Evidence map›Paper›PMID 40890671›Full record

SynthesisBMC musculoskeletal disorders2025

The current state of 3D-printed orthoses clinical outcomes: a systematic review.

Huthaifa Atallah, Titeana Qufabz, Hadeel R Bakhsh, Giorgio Ferriero

Abstract readSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Huthaifa AtallahProsthetics and Orthotics Department, School of Rehabilitation Sciences, The University of Jordan, Amman, 11942, Jordan. h.atallah@ju.edu.jo.
Titeana QufabzProsthetics and Orthotics Department, School of Rehabilitation Sciences, The University of Jordan, Amman, 11942, Jordan.
Hadeel R BakhshDepartment of Rehabilitation sciences, College of health and Rehabilitation sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Giorgio FerrieroDepartment of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction3D-printing is an emerging technology that is used in the manufacturing of orthotic devices. 3D-printing has many advantages such as improved fit, comfort, effectiveness, and patient satisfaction. While some challenges like durability and material selection remain, the aim of this systematic review is to provide a comprehensive evaluation of the clinical outcomes of 3D-printed orthoses.

methodsA search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across six databases (PubMed, Web of Science, EBSCO, Scopus, Cochrane Library, and Sage). Studies on 3D-printed orthoses in human rehabilitation that focused on the clinical outcomes of the device were included. While studies lacking clinical data, 3D-printing details, or focusing on traditional manufacturing methods were excluded. Finally, the risk of bias was assessed using the modified Downs & Black Checklist.

resultsA total of 1279 studies were identified, with 62 meeting the inclusion criteria. The included studies assessed different 3D-printed orthotic types, including insoles, ankle foot orthoses (AFOs), spinal orthoses, upper-limb orthoses, and helmets. The main clinical outcomes that were analyzed are gait parameters, functional performance, radiographic measurements, comfort, fit, and effectiveness. Studies on 3D-printed insoles demonstrated effective plantar pressure redistribution, and increased comfort. While studies on 3D-printed AFOs showed improvements in gait symmetry and mobility. 3D-printed spinal orthotics showed reductions in Cobb angles and enhanced postural stability in scoliotic patients. While 3D-printed upper-limb orthoses found improved grip strength, spasticity management, and user satisfaction. Finally, studies on 3D-printed helmets for cranial deformities demonstrated improved fit and reduced treatment duration.

conclusion3D-printed orthoses can enhance gait parameters, functional performance, comfort, fit, and effectiveness, compared to conventional methods. However, limitations such as small sample sizes, lack of standardized assessment methods, and durability concerns must be addressed through further research.

Indexed as

Orthotic DevicesPrinting, Three-DimensionalEquipment DesignFoot OrthosesHumansPatient SatisfactionTreatment Outcome3D-printingAdditive manufacturingClinical outcomes.Rehabilitation

Identifiers

PMID40890671
PMCPMC12400727

What OpenQuestion holds

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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.