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This review by Hafner and Sanders explores current solutions for collecting objective data to aid clinical decisions in prosthetic rehabilitation. It proposes a multidimensional model that incorporates sensing and monitoring technologies to improve communication among prosthetic devices, patients, and healthcare providers. The advances in these technologies promise to promote healthier lifestyles and improve quality of life for individuals with lower-limb loss. While challenges remain in integrating these systems into clinical practice, thoughtful development may significantly enhance care quality and patient outcomes.
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Considerations for development of sensing and monitoring tools tofacilitate treatment and care of persons with lower-limb loss: A review Brian J. Hafner, PhD; Joan E. Sanders, PhD
Aim • Review existing solutions for collecting and using objective data to support/facilitate clinical decisions about prosthetic rehabilitation. • Suggest new strategies for applying this information in clinical practice. • Relevance • Novel solutions for restoring and optimizing function after limb loss will promote healthier lifestyles, improve quality of life, and decrease reliance on physical, personal, and financial assistance.
Method • Proposed multidimensional model of rehabilitation that embraces use of sensing and monitoring technologies for communicating information between prosthetic devices, patients, and their healthcare providers. • Presented hypothetical clinical situations to illustrate how information from physical and biological sensors can promote successful outcomes for prosthetic patients.
Results • Advances in sensing and monitoring technologies have made obtaining information directly from prosthetic patients possible across settings. • Sensors often require patient compliance with application and wear recommendations. • Integrating sensors into prosthetic limbs overcomes many limitations of stand-alone sensor devices for health monitoring. • However, sensing technologies have yet to be integrated into clinical practices or used regularly to enhance quality of care.
Conclusion • Although challenges to development of efficient, cost-effective sensor systems for prosthetic applications remain, they can be addressed. • Thoughtfully developing and integrating sensor systems into clinical practice may enhance quality of care provided to persons with limb loss and promote prosthetic users’ function, health, and quality of life.