3D printed upper-limb prostheses lack randomised controlled trials: a systematic review

<h4>Study design</h4> <p>Systematic review</p> <h4>Background</h4> <p>3D printing (3DP) provides an exciting opportunity to customise upper-limb prostheses.</p> <h4>Objective</h4> <p>This review summarises the research that assesses...

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Main Authors: Diment, L, Bergmann, J, Thompson, M
Format: Journal article
Published: SAGE Publications 2017
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author Diment, L
Bergmann, J
Thompson, M
author_facet Diment, L
Bergmann, J
Thompson, M
author_sort Diment, L
collection OXFORD
description <h4>Study design</h4> <p>Systematic review</p> <h4>Background</h4> <p>3D printing (3DP) provides an exciting opportunity to customise upper-limb prostheses.</p> <h4>Objective</h4> <p>This review summarises the research that assesses the efficacy and effectiveness of 3DP upper-limb prostheses.</p> <h4>Methods</h4> <p>PubMed, Web of Science and OVID were systematically searched for studies that reported human trials of 3DP upper-limb prostheses. The studies matching the language, peer-review, and relevance criteria were ranked by level of evidence and critically appraised using the Downs and Black Quality Index.</p> <h4>Results</h4> <p>After removing duplicates, 321 records were identified. Eight papers met the inclusion criteria. No studies used controls; 5 were case studies and 3 were small case-series studies. All studies showed promising results, but none demonstrated external validity, avoidance of bias or statistically significant improvements over conventional prostheses. The studies demonstrated proof-of-concept rather than assessing efficacy, and the devices were designed to prioritise reduction of manufacturing costs, not customisability for comfort and function.</p> <h4>Conclusions</h4> <p>The potential of 3DP for individual customisation has yet to be fully realised, and the efficacy and effectiveness to be rigorously assessed. Until randomised controlled trials with follow-up are performed, the comfort, functionality, durability and long-term effects on quality of life remain unknown.</p>
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spelling oxford-uuid:5d903758-d73a-42d6-9c72-6ae3fc727c1b2022-03-26T17:35:15Z3D printed upper-limb prostheses lack randomised controlled trials: a systematic reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5d903758-d73a-42d6-9c72-6ae3fc727c1bSymplectic Elements at OxfordSAGE Publications2017Diment, LBergmann, JThompson, M <h4>Study design</h4> <p>Systematic review</p> <h4>Background</h4> <p>3D printing (3DP) provides an exciting opportunity to customise upper-limb prostheses.</p> <h4>Objective</h4> <p>This review summarises the research that assesses the efficacy and effectiveness of 3DP upper-limb prostheses.</p> <h4>Methods</h4> <p>PubMed, Web of Science and OVID were systematically searched for studies that reported human trials of 3DP upper-limb prostheses. The studies matching the language, peer-review, and relevance criteria were ranked by level of evidence and critically appraised using the Downs and Black Quality Index.</p> <h4>Results</h4> <p>After removing duplicates, 321 records were identified. Eight papers met the inclusion criteria. No studies used controls; 5 were case studies and 3 were small case-series studies. All studies showed promising results, but none demonstrated external validity, avoidance of bias or statistically significant improvements over conventional prostheses. The studies demonstrated proof-of-concept rather than assessing efficacy, and the devices were designed to prioritise reduction of manufacturing costs, not customisability for comfort and function.</p> <h4>Conclusions</h4> <p>The potential of 3DP for individual customisation has yet to be fully realised, and the efficacy and effectiveness to be rigorously assessed. Until randomised controlled trials with follow-up are performed, the comfort, functionality, durability and long-term effects on quality of life remain unknown.</p>
spellingShingle Diment, L
Bergmann, J
Thompson, M
3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title 3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title_full 3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title_fullStr 3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title_full_unstemmed 3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title_short 3D printed upper-limb prostheses lack randomised controlled trials: a systematic review
title_sort 3d printed upper limb prostheses lack randomised controlled trials a systematic review
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AT bergmannj 3dprintedupperlimbprostheseslackrandomisedcontrolledtrialsasystematicreview
AT thompsonm 3dprintedupperlimbprostheseslackrandomisedcontrolledtrialsasystematicreview