Open-Source Three-Dimensional Printable Infant Clubfoot Brace

Savonen, Benjamin L.; Gershenson, John K.; Bow, Jennifer K.; Pearce, Joshua M.

doi:10.1097/jpo.0000000000000257

Cited by 13 publications

(5 citation statements)

References 50 publications

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“…Open-source instructions created by professionals and low-cost 3D printers can now make the development of hand prostheses and foot braces feasible. 99 , 100 Use of simple materials and garage tools allows parents to create devices to promote their children’s mobility, by modifying affordable ride-on toy cars and sewing wearables that provide arm movement support. 34 , 35 , 36 , 39 , 40 , 101 , 102 Providing more DIY technological solutions to families and clinicians can translate to increased mobility in the community.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Unmet Need for Technology to Promote Motor Ability in Children Younger Than 5 Years of Age: A Systematic Review

Arnold

Haworth

Moran

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

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Objective To (1) identify types of technology that promote motor ability in children younger than 5 years of age, (2) report on the type of support these devices provide, and (3) evaluate their potential for use in the community (outside of the laboratory or clinic). Data Sources A literature search of PubMed was conducted in February 2019 using specific terms, including child, rehabilitation, movement, and instrumentation. Study Selection The search yielded 451 peer-reviewed articles, which were screened by multiple reviewers. Articles that described the use of devices for the purpose of motor rehabilitation and/or assistance (regardless of device type or body part targeted) in the age range of 0-5 years were eligible for inclusion. Data Extraction In conformity with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, final stage data extraction consisted of full text readings where each article was reviewed twice by 3 independent reviewers. Data Synthesis About half of the devices available (46%) for children younger than 5 years of age are orthotics and corrective casting devices. There are more facilitative (ie, power mobility devices) than inhibitive (ie, casting) technologies being used. Approximately 60% of the devices are designed for use by a single body part. Walking is the most common motor skill addressed. Although most of the devices were used to some degree outside of the laboratory or clinic, most of the devices available are considered investigative and are not available for commercial purchase. Conclusions Many types of pediatric devices to assist movement exist, but the current scope of employed devices is limited. There is a need for developing technology that allows for, if not supports, high-dosage, early, and variable motor practice that can take place in community settings.

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Section: Discussionmentioning

confidence: 99%

Exploring the Unmet Need for Technology to Promote Motor Ability in Children Younger Than 5 Years of Age: A Systematic Review

Arnold

Haworth

Moran

et al. 2020

Archives of Rehabilitation Research and Clinical Translation

View full text Add to dashboard Cite

show abstract

“…Esto haría que sean particularmente adecuadas para usarlas en los países en desarrollo. 15 -Diseños unilaterales: algunos autores han intentado utilizar ortesis unilaterales debido a problemas de cumplimiento. Los resultados publicados son limitados, pero en general, han sido inferiores a los de las férulas bilaterales estándar, ya que no proporcionan abducción.…”

Section: ) Férulas De Abducciónunclassified

Conceptos actuales sobre el tratamiento ortésico en el método Ponseti

Masquijo

Allende

2023

Rev. Asoc. Arg. Ort. y Traumatol

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El método Ponseti se ha convertido en el patrón de referencia para el tratamiento del pie bot, con excelentes resultados funcionales en el seguimiento a largo plazo. El cumplimiento del protocolo de férula es fundamental para mantener la corrección obtenida y el éxito terapéutico a largo plazo. Existen múltiples férulas para mantener la corrección y prevenir la recurrencia. En este artículo,proporcionamos una revisión de las férulas utilizadas para el pie bot, y analizamos sus ventajas y desventajas, así como la evidencia sobre cada una.

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“…However, the issue of high cost was also reported in this study. Savonen et al 116 presented a low-cost open-source FAB design. The components were designed for 3D printing using polylactic acid material to assemble the brace locally; however, no clinical trials are reported.…”

Section: Treatment Challenges: Contemporary Engineeringmentioning

confidence: 99%

Clubfoot: Review on Assessment, Treatment, Challenges, and Engineering Aspects

Singh¹,

Mali²

2022

J Prosthet Orthot

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IntroductionClubfoot, mainly CTEV, is a complex three-dimensional deformity challenging physicians from ancient times. Among a thousand babies born, one to six suffer from clubfoot deformity; that is, in India alone, around 35,000 need treatment for clubfoot annually. This review summarizes the various practices of clubfoot assessment, noninvasive treatment, and engineering aspects of clubfoot treatment. The shortcomings of assessment methods and challenges with implementation of treatment methods are also presented.MethodsA narrative review of all related research papers available to authors was carried out.ResultsVarious clubfoot assessment methods have been developed to help physicians understand the severity of the problem and predict treatment parameters. The Pirani score and Dimeglio score are used predominantly for the assessment of deformity. However, these methods suffer from implementation-related limitations. Noninvasive methods, namely, Kite's method, functional physiotherapy method, and Ponseti method, are used in practice for treatment. The Ponseti method is the most popular with parents and physicians and is considered the gold standard for the treatment of clubfoot. However, it also suffers from various implementation issues, like treatment cost and lack of experts, particularly in low- and middle-income countries (LMICs). Engineers are using various technologies like computer-aided design (CAD)/computer-aided engineering (CAE) and additive manufacturing for modeling and analysis of clubfoot. Engineers have also attempted to develop corrective and maintenance orthosis for CTEV treatment.ConclusionsBecause newer and newer technologies are becoming accessible for interdisciplinary use, there is a need to apply contemporary technologies, especially to develop a corrective orthosis so that the current challenges of clubfoot assessment and treatment are addressed. The corrective orthosis should be based on Dr Ponseti's insights into clubfoot biomechanics.Clinical RelevanceThere is a need to explore contemporary technologies like data acquisition and CAD/CAE to address CTEV assessment–related issues. A corrective orthosis based on the understanding of the foot biomechanics for treatment can solve the various implementation-related challenges of the Ponseti method, particularly in low-resource settings.

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Open-Source Three-Dimensional Printable Infant Clubfoot Brace

Cited by 13 publications

References 50 publications

Exploring the Unmet Need for Technology to Promote Motor Ability in Children Younger Than 5 Years of Age: A Systematic Review

Exploring the Unmet Need for Technology to Promote Motor Ability in Children Younger Than 5 Years of Age: A Systematic Review

Conceptos actuales sobre el tratamiento ortésico en el método Ponseti

Clubfoot: Review on Assessment, Treatment, Challenges, and Engineering Aspects

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