Evidence map›Paper›PMID 29170616›Full record

ArticlePhysical therapy reviews : PTR2017

Considering passive mechanical properties and patient user motor performance in lower limb prosthesis design optimization to enhance rehabilitation outcomes.

Matthew J Major, Nicholas P Fey

Erratum issuedAbstract read
In one paragraph

Article in Physical therapy reviews : PTR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Focusing research efforts on the unique needs of women prosthesis users.Journal of prosthetics and orthotics : JPO · 2021
    Article
  9. Analysis of Continuously Varying Kinematics for Prosthetic Leg Control Applications.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021
    Article
  10. Article
  11. Article
  12. Amputee perception of prosthetic ankle stiffness during locomotion.Journal of neuroengineering and rehabilitation · 2018
    Article
  13. Article
  14. Article
  15. Predicting Individualized Joint Kinematics over a Continuous Range of Slopes and Speeds.Proceedings of the ... IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics. IEEE/RAS-EMBS International Conference on Biomedical Robotics and Biomechatronics
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Matthew J MajorJesse Brown VA Medical Center, Chicago IL, USA.
Nicholas P FeyUniversity of Texas at Dallas, Departments of Bioengineering and Mechanical Engineering, Richardson TX, USA.

Funding

Sensory-Motor Mechanisms Underlying Fall Risk in Transtibial AmputeesIK2RX001322 · VA · JESSE BROWN VA MEDICAL CENTER · PI MAJOR, MATTHEW J. · 2015 to 2020
–
RRD VA IK2 RX001322
6 · The paper itself

Abstract

backgroundSelection of prosthesis mechanical characteristics to restore function of persons with lower-limb loss can be framed as an optimization problem to satisfy a given performance objective. However, the choice of a particular objective is critical, and considering only device and generalizable outcomes across users without accounting for inherent motor performance likely restricts a given patient from fully realizing the benefits of a prosthetic intervention.

objectivesThis review presents methods for optimizing passive below-knee prosthesis designs to maximize rehabilitation outcomes and how considerations on patient motor performance may enhance these outcomes. MAJOR

findingsAvailable literature supports that considering patient-specific variables pertaining to motor performance permits a multidimensional landscape relating device characteristics and user function, which may yield more accurate predictions of rehabilitation outcomes for individual patients. Moreover, the addition of targeted physical therapeutic interventions that encourage user self-organization may further improve these outcomes. We note the potential of existing paradigms to address these additional dimensions, and we encourage investigators to consider the many different performance objectives available for prosthesis optimization.

conclusionsBy considering user motor performance in combination with prosthesis mechanical characteristics, a staged optimization approach can be formulated which acknowledges that device modifications may only improve outcomes to a certain extent and user self-organization is a critical component to complete rehabilitation. An iterative process that can be integrated within existing rehabilitative practices accounts for changes in patient status through combined targeted prosthetic solutions and physical therapeutic techniques, and embodies the concept of personalized intervention for patients with lower limb-loss.

Indexed as

biomechanicsdesignlocomotionmotor controloptimizationprosthesis

Identifiers

PMID29170616
PMCPMC5695873

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.