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1
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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Farahmand, Behshid, Maryam Mohammadi, Babak Hassanbeygi, Morteza Mohammadi, Hassan Saeedi, and Masumeh Bagherzadeh Cham. "Ergonomic Evaluation of Working Conditions in Orthotists and Prosthetists by Rapid Entire Body Assessment (REBA)." Function and Disability Journal 15, no. 3 (December 30, 2021): 169–78. http://dx.doi.org/10.32598/fdj.3.22.
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Background and Objectives: This study aimed to determine the prevalence rate of musculoskeletal disorders and evaluate the body position in routine tasks among orthotists and prosthetists. Methods: Forty orthotists and prosthetists were included. The scores of the Nordic Musculoskeletal Questionnaire and the Rapid Entire Body Assessment were used to determine the prevalence rate of musculoskeletal disorders and analyze the work position of orthotists and prosthetists, respectively. An examiner evaluated 10 working postures that were dominantly used every day, in each orthotist and prosthetist. Results: Among the orthotists, 55.6% of men and 47% of women suffered from pain in the trunk, neck, and lower limbs. Nearly similar results were seen in the upper limbs (74.1% men and 45.5% women). Such high prevalence rates were not seen in prosthetists. The analysis of the Rapid Entire Body Assessment scores based on the working task and gender of the orthotist and prosthetist showed that more than 60% of the workers achieved a score of 4 to 7 approximately in half of the tasks. It shows the medium risk of musculoskeletal disorders, thus, corrective action is necessary. Conclusion: Based on the findings, musculoskeletal disorders are highly prevalent among orthotists and prosthetists, especially in the orthotist workers. To reduce these disorders, it is recommended to add ergonomic topics and training courses for working with devices to increase the knowledge of specialists and apply and select practical tools based on the principles of ergonomics.
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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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Magnusson, Lina. "Professionals’ perspectives of prosthetic and orthotic services in Tanzania, Malawi, Sierra Leone and Pakistan." Prosthetics and Orthotics International 43, no. 5 (July 15, 2019): 500–507. http://dx.doi.org/10.1177/0309364619863617.
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Background: Evidence-based recommendations are lacking for prosthetic and orthotic services in low- and lower-middle-income countries. Objectives: The aim of this study was to compare and synthesise findings related to experiences of prosthetic and orthotic service delivery in Tanzania, Malawi, Sierra Leone and Pakistan from the perspective of local professionals. Study design: This is a qualitative inductive study. Methods: A total of 49 associated prosthetists/orthotists and prosthetic/orthotic technicians participated in individual interviews. The second-order concept analysis was applied to the data. Results: Four common themes emerged: low awareness and prioritisation of prosthetic and orthotic services; difficulty managing specific pathological conditions and problems with materials; limited access to prosthetic and orthotic services; and the need for further education and desire for professional development. A further theme was unique to Sierra Leone: people with disabilities have low social status. Conclusion: Local professionals felt unable to deliver high-quality prosthetic and orthotic services. Prosthetic and orthotic education needs to be adjusted to various countries’ regulations to be recognised as allied health professions. Rehabilitation and prosthetic and orthotic service delivery need to be further integrated in low- and lower-middle-income countries’ regular health systems to increase effective person-centred rehabilitation and to address governments’ low awareness and low prioritisation of prosthetic and orthotic services. Clinical relevance The results can inform international guidelines and curriculum development for associate prosthetist/orthotist education to better prepare graduates for the clinical scenario and attempts to improve prosthetic and orthotic service delivery programmes in low- and lower-middle-income countries.
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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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Takizawa, Sachiko. "The viewpoint of a prosthetist/orthotist." Journal of Japanese Society of Limb Salvage and Podiatric Medicine 9, no. 3 (2017): 166–74. http://dx.doi.org/10.7792/jlspm.9.166.
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Magnusson, Lina, and Nerrolyn Ramstrand. "Prosthetist/orthotist educational experience & professional development in Pakistan." Disability and Rehabilitation: Assistive Technology 4, no. 6 (January 2009): 385–92. http://dx.doi.org/10.3109/17483100903024634.
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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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Jensen, J. Steen, Wilfried Raab, John Fisk, Christian Hartz, Ariel Saldana, and Carson Harte. "Quality of Polypropylene Sockets for Trans-Tibial Prostheses in Low-Income Countries." Prosthetics and Orthotics International 30, no. 1 (April 2006): 45–59. http://dx.doi.org/10.1080/03093640600568336.
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Based on six series of patients ( n = 198) participating in clinical field testing of prosthetic feet and all provided with trans-tibial prostheses in accordance with the polypropylene component and assembly system developed by the International Committee of the Red Cross (ICRC) follow-up studies by teams consisting of an orthopaedic surgeon and a Category-I prosthetist-orthotist were conducted. A series of quality measures were tested against previously published quality benchmarks. The polypropylene system gives a consistent product and allows for increased demands on quality benchmarks. The acceptance of discomfort and pain could be reduced to 5 ± 5%. The technical performance demands were reduced for misalignment to 10 ± 5%. In general for all quality measures the range could be reduced to ±5%. These new demands reflect what an orthopaedic workshop outside of a teaching system should be able to attain.
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Ridgewell, Emily, Michael Dillon, Jackie O'Connor, Sarah Anderson, and Leigh Clarke. "Demographics of the Australian orthotic and prosthetic workforce 2007–12." Australian Health Review 40, no. 5 (2016): 555. http://dx.doi.org/10.1071/ah15147.
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Objective Health workforce data are vital to inform initiatives to meet the future healthcare needs of our society, but there are currently no data describing the Australian orthotic and prosthetic workforce. The aim of the present study was to describe demographic changes in the Australian orthotic and prosthetic workforce from 2007 to 2012. Methods In the present retrospective time series study, data from the Australian Orthotic Prosthetic Association member database were analysed for trends from 2007 to 2012. Data describing the absolute number of practitioners, the number of practitioners per 100 000 population, age, gender, state or territory of residence and service location (i.e. metropolitan, regional and remote) were analysed for significant changes over time using linear regression models. Results Although the number of orthotist/prosthetists in Australia increased (P = 0.013), the number of orthotist/prosthetists per 100 000 population remained unchanged (P = 0.054). The workforce became younger (P = 0.004) and more female (P = 0.005). Only Victoria saw an increase in the proportion of orthotist/prosthetists in regional and remote areas. There was considerable state-to-state variation. Only Victoria (P = 0.01) and Tasmania (P = 0.003) saw an increase in the number of orthotist/prosthetists per 100 000 population. Conclusions The orthotic and prosthetic workforce has increased proportionately to Australia’s population growth, become younger and more female. The proportion of practitioners in regional and remote areas has remained unchanged. These data can help inform workforce initiatives to increase the number of orthotist/prosthetists relative to the Australian population and make the services of orthotist/prosthetists more accessible to Australians in regional and remote areas. What is known about the topic? Currently, there are no demographic data describing changes in the Australian orthotic and prosthetic workforce over time. These data are vital to inform initiatives to increase the size of the workforce, locate practitioners where health services are most needed and thereby plan to meet the future health care needs of our society. What does this paper add? This paper describes changes in the Australian orthotic and prosthetic workforce, where previously these data have not been available as part of federal initiatives to plan for future workforce needs. What are the implications for practitioners? Demographic data describing changes in the orthotic and prosthetic workforce are needed to inform workforce initiatives that improve access in regional and remote Australia, and retain a younger and more female workforce.
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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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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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Murayama, Minoru, and Masazumi Mizuma. "Investigation of the Work Performed by a Full-time Prosthetist and Orthotist with Patients and Users at Our Hospital." Japanese Journal of Rehabilitation Medicine 58, no. 2 (February 18, 2021): 215–20. http://dx.doi.org/10.2490/jjrmc.20037.
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Ramstrand, Nerrolyn, and Simon Ramstrand. "Competency standards for newly graduated prosthetist/orthotists in Sweden." Prosthetics and Orthotics International 42, no. 4 (May 18, 2018): 387–93. http://dx.doi.org/10.1177/0309364618774056.
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Background: There are currently no national competency standards upon which to develop educational objectives for prosthetist/orthotists in Sweden. While standards have been developed in other countries, they cannot be applied without confirming their relevance in a Swedish context. Objectives: To describe and obtain consensus on core competencies required for newly graduated prosthetist/orthotists in Sweden. Study design: Modified Delphi process. Methods: A modified Delphi technique was carried out. Focus groups were initially used to identify core competency domains. Two consecutive questionnaires, containing a list of potential competency items, were sent to a group of stakeholders with ties to the prosthetic and orthotic profession. Stakeholders were requested to rate their level of agreement with each competency item and provide written comments. Finally, two focus groups were conducted to obtain feedback on the draft competency standards. Results: Forty-four competency items, listed under five key domains of practice, were identified as essential for newly graduated prosthetist/orthotists in Sweden. Conclusions: Many similarities exist in core competency descriptions for prosthetist/orthotists in Sweden when compared to other countries. Regional differences do however exist, and it is important to confirm the relevance of core competency items at a national level before they are applied. Clinical relevance Competency standards developed in this study can be used to guide development of learning objectives within an undergraduate prosthetic and orthotic program, provide a framework for workforce development, assist professional organizations in understanding the needs of their members, and prepare for international accreditation.
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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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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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Mackenzie, Renee L., Gregory Murphy, Arun Prasad Balasundaram, and Meg E. Morris. "An exploration of role expectations of the clinical prosthetist." Prosthetics and Orthotics International 44, no. 1 (December 6, 2019): 10–17. http://dx.doi.org/10.1177/0309364619889482.
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Background: The role of the clinical prosthetist in healthcare has evolved substantially, and it is likely that expectations of the role have changed in recent times. Organisational Role Theory provides a framework for considering the expectations and behaviours of health professionals regarding their functions and roles. Objectives: The main objective of this study is to explore stakeholder consensus in role expectations of the clinical prosthetist in an Australian healthcare setting. Study design: Cross-sectional survey. Methods: The Prosthetist Role Expectations Scale was used to measure expectations and views of the roles of clinical prosthetists. The Prosthetist Role Expectations Scale has 72 items that form 11 subscales that describe prosthetist behaviour. It was distributed to six key stakeholder groups which included: prosthetists, prosthetic technicians, physiotherapists, medical rehabilitation specialists, orthotists and clients with limb loss. Results: Of the 1064 surveys distributed, 275 were returned. An additional 35 electronic responses were received, resulting in 299 complete data sets. A high level of consensus across the different stakeholder groups was found for 10 of the 11 subscales. In contrast, there were significant differences between groups for the ‘Independent Prescription’ subscale ( p ⩽ .05). Differences in expectations, as noted by individual Prosthetist Role Expectations Scale subscale items (7 of 72) may indicate that stakeholders perceive a prosthetist’s role differently in select areas. Conclusion: There was broad agreement in expectations from stakeholders regarding the role of prosthetists in interdisciplinary functioning, research and communication related to prosthetic device provision and function. There were more varied expectations regarding prescription decisions, referral practices and clinician–client communication regarding emotional issues. Clinical relevance It is important to understand the expectations that stakeholder groups have regarding the clinical prosthetist role in healthcare settings. Such information can guide health professional education and interprofessional practice and may reduce interpersonal and interprofessional conflict.
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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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Geelen-Baass, Briana NL. "Learning to manage in health." Australian Health Review 31, no. 3 (2007): 327. http://dx.doi.org/10.1071/ah070327.
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'I'M A MRP' is the grammatically incorrect response I offer anyone who asks the ever popular 'What do you do?' question. The error in the statement may be understood when you realise that the acronym stands for an inanimate entity: Management Residency Program. Despite the struggle I have with the inherent clumsiness of the phrase, I am actually quite happy to use the term. I feel comforted by the idea of having an identity. I think this comes from my former life as a Prosthetist/Orthotist (P&O). As a P&O, you have an identity. Regardless of where you are working, you are a P&O and this is interesting in itself. It's a great conversation piece. Now that I attempt to make the move into management, I find myself placing greater importance on where I am rather than what I am. It now matters more to me which organisation I belong to. I?d like to attribute this to an academic theory such as Henry Mintzberg's, which would suggest that my focus is changing from a professional orientation to an organisational one.1 However, I realise there is a slight possibility that the title 'health manager' is actually just boring. I know lawyers who find themselves in the same predicament. As soon as they say, 'I'm a lawyer', conversation comes to a screeching halt.
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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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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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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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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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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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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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Areskoug-Josefsson, Kristina, Fredrik Thidell, Bo Rolander, and Nerrolyn Ramstrand. "Prosthetic and orthotic students’ attitudes toward addressing sexual health in their future profession." Prosthetics and Orthotics International 42, no. 6 (May 18, 2018): 612–19. http://dx.doi.org/10.1177/0309364618775444.
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Background: Prosthetists and orthotists have a responsibility to direct treatment toward enabling their clients to perform desired activities and to facilitate participation of their clients in all areas of life. This may include provision of assistive technologies to help clients meet goals related to participation in sexual activities. To help prosthetic and orthotic students develop competencies in dealing with the sexual health of their future clients, it is necessary to generate knowledge of their own perceived competence and capacity. Objectives: To explore prosthetic and orthotic students’ attitudes and competence toward working with sexual health and to evaluate reliability and validity of the Students’ Attitudes Towards Addressing Sexual Health questionnaire. Study design: Cross-sectional study. Methods: Students enrolled in all three years of an undergraduate prosthetic and orthotic program were requested to complete the Students’ Attitudes Towards Addressing Sexual Health questionnaire ( n = 65). Reliability and validity were evaluated using the content validity index and Cronbach’s alpha. Results: Students felt unprepared to talk about sexual health with future clients and thought that they would be embarrassed if they raised the issue. No differences were identified between students enrolled in each of the three years of the program and few differences were observed between male and female students. The content validity index values were low but improved as the students’ level of education increased. Internal consistency of the questionnaire was acceptable ( α = 0.86). Conclusion: Prosthetic and orthotic students are unprepared to address sexual health issues with their future clients. There is a need to provide students with training related to sexual health issues. Clinical relevance This study indicates the need for additional education of prosthetic and orthotic students in issues related to sexual health and how to address sexual health issues with clients. Results can be used to develop training programs for students and will serve to improve the sexual health of individuals who receive prosthetic and orthotic services.
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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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Ali, Faiza, Nazia Mumtaz, and Ghulam Saqulain. "PREDICAMENTS OF PROSTHETISTS & ORTHOTISTS IN PAKISTAN." PAFMJ 71, Suppl-1 (January 28, 2021): S229–34. http://dx.doi.org/10.51253/pafmj.v71isuppl-1.3513.
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Objective: To find out the level of anxiety, depression and stress and its association with quality of life ofProsthetists and Orthotists.
Study Design: Cross sectional study.
Place and Duration of Study: Rehabilitation departments and institutes including Pakistan Institute of Prosthetic and Orthotic Sciences, Peshawar; King Edward Medical University, Lahore; Dow Medical University, Karachi; Rawalpindi Medical College, Rawalpindi; and Prosthetists and Orthotists working in public and private sectors, over a period of 6 months from Jun 2018 to Nov 2018.
Methodology: A sample of 250 Prosthetists and Orthotists of both genders, aged 20 to 60 years, were recruitedusing non probability purposive sampling. Those working in administrative posts and those who graduated after 2017 were excluded. Demographic sheet; Depression, Anxiety and Stress Scale-21; and 36-Item Short Form Health Survey-36 were administered through e-mail for data collection. Statistical analysis was done using SPSS Version21. Pearson correlation test was used to analyze any association.
Results: Results revealed prevalence of 139 (55.6%) for depression with predominance of moderate depression63 (45.32%), followed by mild 37 (26.62%), severe 24 (17.37%) and very severe depression 15 (10.79%); 154 (61.6%) for anxiety with predominance of severe level of anxiety 59 (38.31%), followed by moderate 48 (31.17%), mild 26 (16.88%), & severe anxiety 21 (13,64%); and 115 (46%) for stress with predominance of moderate stress 55 (47.82%), followed by mild 30 (26.10%), severe 20 (17.39%) and very severe stress 10 (8.69%). For quality of life SF-36 revealed a total mean score of 62.54 ± 16.72 and statistically..........
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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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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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Fairley, Miki. "RE: Article in Journal of Prosthetics and Orthotics. 2020;32(1):24. the American Academy of Orthotists & Prosthetists." JPO Journal of Prosthetics and Orthotics 32, no. 3 (July 2020): 160. http://dx.doi.org/10.1097/jpo.0000000000000322.
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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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Angliss, V. E. "Holte Revisited — A Review of the Quality of Prosthetic Treatment." Prosthetics and Orthotics International 10, no. 1 (April 1986): 9–14. http://dx.doi.org/10.3109/03093648609103073.
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The standards recommended at the United Nations Inter regional Seminar on Standards for the Training of Prosthetists in Holte, Denmark, in 1968 were universally accepted as being ideal, practical and economical. As these standards and the services to patients are not always observed, world wide, a study was made to investigate the situation in Australia. Australia is a federation with responsibility for health and education vested in six States. The Federal Government is the principal taxing authority with the States dependent on it for financing services. The isolation of Australia led the Government during 1960 to send a rehabilitation medical officer to survey the system in Europe and North America. The best features of overseas practice became the basis for updating an Australian Service and establishing the Central Development Unit. The Artificial Limb Service is based on clinical care, formal in-service training of limb makers and fitters, patient training by therapists and the purchase of components from mass producers. The Service is answerable to lay and medical staff in the State Branches and to the Central Office of the Department, located in Canberra. The division of responsibility between the State and Federal Governments seems to lead to competition for control of services rather than to an integrated plan for Prosthetic-Orthotic training with services. Industrial conflict due to a perceived threat of the supplanting of apprentices by formally trained prosthetists-orthotists has also adversely affected development. In this paper the views of Government authorities, medical prosthetic prescribers and of personnel who conducted a pilot study in delivery of a prosthetic service are discussed.
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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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Liaqat, Maria, Saima Shaukat, and Muhammad Naveed Babur. "Exploring Past, Present and Future of Orthotics and Prosthetics in Pakistan." International Islamic Medical Journal 2, no. 2 (July 28, 2021): 47–53. http://dx.doi.org/10.33086/iimj.v2i2.1883.
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This is a qualitative study to explore the perception of Orthotists and Prosthetists regarding past, present and future of their profession. The Qualitative research approach using individual interviews. Data was collected from professionals of some private and some government sector in Rawalpindi, Peshawar and Lahore during April 2019 to July 2019. The sample size was 12. A demographic questionnaire and standarized instrument from Nvivo was filled satisfying the inclusion criteria. A comprehensive audio-videography have been developed, recorded, transcripted and documented. Data was transcribed and thematic analysis along with characteristics was drawn manually. Data verification was done with the help of coders. After the extraction of data followings results are emerged. General category themes are trainings and seminars, opportunities, government setup, lack of coherence among professionals, uniform curriculum, and establishment of council, effects of earthquake, German contribution and techniques/technology. Barriers are identified at the level are lack of awareness/ acknowledgement, low job opportunities, no proper workshops, poor referral system, limited resources and old technologies. It is concluded that the field of orthotics and prosthetics in Pakistan need attention in the following categories i.e. trainings and seminars, job opportunities, uniform curriculum, unity among professionals, establishment of council, acknowledgment at government level and awareness among other health professionals.
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MP, Dillon, Fatone S, Hafner BJ, and Ramstrand N. "Keeping Pace with the Ever-Growing Orthotic and Prosthetic Profession: New Faces and Changes at Prosthetics and Orthotics International." Prosthetics and Orthotics International 43, no. 2 (April 2019): i—iii. http://dx.doi.org/10.1177/0309364619844747.
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Rachmat, Nur. "Analysis Of Effectiveness Of Online Learning Pandemic Covid-19 In Prosthetic Orthotic Major In Polkesta." Interest : Jurnal Ilmu Kesehatan 9, no. 2 (November 30, 2020): 123–33. http://dx.doi.org/10.37341/interest.v9i2.198.
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Background: Prosthetic Orthotics Major in Polkesta conducts online lectures in order to support government efforts in the even semester 2019/2020, starting from March 2020 until the end of the even semester. Several online applications are used in support of online lectures. This study was conducted to analyze the effectiveness of online learning during the covid-19 pandemic in the orthotic prosthetic Major in Polkesta Indonesia. Methods: This is quantitative descriptive study. This research uses survey method using online Google Form questionnaire. The population is students of Prosthetic Orthotic Major, There are 322 respondents who are willing to contribute in the research. Data obtained through filling in questions that are shared with all respondents in the form of google form. Then the collected data was analyzed and described. The components contained in the questionnaire consisted of several questions, namely (1) Do you understand online learning at the time of the Covid-19 Pandemic; (2) Do you think online learning at Prosthetic Orthotic Major Polkesta was effective; (3) Which online application is used for online learning that is effective in your opinion; (4) Which online learning model do you feel effective; (5) Types of assignments that make you understand during online learning; (6) What media do you use when implementing online learning; (7) are there any obstacles when you carry out online learning (8) What obstacles do you face when implementing learning. Results: there are 67 % of students felt less effective, 14% of students felt ineffective, 20 % of students felt effective. Applications used by students and felt to be effective are Google meet, google classroom, WhatsApp Group. Learning methods using Life video conferencing are felt to be the most effective. Conclusion: Online learning process in the prosthetic orthotic major is not felt to be quite effective by students.
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Cruz, Maria Lourdes Carmela, Joshua B. Utay, and Ashley H. Mullen. "Entrustment trends in orthotic and prosthetic residencies." Prosthetics and Orthotics International 44, no. 2 (March 5, 2020): 73–80. http://dx.doi.org/10.1177/0309364620909236.
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Background: Orthotic and prosthetic residency preceptors have little guidance transitioning residents between observing and performing patient care. Understanding current entrustment trends and factors can help guide resident progression during residency. Objectives: To identify entrustment trends and factors within an orthotics and prosthetics residency affecting a supervisor’s decision to entrust residents with independent patient care. Study design: Cross-sectional study Methods: In this cross-sectional study, 831 National Commission of Orthotic and Prosthetic Education preceptors were invited to complete a 26-question, online questionnaire that examined possible entrustment factors. Results: A total of 77 preceptors completed the questionnaire. The top-reported behavioral qualities impacting entrustment were recognition of limitations and willingness to ask for help ( n = 45) and competence ( n = 37). Preceptors ranked evaluation ( n = 27) as the professional skill which most affected entrustability; technical skill least affected entrustability ( n = 4). Preceptors of 12-month residencies entrust residents to indirect supervision when they have completed approximately 75% (i.e. 9 months) of the program. Preceptors of 18-month residencies reported that they entrust their residents by the time they reach 50% (i.e. 9 months) of their training. A small number of preceptors ( n = 19) never allow a resident to independently perform practice management. Conclusion: Residency supervisors value interpersonal and evaluation skills when making entrustment decisions. Residency mentors can use these findings to inform their entrustment decisions and support a resident’s progression toward independent practice. Clinical relevance This study presents information which can inform clinical preceptors and residents on what factors contribute to the decision to progress a resident from observation to independent patient care. These findings may influence clinical education standards which aim to promote both resident training and patient access to quality care.
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Lundeen, Gregory, Christopher Diefenbach, Julie Smith-Gagen, Scott Whitlow, Larissa White, Alexandra Sidorski, and Mellyn Johnson. "Outpatient Surgical Management of Patients with Complex Wounds Through a Multispecialty Wound Care Clinic." Foot & Ankle Orthopaedics 2, no. 3 (September 1, 2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000270.
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Category: Diabetes Introduction/Purpose: Management of patients with lower extremity wounds is complex and generally attributed to diabetes, neuropathy, and/or peripheral vascular disease (PVD). Often, these patients have poor control of their disease and limited resources. Hospitalizations related to lower extremity wounds are expensive with relatively high length of stay. Much of this time is spent organizing outpatient interventions. The purpose of this study is to evaluate the efficacy of outpatient surgical management of patients with lower extremity wounds that could lead to hospitalization. We hypothesize that through a multispecialty wound clinic, utilizing wound care specialists, orthotist/prosthetist, infectious disease specialist, and orthopaedic surgeons, at-risk patients could be identified for non-healing wounds through successful outpatient surgical management with preoperative insurance approval of postoperative wound care, offloading devices and antibiotic treatment. Methods: Patients seen through our outpatient multispecialty wound clinic were evaluated and those who underwent an outpatient surgical procedure over a 12-month period were identified. Additional inclusion criteria included failure of non-surgical management and 90-day minimum follow-up. Exclusion criteria included any patient who was septic, medically unstable, or unable to comply with the postoperative plan. Preoperative parameters regarding disease severity (HbA1c), infection severity (WBC, ESR, CRP), and wound healing potential (albumin, total protein) were identified. In addition, preoperative determination of wound severity was measured using Wagner’s Score. Outcomes included hospitalizations related to their wound within 90 days, requirements for additional surgical procedures, and time to resolve their wound postoperatively. Results: Nineteen patients met the inclusion criteria. Average age was 58.6 years and eleven were male. Ten had diabetes, thirteen had neuropathy, and five had PVD. Average preoperative HbA1c was 7.9, and average WBC, CRP, ESR, albumin, and total protein was 8.1, 1.1, 29.6, 3.7, and 7.0, respectively. All patients had preoperative conservative intervention. Eight patients were preapproved for outpatient IV antibiotics and four for wound vac therapy. Table 1 outlines the procedures performed. Patients presented an average of 7.3 weeks following their outpatient procedure until resolution of their wound. One patient was re-admitted to the hospital within 90 days for a problem related to their initial wound. Conclusion: Our study demonstrates that outpatient surgical management of medically stable patients with lower extremity diabetic, neuropathic, and/or PVD wounds resulted in wound resolution and eliminating hospitalization. This is accomplished with the preoperative organization through a multispecialty wound care clinic for patient’s postoperative needs, eliminating the time spent in the hospital during admissions waiting for OR availability, insurance approval and organization of outpatient wound care and antibiotics. This traditional process results in high medical costs without active intervention. Outpatient management can save valuable hospital resources as well as a substantial cost savings by eliminating days spent in the hospital.
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Resnik, Linda, Matthew Borgia, Allen W. Heinemann, and Melissa A. Clark. "Prosthesis satisfaction in a national sample of Veterans with upper limb amputation." Prosthetics and Orthotics International 44, no. 2 (January 21, 2020): 81–91. http://dx.doi.org/10.1177/0309364619895201.
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Background: Many persons with upper limb amputation reject prostheses, and many are not satisfied with their devices. Research is needed to understand modifiable factors related to device satisfaction. Myoelectric devices with multiple degrees of freedom are now available; however, no studies have examined whether they lead to greater device satisfaction. Prosthetic training contributes to more skillful prosthesis use and greater likelihood of long-term use; however, the relationship between training and device satisfaction is unclear. Objectives: (1) To describe and compare satisfaction by prosthesis and terminal device type and (2) to identify factors associated with satisfaction. Study design: Cross-sectional study. Methods: Participants were 449 persons with unilateral upper limb amputation who used a prosthesis. Participants described their prostheses, prosthetic training, device repairs, visits to a prosthetist, and rated device satisfaction using two standardized measures (Trinity Amputation and Prosthesis Experience Scales Satisfaction scale and Orthotics and Prosthetics Users’ Survey - Client Satisfaction with Devices scale). Multivariate generalized linear regression models examined the relationship between prosthesis and terminal device type and satisfaction, controlling for covariates that were meaningful in bivariate analyses. Results: There were no differences in satisfaction by prosthesis type or terminal device degrees of freedom. Satisfaction was associated with receipt of training to use the initial prosthesis, amputation level, age, and race. Conclusion: No differences in satisfaction by device or terminal device type were observed. Worse satisfaction was associated with more proximal amputation level, younger age, and black race. The association between receipt of initial prosthetic training and device satisfaction points to the critical role of occupational or physical therapy in the early stages of prosthetic care. Clinical relevance Prosthetic satisfaction did not vary by device or terminal device degrees of freedom. Proximal amputation level, younger age, and black race were associated with lower prosthetic satisfaction. Receipt of initial prosthetic training was associated with greater device satisfaction, pointing to the critical role and lasting impact of early training.
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Clarke, Leigh, Louise Puli, Emily Ridgewell, Michael P. Dillon, and Sarah Anderson. "Regulation of the global orthotist/prosthetist workforce, and what we might learn from allied health professions with international-level regulatory support: a narrative review." Human Resources for Health 19, no. 1 (July 15, 2021). http://dx.doi.org/10.1186/s12960-021-00625-9.
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Abstract Background By 2050, the global demand for orthotic and prosthetic services is expected to double. Unfortunately, the orthotic/prosthetic workforce is not well placed to meet this growing demand. Strengthening the regulation of orthotist/prosthetists will be key to meeting future workforce demands, however little is known about the extent of orthotist/prosthetist regulation nor the mechanisms through which regulation could best be strengthened. Fortunately, a number of allied health professions have international-level regulatory support that may serve as a model to strengthen regulation of the orthotic/prosthetic profession. The aims of this study were to describe the national-level regulation of orthotist/prosthetists globally, and the international-level regulatory support provided to allied health professions. Method Two environmental scans benchmarked the national-level regulation of the orthotist/prosthetist workforce, and the regulatory support provided by international allied health professional bodies using a set of nine core practitioner standards (core standards) including: Minimum Training/Education, Entry-level Competency Standards, Scope of Practice, Code of Conduct and/or Ethics, Course Accreditation, Continuing Professional Development, Language Standard, Recency of Practice, and Return-to-Practice. Each identified country was categorised by income status (i.e. High-, Upper-Middle-, Lower-Middle-, and Low-Income countries). Results Some degree of regulation of the orthotist/prosthetist workforce was identified in 30 (15%) of the world’s 197 countries. All core standards were present in 6 of these countries. Countries of higher economic status had more core standards in place than countries of lower economic status. International-level professional bodies were identified for 14 of 20 allied health professions. International bodies for the physical therapy (8 core standards) and occupational therapy (5 core standards) professions provided regulatory support to help national associations meet most of the core standards. Conclusion Given the small proportion of countries that have national practitioner regulatory standards in place, most orthotist/prosthetists are working under little-to-no regulation. This presents an opportunity to develop rigorous national-level regulation that can support workforce growth to meet future workforce demands. Given the financial and expertise barriers that hinder the development of a more regulated orthotist/prosthetist workforce, particularly for Low- and Lower-Middle-Income countries, we recommend the establishment of an international professional body with the express purpose to support national-level regulation of orthotist/prosthetists, and thereby build the regulatory capacity of national orthotic/prosthetic associations.
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Kumar, Akshay, and Vinita Vinita. "PROSTHETICS AND ORTHOTICS IN REHABILITATION: A SHORT COMMUNICATION." GLOBAL JOURNAL FOR RESEARCH ANALYSIS, August 15, 2020, 17–18. http://dx.doi.org/10.36106/gjra/5305581.
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Prosthetics and orthotics is a field of health care and rehabilitation, which deals with external devices to the patients either to replace the missing body parts or to support the weakened body parts. The main purpose is to disseminate knowledge and awareness about prosthetic and orthotic science among professionals working in the field of health care and rehabilitation.This can increase patient prosthetic and orthotic care services across the world and well-being.an online search carried out to find out the various perspective of prosthetics and orthotics as follows definition, history, demography, and role of Prosthetist and orthotist in disability optimization. Early identification and appropriate prosthetic and orthotic intervention can bring hope and independency in the patient to lead a normal life.
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Ridgewell, Emily, Leigh Clarke, Sarah Anderson, and Michael P. Dillon. "The changing demographics of the orthotist/prosthetist workforce in Australia: 2007, 2012 and 2019." Human Resources for Health 19, no. 1 (March 17, 2021). http://dx.doi.org/10.1186/s12960-021-00581-4.
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Abstract Background Previous Australian workforce analyses revealed a small orthotist/prosthetist workforce with a low number of practitioners per 100,000 Australians. In recent years, initiatives were implemented to increase relative workforce size, including a government-led change in immigration policy to facilitate entry of experienced internationally trained orthotist/prosthetists into the Australian workforce. Given these changes, this project aimed to compare demographics of the orthotist/prosthetist workforce in Australia and each state/territory between 2007, 2012 and 2019. Methods This quasi-experiment analysed data from the Australian Orthotic Prosthetic Association (AOPA) database of certified orthotist/prosthetists, to compare changes in the absolute number of practitioners and the number of practitioners per 100,000 population, as well as practitioner age, gender and service location (i.e., metropolitan, regional/remote) across three time points, with a breakdown by each Australian state and territory. Results Between 2007 and 2019, the number of orthotist/prosthetists per 100,000 population increased 90%. Average age reduced significantly between 2007 (41.5 years) and 2019 (35 years) (p = 0.001). While the proportion of female practitioners increased significantly between 2007 (30%) and 2019 (49%), and between 2012 (38%) and 2019 (49%) (p < 0.05); only 22% of the female workforce is over 40 years of age. The proportion of practitioners servicing a regional/remote location did not change over time (range 13–14%). Conclusions Between 2007 and 2019, the national orthotist/prosthetist workforce increased at a rate that exceeded Australia’s population growth, became younger, and more female. However, the number of practitioners per 100,000 population remains below international recommendations; particularly in states outside of Victoria and Tasmania, and in regional/remote areas. In addition, low numbers of mid-late career female practitioners suggest challenges to retention of this particular cohort. These data can help inform workforce initiatives to retain a younger and more female workforce, and improve access to orthotic/prosthetic services.
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Magnusson, Lina, and Nerrolyn Ramstrand. "Prosthetist/Orthotist Educational Experience & Professional Development in Pakistan." Disability and Rehabilitation: Assistive Technology, 2009, 1–8. http://dx.doi.org/10.1080/17483100903024634.
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Opitz, Manuel, and Peter Fröhlingsdorf. "THE DIGITAL O&P WORKSHOP." CANADIAN PROSTHETICS & ORTHOTICS JOURNAL 4, no. 2 (September 21, 2021). http://dx.doi.org/10.33137/cpoj.v4i2.36349.
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Digitalisation is the megatrend in healthcare, not only since the pandemic. We are two European digital health experts and industry leaders in the field of orthotics and prosthetics (O&P) and in this article we explored what are the underlying trends driving the adoption of digitalisation for customisation of prosthetics & orthotics. We showed that several trends in 3D image capture (input step), 3D modelling (processing step) and 3D printing (output step) currently converge and thus fuel the rapid transformation of the O&P industry. In short outlooks, we rated the probability and timing of adoption rates across the upcoming couple of years. We furthermore reviewed the impact of boundary conditions set by regulators as well as the reimbursement system. Towards the end of this article, we outlined a digital scenario of the near future by following around an orthotist during her work. We finished with a call-to-action targeting regulators, payors, prosthetists/orthotists, and patients to enable such a desirable future.
Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/36349/28332
How To Cite: Opitz M, Fröhlingsdorf P. The digital O&P workshop. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.15. https://doi.org/10.33137/cpoj.v4i2.36349
Corresponding Author: Manuel Opitz, MECURIS GmbH, Lindwurmstraße 11, 80337 München, Germany.E-Mail: mo@mecuris.comORCID number: https://orcid.org/0000-0001-6098-1881
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Miller, Taavy, Shane Wurdeman, Rajib Paul, and Melinda Forthofer. "THE VALUE OF HEALTH ECONOMICS AND OUTCOMES RESEARCH IN PROSTHETICS AND ORTHOTICS." CANADIAN PROSTHETICS & ORTHOTICS JOURNAL 4, no. 2 (September 21, 2021). http://dx.doi.org/10.33137/cpoj.v4i2.35959.
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The demand has increased for evidence regarding the effectiveness and value of prosthetic and orthotic rehabilitation interventions. Clinicians and managers are under pressure to provide treatment recommendations and demonstrate effectiveness through outcomes. It is often assumed that rehabilitation interventions, including the provision of custom-made and custom-fit orthotic and prosthetic devices, are beneficial to patients. Assessing the value of orthotic and prosthetic services has become more critical to continue to ensure equitable access to needed services. Health economics and outcomes research methods serve as tools to gauge the value of prosthetic and orthotic rehabilitation interventions. The purpose of this article is to provide an overview of the current need of health economics and outcomes research in orthotics and prosthetics, to introduce common economic methods that assist to generate real-world evidence, and to discusses the potential value of economic methods for clinicians and clinical practice.
Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/35959/28326
How To Cite: Miller T.A, Wurdeman S, Paul R, Forthofer M. The value of health economics and outcomes research in prosthetics and orthotics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.8. https://doi.org/10.33137/cpoj.v4i2.35959
Corresponding Author: Taavy A Miller, PhD, CPODepartment of Clinical and Scientific Affairs, Hanger Clinic, Austin, Texas, USA.E-Mail: tamiller@hanger.comORCID ID: https://orcid.org/0000-0001-7117-6124
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Balkman, Geoffrey, Soshi Samejima, David Aoki, and Brian J. Hafner. "JAPANESE TRANSLATION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY." Canadian Prosthetics & Orthotics Journal, December 15, 2018. http://dx.doi.org/10.33137/cpoj.v1i2.32017.
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INTRODUCTION
Patient-reported outcome measures (PROMs) are used by prosthetists to assess and communicate effectiveness of prosthetic interventions. The Prosthetic Limb Users Survey of Mobility (PLUS-M) is a PROM developed to evaluate lower limb prosthetic mobility.1 Valid and reliable translations of prosthetics-specific PROMs, like PLUS-M, do not exist for Japanese-speaking patients. The purpose of this research was to translate PLUS-M to Japanese using rigorous translation guidelines in order to maintain the meaning and applicability of items across both languages.
Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32017/24436
How to cite: Balkman G, Samejima S, Aoki D, Hafner B.J. JAPANESE TRANSLATION OF THE PROSTHETIC LIMB USERS SURVEY OF MOBILITY. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, POSTER PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32017
Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee.
http://www.aopanet.org/
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Schneider, Nancy. "EVOLVING BUSINESS MODELS IN ORTHOTICS." CANADIAN PROSTHETICS & ORTHOTICS JOURNAL 4, no. 2 (September 21, 2021). http://dx.doi.org/10.33137/cpoj.v4i2.35876.
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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. Under the Canada Health Act, the federal government delegates responsibility for providing health care to the provinces. This delegation of responsibility to the provinces results in a degree of variability of funding of Orthotics and Prosthetics between provinces across the country. Funding of Orthotics and Prosthetics in Alberta is characterized by structural inequities that favour Prosthetics at the expense of Orthotics. To the extent that the structural inequities that exist in Alberta are related to governance by volunteer-run, non-profit organizations, they may be generalized to the Canadian experience. Finally, in a Call to Action a number of recommendations are made to address the challenge of sustainable access to Orthotic care in Alberta serving as a model for other provinces across Canada.
Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/35876/28314
How To Cite: Schneider N. Evolving business models in orthotics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.3. https://doi.org/10.33137/cpoj.v4i2.35876
Corresponding Author: Nancy SchneiderBraceworks Custom Orthotics, 1-3500 24 Ave NW, Calgary, Alberta, Canada.E-Mail: nancy@braceworks.caORCID ID: https://orcid.org/0000-0002-8441-4467