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Developing prescribing guidelines for microprocessor-controlled prosthetic knees in the South East England
1The Prosthetic Rehabilitation Unit, The Royal National Orthopaedic Hospital, Stanmore, UK i_sedki@hotmail.com.
Prosthetics and Orthotics International
|March 27, 2014
Summary
Clinicians now have agreed guidelines for prescribing microprocessor-controlled prosthetic knees (MPKs). This consensus aids in selecting appropriate users and justifying MPK costs for better rehabilitation outcomes.
Area of Science:
- Prosthetics and Orthotics
- Rehabilitation Engineering
- Biomedical Engineering
Background:
- Microprocessor-controlled prosthetic knees (MPKs) are increasingly used in rehabilitation.
- Existing research supports MPKs for specific patient needs and goals.
- Lack of standardized prescribing criteria hinders optimal user selection.
Framework:
- The Delphi technique was employed to achieve consensus among professionals.
- Multidisciplinary teams from nine Prosthetic Rehabilitation Centres participated.
- Three rounds of the Delphi technique facilitated agreement on guidelines.
Implementation:
- The study focused on developing consensus-based prescribing guidelines for MPKs.
- The process involved input from experts in prosthetic rehabilitation.
- Guidelines aim to standardize the selection of suitable candidates for MPKs.
Implications:
- Agreed-upon prescribing guidelines will assist clinicians in patient selection.
- These guidelines can help justify the cost-effectiveness of MPKs.
- The guidelines will be periodically reviewed and updated based on new evidence and technological advancements.

