – characterising the physical and organisational environment: Focus group findings." Prosthetics and Orthotics International 40, no. 6 (July 10, 2016): 703–12. http://dx.doi.org/10.1177/0309364615592702.

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Background:Little research has been undertaken into occupational health and safety in the Prosthetics and Orthotics profession.Objectives:To identify physical, psychosocial and environmental workplace experiences of Prosthetists and Orthotists in organisational settings.Study design:Qualitative methodology, cross-sectional design, using thematically analysed data collected from focus groups.Methods:Focus groups explored workplace and work experiences across varied Prosthetic and Orthotic settings. Data were thematically analysed to identify physical, psychosocial and environmental workplace experiences.Results:Three major themes, Demands of Work Practice, Impacts on the Individual and Job Design, were identified as problematic. A latent theme Perceptions of Others of P&O highlighted a lack of understanding of the Prosthetics and Orthotics job role outside the profession.Conclusion:This first study of occupational health and safety in the Prosthetics and Orthotics profession identifies a number of important physical and psychosocial issues, including characteristics that have been previously identified as risk factors for work-related musculoskeletal disorders. Findings from the study indicate that some Australian organisations lack understanding of the Prosthetics and Orthotics job role, which results in inappropriate expectations of Prosthetics and Orthotics professionals. Preventing injuries and retaining experienced Prosthetists and Orthotists in the workplace is vital for the profession, and as a result, issues raised in this study require further exploration and then development of appropriate management strategies.Clinical relevanceThis is the first study characterising the experiences of work and risk of injuries in Prosthetists and Orthotists. Preventing injuries and retaining experienced Prosthetists and Orthotists in the workplace is vital for the international profession. Issues raised in this study require further exploration and then development of appropriate management strategies.
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Desmond, Deirdre, and Pamela Gallagher. "Reflections and future directions for psychological science in Prosthetics and Orthotics International." Prosthetics and Orthotics International 44, no. 6 (November 8, 2020): 402–7. http://dx.doi.org/10.1177/0309364620967780.

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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.
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Forghany, Saeed, Ebrahim Sadeghi-Demneh, Ursula Trinler, Pornsuree Onmanee, Michael P. Dillon, and Richard Baker. "The influence of staff training and education on prosthetic and orthotic service quality: A scoping review." Prosthetics and Orthotics International 42, no. 3 (July 18, 2017): 258–64. http://dx.doi.org/10.1177/0309364617718412.

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Background: Education and training in prosthetics and orthotics typically comply with International Society for Prosthetics and Orthotics standards based on three categories of prosthetic and orthotic professionals. Objective: This scoping study sought to describe the evidence base available to answer the question, How are prosthetic and orthotic services influenced by the training of staff providing them? Study design: Scoping review. Methods: A structured search of the peer-reviewed literature catalogued in major electronic databases yielded 3039 papers. Following review of title and abstract, 93 articles were considered relevant. Full-text review reduced this number to 25. Results: Only two articles were identified as providing direct evidence of the effects of training and education on service provision. While both suggested that there was an impact, it is difficult to see how the more specific conclusions of either could be generalised. The other 23 articles provide a useful background to a range of issues including the specification of competencies that training programmes should deliver (3 articles), descriptions of a range of training programmes and the effects of training and education on student knowledge and skills. Conclusion: Although it is considered axiomatic, the service quality is dependent on practitioner education and training. There is insufficient evidence to establish whether levels of training and education in prosthetics and orthotics have an effect on the quality of prosthetic and orthotic services. Clinical relevance There is very little evidence about the effects of training and education of prosthetists and orthotists on service quality. While this is a somewhat negative finding, we feel that it is important to bring this to the attention of the prosthetics and orthotics community.
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Desmond, D., and M. MacLachlan. "Psychological issues in prosthetic and orthotic practice: A 25 year review of psychology in Prosthetics and Orthotics International." Prosthetics and Orthotics International 26, no. 3 (December 2002): 182–88. http://dx.doi.org/10.1080/03093640208726646.

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In the inaugural edition of Prosthetics and Orthotics International, Fishman identified the psychological sciences as one of six indispensable areas of skill and knowledge in professional prosthetic-orthotic practice. Given the journal's significant role in reporting and developing pertinent research and practice, this review assesses the profile of psychology in prosthetic and orthotic research, as evidenced by the content of Prosthetics and Orthotics International since its inception. A MEDLINE search of the journal's abstracts over a twenty-five year period was conducted using the search terms: ‘psychology’, ‘psychosocial’, ‘quality of life’, ‘developmental’ and ‘coping’. Results of this search are summarised under the following headings: (a) body image; (b) coping and adjustment; (c) developmental issues; (d) psychosocial well-being; (e) quality of life; and (f) psychological factors leading to amputation. On the basis of this review, the authors conclude by highlighting a number of key areas where the psychological aspects of prosthetics and orthotics warrant further investigation and dissemination.
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5

Schuch, C. M. "Modern above-knee fitting practice (A report on the ISPO workshop on above-knee fitting and alignment techniques May 15–19, 1987, Miami, USA." Prosthetics and Orthotics International 12, no. 2 (August 1988): 77–90. http://dx.doi.org/10.3109/03093648809078204.

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Introduction During the period of May 15–19, 1987, an International Workshop on Above-Knee Fitting and Alignment Techniques was held in Miami, Florida. Conceived and organized by A. Bennett Wilson, Jr. and Mel Stills, the workshop was supported and sponsored by the International Society for Prosthetics and Orthotics with the support of the Rehabilitation Research and Development Service of the Veteran's Administration. Hosting the workshop was the Prosthetics and Orthotics Education Programme of the School of Health Sciences, Florida International University, and more specifically, Dr. Reba Anderson, Dean of Health Sciences and Ron Spiers, Director of Prosthetic Orthotic Education. More than 50 physicians, prosthetists, engineers and educators from the United States, England, Scotland, Denmark, Sweden, Israel, the Netherlands and Germany participated.
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Spaulding, Susan Ewers, Sisary Kheng, Susan Kapp, and Carson Harte. "Education in prosthetic and orthotic training: Looking back 50 years and moving forward." Prosthetics and Orthotics International 44, no. 6 (November 8, 2020): 416–26. http://dx.doi.org/10.1177/0309364620968644.

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There is a long history of prosthetic and orthotic services helping to mitigate the impact of physical impairment by restoring function, and enabling and equipping the user. The training of health professionals who design, fit, and maintain prosthetic and orthotic devices has evolved over the centuries, reflecting an increase in knowledge, technology, understanding, and social attitudes in each era. Improvements in pedagogical thinking and biomechanical understanding, as well as the advent of new integrated technologies, have driven the profession over the past 50 years to modernize, evolve training and service delivery models in line with new attitudes toward clients, and search for new ways to improve users’ quality of life. In this narrative review, the authors examined the evolution of prosthetic and orthotic education, the impact of changing educational techniques and technologies, and the impact of the International Society for Prosthetics and Orthotics in that process. Through conversations with experts and review of peer-reviewed literature, accreditation documents, and the International Society for Prosthetics and Orthotics records and databases, the authors identified three areas of change in prosthetics and orthotics education over the past 50 years: (1) prosthetic/orthotic curriculum content, (2) pedagogy and course delivery, and (3) internships/residencies. This narrative review is a snapshot of a growing profession and we can only speculate where the next 50 years will lead us as we strive to serve patients, ever placing their needs and aspirations at the center of this professional service.
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Boone, David. "Prosthetists and orthotists: An evolution from mechanic to clinician." Prosthetics and Orthotics International 44, no. 6 (November 6, 2020): 368–72. http://dx.doi.org/10.1177/0309364620968643.

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Fifty years ago, the International Society for Prosthetics and Orthotics was founded in recognition that this unique niche in rehabilitation would benefit from multidisciplinary interactions between specialists in engineering, therapy, and medicine.Since then, field evolved from having a craft orientation toward a technology and clinical specialty. This anniversary provides an opportunity to look back on advances in prosthetics and orthotics, and the clear impact they have had on changing the skills needed by the prosthetist/orthotist as new technology and techniques have emerged. The balance has clearly shifted from mechanical skills to clinical care. The training and skills of the prosthetist/orthotist remain unique and valued in the rehabilitation team, and the primary motivation remains the same as it has been since the creation of the International Society for Prosthetics and Orthotics: the application of external devices where they are suitable to address the many varied needs of persons with disability. This historical perspective puts into context why and how the profession has changed, while also reinforcing that it is the goals set for restoring patient functions that best defines what it is to be a prosthetist/orthotist, not the means we use.
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Jarl, Gustav, Marie Holmefur, and Liselotte MN Hermansson. "Test–retest reliability of the Swedish version of the Orthotics and Prosthetics Users’ Survey." Prosthetics and Orthotics International 38, no. 1 (May 7, 2013): 21–26. http://dx.doi.org/10.1177/0309364613485113.

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Background:The Orthotics and Prosthetics Users’ Survey consists of five modules to assess outcomes of orthotic and prosthetic interventions: lower extremity functional status, upper extremity functional status, client satisfaction with device, client satisfaction with services and health-related quality of life.Objectives:To investigate the test–retest reliability and calculate the smallest detectable difference for all modules of the Swedish Orthotics and Prosthetics Users’ Survey.Study design:Test–retest reliability study design.Methods:A total of 69 patients at a Department of Prosthetics and Orthotics completed Orthotics and Prosthetics Users’ Survey on two occasions separated by a 2-week interval, giving 18 answers on lower extremity functional status, 41 on upper extremity functional status, 53 on client satisfaction with device, 12 on client satisfaction with services and 67 answers on health-related quality of life. Raw scores were converted into Orthotics and Prosthetics Users’ Survey units on a 0–100 scale. Intra-class correlation coefficients, Bland–Altman plots, common person linking plots and t-tests of person mean measures were used to investigate the reliability. The 95% confidence level smallest detectable differences were calculated.Results:The intra-class correlation coefficients ranged from 0.77 to 0.96 for the modules, and no systematic differences were detected between the response occasions. The smallest detectable differences ranged from 7.4 to 16.6 units.Conclusions:The test–retest reliability was satisfactory for all Orthotics and Prosthetics Users’ Survey modules. The smallest detectable difference was large on all modules except the health-related quality of life module.Clinical relevanceThe Orthotics and Prosthetics Users’ Survey modules are reliable and, thus, can be recommended for repeated measurements of patients over time. Relatively large changes are needed to achieve statistical significance when assessing individual patients.
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Miro, Rebecca Maria, William Young, Robert Dedrick, and M. Jason Highsmith. "Predictors of success on the American Board for Certification’s prosthetics certification examination." Prosthetics and Orthotics International 41, no. 1 (July 9, 2016): 95–100. http://dx.doi.org/10.1177/0309364616637953.

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Background:Many factors can potentially impact pass or fail performance of a certification examination. While studies regarding predictors of success have been conducted in other professions, no such studies have been conducted in prosthetics and orthotics.Objectives:Determine whether there are significant differences in prosthetics certification examination success or failure based on gender, Carnegie ranking of the institution from where the candidate received the degree, and whether the candidate is extending credential from orthotics to include prosthetics.Study design:Retrospective study.Methods:Data of candidates who completed prosthetics residency in 2011 and 2012 were evaluated for relationships with the dependent variables.Results:Only credential extension showed a statistically significant relationship with written multiple choice ( p = 0.000), written simulation ( p = 0.006), and clinical patient management examinations ( p = 0.005) as well as with success or failure in obtaining prosthetics certification ( p < 0.001).Conclusions:Currently available data for analysis regarding predictors of success are limited. Collection of additional variables (i.e. pre-requisite grade point average) in the future will permit analysis of more robust information. Presently available data reveal that candidates seeking to extend credential are more successful in obtaining certified prosthetist status compared with those testing for the first time.Clinical relevanceUnderstanding factors contributing to attaining licensure is important as the prosthetic/orthotic practitioner population ages. This is the first study to investigate this dimension of prosthetics and orthotics training, which upholds professional standards and protects patients. It helps the profession develop best educational and clinical practices in managing patients who utilize prosthetic technologies.
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10

Heinemann, A. W., R. K. Bode, and C. O'Reilly. "Development and measurement properties of the Orthotics and Prosthetics Users’ Survey (OPUS): A comprehensive set of clinical outcome instruments." Prosthetics and Orthotics International 27, no. 3 (December 2003): 191–206. http://dx.doi.org/10.1080/03093640308726682.

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The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments that assess functional status, quality of life, and satisfaction with devices and services that can be used in an orthotics and prosthetics clinic. Selecting items from a variety of existing instruments, the authors developed and revised four instruments that differentiate patients with varying levels of lower limb function, quality of life, and satisfaction with devices and services. Evidence of construct validity is provided by hierarchies of item difficulty that are consistent with clinical experience. For example, with the lower limb function instrument, running one block was much more difficult than walking indoors. The instruments demonstrate adequate internal consistency (0.88 for lower limb function, 0.88 for quality of life, 0.74 for service satisfaction, 0.78 for device satisfaction). The next steps in their research programme are to evaluate sensitivity and construct validity. The Orthotics and Prosthetics Users’ Survey (OPUS) is a promising self-report instrument which may, with further development, allow orthotic and prosthetic practitioners to evaluate the quality and effectiveness of their services as required by accreditation standards such as those of the American Board for Certification in Orthotics and Prosthetics that mandate quality assessment.
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Ramstrand, Nerrolyn. "Translating research into prosthetic and orthotic practice." Prosthetics and Orthotics International 37, no. 2 (August 5, 2012): 108–12. http://dx.doi.org/10.1177/0309364612451268.

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Background: Evidence-based practice is commonly accepted as a means of improving patient outcomes; however, there is little understanding of the processes required to successfully implement it into prosthetic and orthotic practice. Objectives: To discuss factors affecting adoption of evidence-based practice and present a theoretical framework for its implementation into prosthetic and orthotic practice. Discussion: Numerous factors that affect adoption of evidence-based practice are discussed, ranging from individual factors to those that can be attributed to administrative and environmental issues. Specific factors are likely to be context specific and are influenced by the manner in which evidence-based practice is introduced into the working environment. It is argued that successful implementation of evidence-based practice requires consideration of numerous interrelated factors. A formal translating research into practice model is presented as a means of developing a strategic plan that considers all relevant factors and maximizes acceptance of evidence-based practice into prosthetics and orthotics clinical practice. Conclusions: The use of a theoretical model for implementation of evidence-based practice is likely to improve its adoption by prosthetic and orthotic clinicians. Clinical relevance The demand for prosthetists/orthotists to utilize evidence-based practice is increasing. Lack of strategic planning throughout the implementation phase is likely to compromise adoption of evidence-based practices by clinicians.
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12

McDonald, Cody L., Deborah Kartin, and Sara J. Morgan. "A systematic review in prosthetics and orthotics education research." Prosthetics and Orthotics International 44, no. 3 (April 17, 2020): 116–32. http://dx.doi.org/10.1177/0309364620912642.

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Background: Formal prosthetic/orthotic education has evolved greatly since its inception in the 1950s. The International Society for Prosthetics and Orthotics has established guidelines and recognition for prosthetic/orthotic programs worldwide. However, the current state-of-the-science in prosthetic/orthotic education is largely unknown. Objectives: To evaluate and synthesize available prosthetic/orthotic education research. Study design: Systematic review. Methods: Three bibliographic databases were searched and quality of included articles assessed using criteria from the National Institutes for Health Quality Assessment Tool for Observational Cohort, Cross-Sectional Studies, and the Critical Appraisal Skills Programme Qualitative Research Checklist, and Delphi quality criteria. Results: This review included 25 articles from 23 studies. Included studies explored description, development, implementation, and/or assessment of the teaching/learning methods, curriculum, program, or country/region level. Studies were conducted in 18 countries and published in 14 journals. Methodological quality was rated high in 6 articles, moderate in 6, and low in 13. Content synthesis was not attempted due to the heterogeneous literature. Conclusion: This systematic review suggests that prosthetic/orthotic education research is only being conducted at a limited level. There is a strong need for high quality, collaborative education research to be conducted and published in peer-reviewed journals to improve prosthetic/orthotic education and build a global conversation. Clinical relevance Research in prosthetic/orthotic education is limited. The current body of literature is not sufficient to inform and guide future education of prosthetic/orthotic students. Opportunities to improve prosthetic/orthotic education research include academic collaborations, a dedicated education special issue or journal, and disciplinary support for prosthetic/orthotic education research.
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Grobler, Ilzé, Gertina J. van Schalkwyk, and Claire Wagner. "The Application of Critical Psychology to Facilitate Reflective Clinical Practice in Orthotics/Prosthetics." Prosthetics and Orthotics International 30, no. 3 (December 2006): 237–45. http://dx.doi.org/10.1080/07434610500483794.

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The co-construction of a psychology module for a postgraduate training course in orthotics/prosthetics is socially constructed for the first time in Southern African history. This paper elucidates the integration of theory and practice in a model for the development of a professional identity as orthotist/prosthetist. In creating a context where trainees can learn to develop their practice while also enabling them to deconstruct notions of ‘expert knowledge’, orthotist/prosthetists move from a position of scientist-practitioner to negotiating an alternative position of reflective practitioner. In the process of co-constructing knowledge, an alternative story of teaching and learning evolves. The result is a celebration of life as it is really lived by health professionals.
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Stevens, Phillip M. "Physical sciences." Prosthetics and Orthotics International 44, no. 6 (November 6, 2020): 373–83. http://dx.doi.org/10.1177/0309364620969994.

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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.
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Pritham, Charles H. "Prosthetics and Orthotics." JPO Journal of Prosthetics and Orthotics 3, no. 1 (1990): xix. http://dx.doi.org/10.1097/00008526-199000310-00014.

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&NA;. "Prosthetics and Orthotics." JPO Journal of Prosthetics and Orthotics 3, no. 1 (1990): xix. http://dx.doi.org/10.1097/00008526-199010000-00015.

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Geertzen, Jan HB, GM Rommers, and Rienk Dekker. "An ICF-based education programme in amputation rehabilitation for medical residents in the Netherlands." Prosthetics and Orthotics International 35, no. 3 (September 2011): 318–22. http://dx.doi.org/10.1177/0309364611412822.

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Background and Aim: Education programmes of the International Society for Prosthetics and Orthotics (ISPO) are directed primarily at prosthetists and orthotists. In a multidisciplinary setting, greater attention should be given to other professionals working in the field of amputation, prosthetics and orthotics. This includes, among others, physiotherapists, occupational therapists and residents and physicians from orthopaedics, vascular surgery and physical medicine and rehabilitation (PM&R). The aim of this paper is to describe the education programme in amputation and prosthetics for residents in PM&R in the Netherlands. The programme is based on concepts of the International Classification on Functioning, Disability and Health (ICF). Technique: This narrative paper presents the amputation and prosthetics education programme for residents in PM&R in the Netherlands. The programme is based on two models: the ICF and the Canadian Medical Education Directives for Specialists (CanMEDS). Discussion: ICF core sets for amputation and prosthetics need further development. Subsequently, the application of these core sets can help stimulate the education of residents in PM&R, and other multidisciplinary team members who work in amputation rehabilitation Clinical relevance Through this education programme, residents work closely with other team members using the common language of the ICF, enhancing treatment and technical advice in amputee care.
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Kumari, Rohina, Surbhi ., and Sakshi Saharawat. "Effect of Customized Foot Insoles on Low Back Pain and Energy Expenditure in Prosthetics and Orthotics Professionals with Flat Feet." International Journal of Health Sciences and Research 12, no. 1 (January 20, 2022): 195–200. http://dx.doi.org/10.52403/ijhsr.20220126.

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Background: Low Back pain (LBP) in both developed and developing countries is the most prevalent occupation-related problem. 60%-80% of the general population at some time in their lives suffers from LBP. The existing evidence on Allied Health professions suggests that prosthetists/orthotists are likely to be at risk of low back pain development which has not been explored. Feet disorders and deformities are among the possible causes of LBP that have been introduced. It seems that there is a link between foot deformity and spinal performance in terms of the principles of biomechanics. Proper treatment with customized foot orthosis is more effective for improving low back pain symptoms than treatment with standard treatment methods. Aims and Objectives: The present study evaluates the effect of customized foot insoles in reducing the pain and energy expenditure among prosthetics and orthotics professionals with mechanical low back pain. Methodology: 30 prosthetics and orthotics professionals of age 25-35 years with mechanical low back pain and flat feet participated in the study which was a pre-test post-test experimental study design. LBP was evaluated by a Visual Analog Scale. The energy expenditure was evaluated using physiological cost index. Pre-test data of pain and energy expenditure was recorded without intervention. Then the customized foot insoles were given to the subjects for the duration of 4 weeks and post-test data of pain and energy was collected. Results: The results showed a significant improvement in low back pain (mean ± SD =6.16 ± 0.94 to 5.03 ± 0.76, p= .000), and in the energy expenditure (mean ± SD = 0.08 ±0.02 to 0.06 ±0.02, p= 0.000). Conclusion: This study provides evidence that customized foot insoles reduce pain and energy consumption among prosthetics and orthotics professionals with low back pain and flat feet. Key words: Mechanical low back pain, flat feet, energy consumption, prosthetics and orthotics professionals, customized foot insoles.
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Aminian, Gholamreza, John M. O’Toole, and Afsoon Hassani Mehraban. "Undergraduate prosthetics and orthotics teaching methods: A baseline for international comparison." Prosthetics and Orthotics International 39, no. 4 (May 20, 2014): 278–85. http://dx.doi.org/10.1177/0309364614531009.

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Background: Education of Prosthetics and Orthotics is a relatively recent professional program. While there has been some work on various teaching methods and strategies in international medical education, limited publication exists within prosthetics and orthotics. Objectives: To identify the teaching and learning methods that are used in Bachelor-level prosthetics and orthotics programs that are given highest priority by expert prosthetics and orthotics instructors from regions enjoying a range of economic development. Study design: Mixed method. Methods: The study partly documented by this article utilized a mixed method approach (qualitative and quantitative methods) within which each phase provided data for other phases. It began with analysis of prosthetics and orthotics curricula documents, which was followed by a broad survey of instructors in this field and then a modified Delphi process. Results: The expert instructors who participated in this study gave high priority to student-centered, small group methods that encourage critical thinking and may lead to lifelong learning. Instructors from more developed nations placed higher priority on student’s independent acquisition of prosthetics and orthotics knowledge, particularly in clinical training. Conclusions: Application of student-centered approaches to prosthetics and orthotics programs may be preferred by many experts, but there appeared to be regional differences in the priority given to different teaching methods. Clinical relevance The results of this study identify the methods of teaching that are preferred by expert prosthetics and orthotics instructors from a variety of regions. This treatment of current instructional techniques may inform instructor choice of teaching methods that impact the quality of education and improve the professional skills of students.
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Binedell, Trevor, Karupppasamy Subburaj, Yoko Wong, and Lucienne T. M. Blessing. "Leveraging Digital Technology to Overcome Barriers in the Prosthetic and Orthotic Industry: Evaluation of its Applicability and Use During the COVID-19 Pandemic." JMIR Rehabilitation and Assistive Technologies 7, no. 2 (November 5, 2020): e23827. http://dx.doi.org/10.2196/23827.

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Background The prosthetic and orthotic industry typically provides an artisan “hands-on” approach to the assessment and fitting of orthopedic devices. Despite growing interest in digital technology for prosthetic and orthotic service provision, little is known of the quantum of use and the extent to which the current pandemic has accelerated the adoption. Objective This study’s aim is to assess the use of digital technology in prosthetics and orthotics, and whether its use can help overcome challenges posed by the current COVID-19 pandemic. Methods A web-based survey of working prosthetists, orthotists, and lower limb patients was conducted between June and July 2020 and divided into three sections: lower limb amputees, prosthetist and orthotist (P&O) currently using digital technologies in their practice, and P&O not using any digital technology. Input was sought from industry and academia experts for the development of the survey. Descriptive analyses were performed for both qualitative (open-ended questions) and quantitative data. Results In total, 113 individuals responded to the web-based survey. There were 83 surveys included in the analysis (patients: n=13, 15%; prosthetists and orthotists: n=70, 85%). There were 30 surveys excluded because less than 10% of the questions were answered. Out of 70 P&Os, 31 (44%) used digital technologies. Three dimensional scanning and digital imaging were the leading technologies being used (27/31, 88%), primarily for footwear (18/31, 58%), ankle-foot orthoses, and transtibial and transfemoral sockets (14/31, 45%). Digital technology enables safer care during COVID-19 with 24 out of 31 (77%) respondents stating it improves patient outcomes. Singapore was significantly less certain that the industry's future is digital (P=.04). The use of virtual care was reported by the P&O to be beneficial for consultations, education, patient monitoring, or triaging purposes. However, the technology could not overcome inherent barriers such as the lack of details normally obtained during a physical assessment. Conclusions Digital technology is transforming health care. The current pandemic highlights its usefulness in providing safer care, but digital technology must be implemented thoughtfully and designed to address issues that are barriers to current adoption. Technology advancements using virtual platforms, digitalization methods, and improved connectivity will continue to change the future of health care delivery. The prosthetic and orthotic industry should keep an open mind and move toward creating the required infrastructure to support this digital transformation, even if the world returns to pre–COVID-19 days.
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Van Netten, Jaap J., Gustav Jarl, Klaas Postema, and Anita E. Williams. "A toolkit for prosthetists and orthotists to facilitate progress in professional communication over the next 50 years." Prosthetics and Orthotics International 44, no. 6 (October 12, 2020): 408–15. http://dx.doi.org/10.1177/0309364620962325.

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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.
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Heinemann, Allen W., Linda Ehrlich-Jones, Lauri Connelly, Patrick Semik, and Stefania Fatone. "Enhancing quality of prosthetic services with process and outcome information." Prosthetics and Orthotics International 41, no. 2 (April 18, 2016): 164–70. http://dx.doi.org/10.1177/0309364616637957.

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Background: Prosthetic clinics in the United States must attain accreditation in order to receive reimbursement from Medicare. The accreditation process requires clinics to establish and implement performance management plans and quality improvement activities. This report describes the experience of seven prosthetic clinics in collecting patient-reported outcome data and using it to improve quality of services. Objectives: To describe the experience of prosthetic clinics implementing outcome monitoring and quality improvement activities as part of routine patient care. Study design: Qualitative, ethnographic design. Methods: Clinics incorporated the Orthotics Prosthetics Users’ Survey into routine care for patients aged 18 years and older who received a new lower limb prosthesis or socket. Orthotics Prosthetics Users’ Survey measures lower extremity functional status, quality of life, and satisfaction with device and services. Clinics selected Orthotics Prosthetics Users’ Survey-derived indicators on which to implement quality improvement action plans. Results: Seven clinics participated, but only three were able to sustain data collection. Two clinics initiated quality improvement activities focused on improving declining satisfaction or functional scores. Conclusions: Quality improvement activities based on patient-reported outcomes require a high degree of organizational commitment and support. External facilitation can support clinics’ quality improvement activities. Clinical relevance This project illustrates the challenges of sustaining quality improvement activities using patient-reported outcome data in prosthetic clinics.
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Boone, David. "Prosthetics and Orthotics International." Prosthetics & Orthotics International 45, no. 2 (April 2021): 101. http://dx.doi.org/10.1097/pxr.0000000000000015.

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Boone, David. "Prosthetics and Orthotics International." Prosthetics & Orthotics International 45, no. 3 (May 17, 2021): 189–90. http://dx.doi.org/10.1097/pxr.0000000000000023.

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Rowley, David I. "Amputation, prosthetics, and orthotics." Current Opinion in Orthopaedics 3, no. 6 (December 1992): 803–4. http://dx.doi.org/10.1097/00001433-199212000-00015.

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&NA;, &NA;. "Amputation, prosthetics, and orthotics." Current Opinion in Orthopaedics 3, no. 6 (December 1992): 840–42. http://dx.doi.org/10.1097/00001433-199212000-00023.

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Rowley, D. I., and B. Med Biol. "Amputation, prosthetics, and orthotics." Current Opinion in Orthopaedics 9, no. 6 (December 1998): 95. http://dx.doi.org/10.1097/00001433-199812000-00016.

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Jarl, Gustav Magnus, and Liselotte Maria Norling Hermansson. "Translation and Linguistic Validation of the Swedish Version of Orthotics and Prosthetics Users' Survey." Prosthetics and Orthotics International 33, no. 4 (December 2009): 329–38. http://dx.doi.org/10.3109/03093640903168123.

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There is an increasing need for outcome measures in the orthotic and prosthetic field and specifically a lack of outcome measures in Swedish. The Orthotics and Prosthetics Users' Survey (OPUS) was developed in the USA for assessment of the outcome of orthotic and prosthetic interventions, and could potentially also be used for shoe insoles and orthopaedic shoes. The aims of this study were to translate OPUS into Swedish and test the translated version's linguistic validity in a Swedish context. The Orthotic and Prosthetic Users' Survey was translated into Swedish and back-translated into English, following a modified version of the World Health Organization guidelines. After revision of the Swedish version, 39 Swedish clients (12 men, 27 women) answered the OPUS questionnaires and were systematically debriefed afterwards. Most items were understood correctly by the respondents, but some words and expressions had to be changed to avoid misunderstandings or unintended interpretations. The resulting Swedish version of OPUS, OPUS-Swe, showed acceptable linguistic validity and has potential for use in both clinical practice and scientific settings. Nevertheless, before OPUS-Swe can be fully implemented, its psychometric properties need to be evaluated.
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Ramstrand, N., and T. H. Brodtkorb. "Considerations for developing an evidenced-based practice in orthotics and prosthetics." Prosthetics and Orthotics International 32, no. 1 (January 1, 2008): 93–102. http://dx.doi.org/10.1080/03093640701838190.

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Evidence-based practice has become somewhat of a catchphrase over the past ten years. In this paper evidence-based practice is defined and its importance for the development of the prosthetics and orthotics profession is highlighted. The authors suggest that evidence-based practice needs to be prioritized within the profession and that a cultural change needs to be initiated which supports clinicians in incorporating research findings into their daily practice. In addition, the authors highlight the need for prosthetists/orthotists to become more active in generating research rather than relying on other professional groups to contribute to their professional body of knowledge.
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Safari, Reza. "Lower limb prosthetic interfaces: Clinical and technological advancement and potential future direction." Prosthetics and Orthotics International 44, no. 6 (November 8, 2020): 384–401. http://dx.doi.org/10.1177/0309364620969226.

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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.
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Foort, J. "Innovation in prosthetics and orthotics." Prosthetics and Orthotics International 10, no. 2 (August 1986): 61–71. http://dx.doi.org/10.3109/03093648609164502.

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Segal, Lee S. "Pediatric orthopedics/prosthetics and orthotics." Current Opinion in Orthopedics 11, no. 6 (December 2000): 429–30. http://dx.doi.org/10.1097/00001433-200012000-00001.

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Segal, Lee S. "Pediatric orthopaedics/prosthetics and orthotics." Current Opinion in Orthopaedics 12, no. 6 (December 2001): 435–36. http://dx.doi.org/10.1097/00001433-200112000-00001.

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&NA;. "The Orthotics and Prosthetics Profession." JPO Journal of Prosthetics and Orthotics 2, no. 3 (1990): 175???176. http://dx.doi.org/10.1097/00008526-199004000-00003.

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Shepherd, RA. "Orthotics and Prosthetics in Rehabilitation." Physiotherapy 87, no. 8 (August 2001): 445. http://dx.doi.org/10.1016/s0031-9406(05)65467-3.

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Adamson, Caroline, Martin Kaufmann, David Levine, Darryl L. Millis, and Denis J. Marcellin-Little. "Assistive Devices, Orthotics, and Prosthetics." Veterinary Clinics of North America: Small Animal Practice 35, no. 6 (November 2005): 1441–51. http://dx.doi.org/10.1016/j.cvsm.2005.08.009.

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Beattie, Wendy. "Orthotics and Prosthetics in Rehabilitation." JPO Journal of Prosthetics and Orthotics 13, no. 1 (March 2001): 21. http://dx.doi.org/10.1097/00008526-200103000-00014.

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Pritham, Charles H. "Prosthetics and Orthotics, 2nd Edition." JPO Journal of Prosthetics and Orthotics 13, no. 3 (September 2001): 88. http://dx.doi.org/10.1097/00008526-200109000-00015.

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39

Boone, David. "Access to prosthetics and orthotics." Prosthetics & Orthotics International 46, no. 6 (December 2022): 539–40. http://dx.doi.org/10.1097/pxr.0000000000000203.

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Aminian, Gholamreza, and John Mitchell O’Toole. "Undergraduate prosthetics and orthotics programme objectives:a baseline for international comparison and curricular development." Prosthetics and Orthotics International 35, no. 4 (October 31, 2011): 445–50. http://dx.doi.org/10.1177/0309364611425094.

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Background: Prosthetics and orthotics is a relatively recent addition to the suite of undergraduate professional preparation programmes. There has been limited publication regarding international patterns of curriculum development, particularly concerning how objectives differ across global regions. Objectives: This paper compares current prosthetics and orthotics curricula from a range of regions and identifies both common and distinctive objectives. Study Design: Mixed method: document analysis followed by modified Delphi process. Methods: Documents were analysed qualitatively to compare various curricula and emergent features were evaluated by a group of expert prosthetics and orthotics instructors. Results: There was substantial agreement that programmes should improve student knowledge and understanding. They should establish and extend student fabrication, communication skills and professional co-operation. However, there appeared to be regional differences in the priority given to critical thinking and clinical reasoning; integration of theory and practice and particular approaches to teaching prosthetics and orthotics. Conclusions: This study revealed substantial consensus regarding the importance of clear programme objectives dealing with student abilities, professional skills and contemporary understanding. However, this study also revealed regional differences that may well reward further investigation.
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Andrysek, Jan, James Christensen, and Annie Dupuis. "Factors influencing evidence-based practice in prosthetics and orthotics." Prosthetics and Orthotics International 35, no. 1 (March 2011): 30–38. http://dx.doi.org/10.1177/0309364610389353.

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Background: The importance of evidence-based practice is being recognized across a broad range of healthcare disciplines as a means for improving patient outcomes and also efficiently managing healthcare resources.Objective: The objective of this work was to obtain information from clinicians about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics.Study design: Cross sectional survey.Methods: An internet survey was developed and distributed to 300 prosthetists and orthotists currently practicing in Canada.Results: A principal component factor analysis of the survey results revealed ten primary factors affecting evidence-based practice. These include time constraints, workload and system demands, limited relevant evidence from research, and gaps in skills and knowledge required to perform evidence-based practice.Conclusions: Clinicians value research as a means of improving clinical practice, but they are faced with a number of practical barriers in performing evidence-based practice.Clinical relevanceThis study provides empirical data about the underlying barriers and facilitators relating to evidence-based practice in prosthetics and orthotics. Such data are essential in order to inform those involved in improving existing clinical practices, including educators, professional organizations, and governing bodies.
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Uratqa, Kazuhiko. "C111004 Customizing of Prosthetics and Orthotics." Proceedings of Mechanical Engineering Congress, Japan 2014 (2014): _C111004–1—_C111004–4. http://dx.doi.org/10.1299/jsmemecj.2014._c111004-1.

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43

Rowley, David I. "Amputation, prosthetics, and orthotics: Editorial overview." Current Opinion in Orthopaedics 4, no. 6 (December 1993): 95. http://dx.doi.org/10.1097/00001433-199312000-00016.

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44

Highsmith, M. Jason. "Is Orthotics and Prosthetics a Profession?" Journal of Prosthetics and Orthotics 27, no. 4 (October 2015): 115–17. http://dx.doi.org/10.1097/jpo.0000000000000078.

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Barton, S. A., and S. Hughes. "Control aspects of Prosthetics and Orthotics." Journal of Biomedical Engineering 8, no. 1 (January 1986): 79–80. http://dx.doi.org/10.1016/0141-5425(86)90039-7.

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46

Engsberg, J. R., G. S. Clynch, A. G. Lee, J. S. Allan, and J. A. Harder. "A CAD CAM method for custom below-knee sockets." Prosthetics and Orthotics International 16, no. 3 (December 1992): 183–88. http://dx.doi.org/10.3109/03093649209164338.

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The purpose of this investigation was to develop a numerical method for fabricating prosthetic sockets for below-knee amputees. An opticalllaser digitiser scans an amputee's stump and collects three dimensional numerical data describing the surface of the limb and describing specific modification site locations. The numerical data from the laser camera representing the stump and modification sites are altered by the prosthetist using a custom computer aided design software system running on a personal computer. Using the altered numerical data a programme is created for a high resolution numerically controlled milling machine and a mould is made. The prosthetist then fabricates a socket. While the system has been tested with below-knee amputees it has been designed for application in most areas of prosthetics and orthotics. Utilising this method 15 patients were fitted. All patients sujectively stated that their “computer designed” socket fitted better than their conventionally made socket. As the research progressed and experience was gained with the system patients were normally fitted with the first socket iteration. The system overcomes five limitations existing with some of the other numerical systems: 1) accurate high resolution surface topography, 2) specific identification of subject modification sites, 3) flexible, user friendly software, 4) high resolution numerically controlled milling, and 5) integrated expansion to other prosthetic and orthotic areas.
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Matjačić, Zlatko. "Gait analysis and synthesis: Biomechanics, orthotics, prosthetics." Technology and Health Care 17, no. 5-6 (December 9, 2009): 445–61. http://dx.doi.org/10.3233/thc-2009-0564.

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Highsmith, M. Jason. "EDITORIAL: CLINICAL INNOVATIONS IN PROSTHETICS AND ORTHOTICS." Technology & Innovation 15, no. 4 (January 27, 2014): 285–86. http://dx.doi.org/10.3727/194982413x13844488878853.

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Russell, Byron. "Orthotics and Prosthetics in Rehabilitation, ed 2." Physical Therapy 87, no. 4 (April 1, 2007): 480. http://dx.doi.org/10.2522/ptj.2007.87.4.480.1.

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Jacobs, Norman A. "The international development of prosthetics and orthotics." Journal of Medical Engineering & Technology 17, no. 5 (January 1993): 199–201. http://dx.doi.org/10.3109/03091909309008372.

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