A systematic review of methods used to assist transtibial prosthetic alignment decision-making

Prosthetic alignment is a highly subjective process that is still based on clinical judgments. Thus, researchers have aimed their effort to quantify prosthetic alignment by providing an objective method that can assist and guide prosthetists in achieving transtibial (TT) prosthetic alignment. This s...

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Main Authors: Malaheem, Mohammad S., Abd Razak, Nasrul Anuar, Abu Osman, Noor Azuan
Format: Article
Published: SAGE Publications 2024
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Online Access:http://eprints.um.edu.my/45192/
https://doi.org/10.1097/PXR.0000000000000309
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spelling my.um.eprints.451922024-09-25T08:38:40Z http://eprints.um.edu.my/45192/ A systematic review of methods used to assist transtibial prosthetic alignment decision-making Malaheem, Mohammad S. Abd Razak, Nasrul Anuar Abu Osman, Noor Azuan R Medicine Prosthetic alignment is a highly subjective process that is still based on clinical judgments. Thus, researchers have aimed their effort to quantify prosthetic alignment by providing an objective method that can assist and guide prosthetists in achieving transtibial (TT) prosthetic alignment. This systematic review aimed to examine the current literature on TT prosthetic alignment to scope the qualitative and quantitative methods designed to guide prosthetists throughout the TT prosthetic alignment process as well as evaluate the reported instruments and devices that are used to align TT prostheses and their clinical feasibility. A literature search, completed in June 2022, was performed using the following databases: Web of Science (Clarivate), SCOPUS (Elsevier), and Pub Med (Medline) with searching terms focusing on TT, prosthesis, prosthetist, prosthetic alignment, and questionnaires, resulting in 2790 studies being screened. Twenty-four studies have used quantitative methodologies, where sensor technologies were found to be the most frequently proposed technology combined with gait analysis tools and/or subjective assessments. A qualitative method that assists prosthetists throughout the alignment process was not found. In this systematic review, we presented diverse methods for guiding and assisting clinical decision-making regarding TT prosthetic alignment. However, most of these methods considered varied parameters, and there is a need for elaboration toward standardized methods, which would improve the prosthetic alignment clinical outcome. SAGE Publications 2024-06 Article PeerReviewed Malaheem, Mohammad S. and Abd Razak, Nasrul Anuar and Abu Osman, Noor Azuan (2024) A systematic review of methods used to assist transtibial prosthetic alignment decision-making. Prosthetics and Orthotics International, 48 (3). pp. 242-257. ISSN 0309-3646, DOI https://doi.org/10.1097/PXR.0000000000000309 <https://doi.org/10.1097/PXR.0000000000000309>. https://doi.org/10.1097/PXR.0000000000000309 10.1097/PXR.0000000000000309
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Malaheem, Mohammad S.
Abd Razak, Nasrul Anuar
Abu Osman, Noor Azuan
A systematic review of methods used to assist transtibial prosthetic alignment decision-making
description Prosthetic alignment is a highly subjective process that is still based on clinical judgments. Thus, researchers have aimed their effort to quantify prosthetic alignment by providing an objective method that can assist and guide prosthetists in achieving transtibial (TT) prosthetic alignment. This systematic review aimed to examine the current literature on TT prosthetic alignment to scope the qualitative and quantitative methods designed to guide prosthetists throughout the TT prosthetic alignment process as well as evaluate the reported instruments and devices that are used to align TT prostheses and their clinical feasibility. A literature search, completed in June 2022, was performed using the following databases: Web of Science (Clarivate), SCOPUS (Elsevier), and Pub Med (Medline) with searching terms focusing on TT, prosthesis, prosthetist, prosthetic alignment, and questionnaires, resulting in 2790 studies being screened. Twenty-four studies have used quantitative methodologies, where sensor technologies were found to be the most frequently proposed technology combined with gait analysis tools and/or subjective assessments. A qualitative method that assists prosthetists throughout the alignment process was not found. In this systematic review, we presented diverse methods for guiding and assisting clinical decision-making regarding TT prosthetic alignment. However, most of these methods considered varied parameters, and there is a need for elaboration toward standardized methods, which would improve the prosthetic alignment clinical outcome.
format Article
author Malaheem, Mohammad S.
Abd Razak, Nasrul Anuar
Abu Osman, Noor Azuan
author_facet Malaheem, Mohammad S.
Abd Razak, Nasrul Anuar
Abu Osman, Noor Azuan
author_sort Malaheem, Mohammad S.
title A systematic review of methods used to assist transtibial prosthetic alignment decision-making
title_short A systematic review of methods used to assist transtibial prosthetic alignment decision-making
title_full A systematic review of methods used to assist transtibial prosthetic alignment decision-making
title_fullStr A systematic review of methods used to assist transtibial prosthetic alignment decision-making
title_full_unstemmed A systematic review of methods used to assist transtibial prosthetic alignment decision-making
title_sort systematic review of methods used to assist transtibial prosthetic alignment decision-making
publisher SAGE Publications
publishDate 2024
url http://eprints.um.edu.my/45192/
https://doi.org/10.1097/PXR.0000000000000309
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score 13.211869