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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Three-dimensional printed upper-limb prostheses lack randomised controlled trials: A systematic review.

Laura E Diment1, Mark S Thompson1, Jeroen Hm Bergmann1

  • 1Department of Engineering Science, University of Oxford, Oxford, UK.

Prosthetics and Orthotics International
|June 27, 2017
PubMed
Summary
This summary is machine-generated.

Three-dimensional printing offers potential for custom upper-limb prostheses. However, current research shows promising proof-of-concept but lacks rigorous assessment of efficacy and effectiveness compared to conventional options.

Keywords:
Computer-aided design–computer-aided manufacturingchildren’s prostheticsevaluation studiesprosthetic designrapid prototypingstudy designupper-limb prosthetics

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Technology
  • Prosthetics Design

Background:

  • Three-dimensional (3D) printing technology presents novel opportunities for the customization of upper-limb prostheses.
  • The demand for personalized prosthetic solutions is increasing, driving innovation in manufacturing methods.

Purpose of the Study:

  • To systematically review and assess the efficacy and effectiveness of 3D-printed upper-limb prostheses.
  • To evaluate the current state of research regarding 3D-printed prosthetic devices.

Main Methods:

  • A systematic literature search was conducted across PubMed, Web of Science, and OVID databases.
  • Studies reporting human trials of 3D-printed upper-limb prostheses were included, ranked by evidence level, and appraised using the Downs and Black Quality Index.

Main Results:

  • Eight studies met the inclusion criteria from an initial 321 records; all demonstrated proof-of-concept.
  • No studies included control groups, and findings indicated a lack of external validity, bias avoidance, and statistically significant improvements over conventional prostheses.
  • The primary focus of current 3D-printed devices appears to be cost reduction rather than optimizing customizability for patient comfort and function.

Conclusions:

  • The full potential of 3D printing for personalized prosthetic customization remains unrealized and requires rigorous efficacy and effectiveness assessment.
  • Key aspects such as comfort, functionality, durability, and long-term quality-of-life impacts are unknown pending further research, particularly randomized controlled trials.
  • While initial findings suggest promise for low-cost 3D-printed upper-limb prosthetics, robust clinical evidence is still needed.