Additive manufacturing of customized lower limb orthoses – A review

Jéssica Cristina Dias dos Santos Forte Hensen; José Aguiomar Foggiatto; Leandra Ulbricht; Adriana Maria Wan Stadnik

doi:10.31686/ijier.vol6.iss10.1175

Authors

Jéssica Cristina Dias dos Santos Forte Hensen UTFPR
José Aguiomar Foggiatto Federal University of Technology, Brazil
Leandra Ulbricht Federal University of Technology, Brazil
Adriana Maria Wan Stadnik Federal University of Technology, Brazil

DOI:

https://doi.org/10.31686/ijier.vol6.iss10.1175

Keywords:

additive manufacturing, assistive technology, 3D printing, medical applications

Abstract

Additive manufacturing (AM) has been successfully applied in the healthcare and shows potential for modernization of lower limb orthoses manufacturing process. This study aims to analyze the scientific production of AM application in customized lower limb orthoses production (foot and ankle-foot orthoses) to identify possible research gaps. To reach the proposed objective, a systematic literature review was carried out, based on the construction of a bibliographic portfolio, a bibliometric study and on article content analysis. Some study gaps were identified as the cost of the 3D digitalizing and the additive manufacturing process employed. This review will be the basis for the development of research on the application of low cost 3D digitizing and 3D printing technologies in the development of lower limb orthoses.

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Author Biographies

Jéssica Cristina Dias dos Santos Forte Hensen, UTFPR

Additive Manufacturing and Tooling Group
José Aguiomar Foggiatto, Federal University of Technology, Brazil

José Aguiomar Foggiatto holds a Bachelor's degree in Mechanical Engineering from the Federal University of Paraná (UFPR), Brazil, and is a senior professor at UTFPR’s Department of Mechanical Engineering. He completed his Master's degree in 1997 and a PhD in Mechanical Engineering in 2005 at the Federal University of Santa Catarina (UFSC), Brazil. He works in the area of additive manufacturing, product development and healthcare 3D printing applications.
Leandra Ulbricht, Federal University of Technology, Brazil

Leandra Ulbricht is a veterinary doctor at the Santa Catarina State University (UDESC), Brazil, and a professor at UTFPR. She holds a Master Degree in Quality Management and Productivity (1998) and a PhD in Ergonomics (2003), both from the UFSC’s Production and Systems Engineering Program. She achieved a postdoctoral degree in Health Sciences (2005) at UFPR and works with multidisciplinary subjects: biomedical engineering, ergonomics, occupational health and collective health.
Adriana Maria Wan Stadnik, Federal University of Technology, Brazil

Adriana Maria Wan Stadnik is a professor at UTFPR, Brazil. She completed a Master's degree in Production Engineering - Media and Knowledge at UFSC, Brazil, in 2001. She completed her PhD Degree in Physical Education, Leisure and Recreation at the University of Minho, Portugal, in 2008, and postdoctoral studies in Teacher Training at the University of Montreal, Canada, in 2012. Her studies are related to health, life quality, culture and education.

References

[1] Y. Jin, Y. He , A. Shih. “Process Planning for the Fuse Deposition Modeling of Ankle-Foot-Othoses”, Procedia CIRP, 2016, pp. 760–765.

[2] A. Vieira, M. Pereira. The use of orthotics in the Child and Adolescent Health sector of the Physiotherapy Clinic of the University of São Francisco. End of Course Project, São Franscisco University, Bragança Paulista, Brazil, 2007.

[3] Brazilian Ministry of Health. Fabrication Process of Suropodal Othoses. In: Preparation and maintenance of orthoses, prostheses and locomotion aids: confection and maintenance of lower limb prostheses, suropodal orthoses and wheelchair postural adjustment, Brasília, DF: MS Publishing Company, 2013, pp.133-152.

[4] B. Conner, G. Manogharan, A. Martof, et al. “Making sense of 3-D printing: Creating a map of additive manufacturing products and services”, Additive Manufacturing, 2014, pp. 64–76.

[5] K. Wong, A. Hernandez. “A Review of Additive Manufacturing”, ISRN Mechanical Engineering, 2012, pp. 208760–208770.

[6] A. Opolski, B. Erbano, N. Schio, et al. “Experimental Three - Dimensional Biomodel of Complex Aortic Aneurysms by Rapid Prototyping Technology”, 3D Printing and Additive Manufacturing, 2014, pp. 88-94.

[7] Y. Wu, M. Rajaraman, B. Lee, et al. “A Patient-Specific Flexible 3D Printed Orthopedic Model for Training and Teaching of Clubfoot Correction Surgery”, 3D Printing and Additive Manufacturing 2016, pp. 99-105.

[8] C. Kengla, E. Renteria, C. Wivell, et al. “Clinically Relevant Bioprinting Workflow and Imaging Process for Tissue Construct Design and Validation”, 3D Printing and Additive Manufacturing, 2016, pp. 239-247.

[9] M. Cabrera, B. Sanders, O. Goor, et al. “Computationally Designed 3D Printed Self-Expandable Polymer Stents with Biodegradation Capacity for Minimally Invasive Heart Valve Implantation: A Proof-of-Concept Study”, 3D Printing and Additive Manufacturing, 2017, pp. 19-29.

[10] C. Lunsford, G. Grindle, B. Salatin, et al. “Innovations With 3-Dimensional Printing in Physical Medicine and Rehabilitation: A Review of the Literature”, PM and R, 2016, pp. 1201–1212.

[11] R. Chen, Y. Jin, J. Wensman, et al. “Additive manufacturing of custom orthoses and prostheses-A review”, Additive Manufacturing, 2016, pp. 77–89.

[12] M. Salmi, J. Tuomi, R. Sirkkanen, et al. “Rapid Tooling Method for Soft Customized Removable Oral Appliances”, The Open Dentistry Journal, 2012, pp. 85–89.

[13] L. Ensslin. “Research Process and Bibliometric Analysis: Bank Service Quality Assessment”, Revista Administração Contemporânea, 2013, pp. 325–349.
[14] M. Walbran, K. Turner, A. McDaid. “Customized 3D printed ankle-foot orthosis with adaptable carbon fibre composite spring joint”, Cogent Engineering, 2016, pp. 1-11.

[15] E. Ranz, E. Esposito, J. Wilken, et al. “The influence of passive-dynamic ankle-foot orthosis bending axis location on gait performance in individuals with lower-limb impairments”, Clinical Biomechanics, 2016, pp. 13–21.

[16] Y. Jin, J. Plott, R. Chen, et al. “Additive manufacturing of custom orthoses and prostheses - A review”, Procedia CIRP, 2015, pp. 199–204.

[17] M. Jumani, S. Shaikh, S. Shah. “Fused Deposition Modelling Technique (Fdm) for Fabrication of Custom-Made Foot Orthoses: a Cost and Benefit Analysis”, Sci-Int.Com, 2014, pp. 2571–2576.

[18] X. Liu, C. Tassone, R. Rizza, et al. “Newly Design Foot Orthosis for children with residual Clubfoot after Ponseti Casting”, JPO Journal of Prosthetics and Orthotics, 2014, pp. 38–42.

[19] N. Harper, E. Esposito, J. Wilken, et al. “The influence of ankle-foot orthosis stiffness on walking performance in individuals with lower-limb impairments”, Clinical Biomechanics, 2014, pp. 877–884.

[20] C. Dombroski, M. Balsdon, A. Froats. “The use of a low cost 3D scanning and printing tool in the manufacture of custom-made foot orthoses: a preliminary study”, BMC Research Notes, 2014, pp. 443-446.

[21] K. Gibson, J. Woodburn, D. Porter, et al. “Functionally optimized orthoses for early rheumatoid arthritis foot disease: A study of mechanisms and patient experience”, Arthritis Care and Research, 2014, pp. 1456–1464.

[22] V. Creylman, L. Muraru, J. Pallari, et al. “Gait assessment during the initial fitting of customized selective laser sintering ankle foot orthoses in subjects with drop foot”, Prosthetics and Orthotics International, 2013, pp. 132–138.

[23] A. Patar, N. Jamlus, K. Makhtar, et al. “Development of dynamic ankle foot orthosis for therapeutic application”, Procedia Engineering, 2012, pp. 1432–1440.

[24] S. Telfer, J. Pallari, J. Munguia, et al. “Embracing additive manufacture: implications for foot and ankle orthosis design”. BMC Musculoskeletal Disorders, 2012, pp. 84-93.

[25] E. Schrank, S. Stanhope. “Dimensional accuracy of ankle-foot orthoses constructed by rapid customization and manufacturing framework”, Journal of Rehabilitation Research and Development, 2011, pp. 31–42.

[26] C. Mavroidis, R. Ranky, M. Sivak, et al. “Patient specific ankle-foot orthoses using rapid prototyping”, Journal of Neuroengineering and Rehabilitation, 2011, pp. 1-11.

[27] D. Cook, V. Gervasi, R. Rizza, et al. “Additive fabrication of custom pedorthoses for clubfoot correction”, Rapid Prototyping Journal, 2010, pp. 189–193.

[28] J. Pallari, K. Dalgarno, J. Munguia, L, et al. “Design and additive fabrication of foot and ankle-foot orhtoses”. In: Proceedings of the 21st International Solid Freeform Fabrication Symposium, Austin, United States of America, 2010, pp. 834–845.

[29] J. Pallari, K. Dalgarno, J. Woodburn. “Mass customization of foot orthoses for rheumatoid arthritis using selective laser sintering”, IEEE Transactions on Biomedical Engineering, 2010, pp. 1750–1756.

[30] M. Faustini, R. Neptune, R. Crawford, et al. “Manufacture of Passive Dynamic ankle-foot orthoses using selective laser sintering”, IEEE Transactions on Biomedical Engineering, 2008, pp. 784–790.