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Updated: Jun 6, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
Biopsychosocial approach to orthotic intervention
1Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. pat.mckee@utoronto.ca
Individualized orthotic interventions, centered on patient needs and context, improve outcomes. This patient-involved approach enhances well-being by relieving pain and enabling valued activities.
Area of Science:
- Rehabilitation Medicine
- Biomedical Engineering
- Patient-Centered Care
Background:
- Traditional orthotic interventions often lack personalization.
- A holistic, patient-centered approach is crucial for effective outcomes.
- The biopsychosocial model provides a framework for understanding patient needs.
Purpose of the Study:
- To present a patient-centered, biopsychosocial approach to orthotic intervention.
- To illustrate the application of this model using a case study.
- To outline guiding principles for implementing this approach.
Main Methods:
- Utilized Engel's biopsychosocial model and the International Classification of Functioning, Disability and Health (ICF).
- Incorporated patient involvement and holistic consideration of individual attributes, context, and environment.
- Developed fifteen guiding principles for the biopsychosocial orthotic approach.
Main Results:
- Thoughtfully designed orthoses with patient input can significantly improve quality of life.
- Effective orthotic interventions can alleviate pain and provide joint stabilization.
- Orthoses enable valued activities and participation, promoting physical and emotional well-being.
Conclusions:
- Individualized, patient-centered orthotic interventions yield the best outcomes.
- The biopsychosocial model offers a comprehensive framework for orthotic design and application.
- Orthotic intervention is a key component in enhancing overall patient well-being and function.
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