Abstract:
BACKGROUND:Curriculum documents identify key concepts within learning prosthetics. Threshold concepts provide an alternative way of viewing the curriculum, focussing on the ways of thinking and practicing within prosthetics. Threshold concepts can be described as an opening to a different way of viewing a concept. This article forms part of a larger study exploring what students and staff experience as difficult in learning about prosthetics. OBJECTIVES:To explore possible threshold concepts within prosthetics. STUDY DESIGN:Qualitative, interpretative phenomenological analysis. METHODS:Data from 18 students and 8 staff at two universities with undergraduate prosthetics and orthotics programmes were generated through interviews and questionnaires. The data were analysed using an interpretative phenomenological analysis approach. RESULTS:Three possible threshold concepts arose from the data: 'how we walk', 'learning to talk' and 'considering the person'. CONCLUSION:Three potential threshold concepts in prosthetics are suggested with possible implications for prosthetics education. These possible threshold concepts involve changes in both conceptual and ontological knowledge, integrating into the persona of the individual. This integration occurs through the development of memories associated with procedural concepts that combine with disciplinary concepts. Considering the prosthetics curriculum through the lens of threshold concepts enables a focus on how students learn to become prosthetists. Clinical relevance This study provides new insights into how prosthetists learn. This has implications for curriculum design in prosthetics education.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Hill Sdoi
10.1177/0309364616679317subject
Has Abstractpub_date
2017-12-01 00:00:00pages
548-555issue
6eissn
0309-3646issn
1746-1553pii
0309364616679317journal_volume
41pub_type
杂志文章abstract:BACKGROUND:Step counts, obtained via activity monitors, provide insight into activity level in the free-living environment. Accuracy assessments of activity monitors are limited among individuals with lower-limb amputations. OBJECTIVES:(1) To evaluate the step count accuracy of both monitors during forward-linear and ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618767138
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Mandibular reconstruction has been experiencing an amazing evolution. Several different approaches are used to reconstruct this bone and therefore have a fundamental role in the recovery of oral functions. OBJECTIVES:This review aims to highlight the persistent problems associated with the approaches identi...
journal_title:Prosthetics and orthotics international
pub_type: 历史文章,杂志文章,评审
doi:10.1177/0309364613520032
更新日期:2015-06-01 00:00:00
abstract::The Locomotor Capability Index (LCI) is widely used for assessing goals and achievements of patients receiving prostheses. The Stanmore-Kingston Splat method for graphical display of the results has previously been described and is based on four levels of achievement for each of the 14 tasks in the index. Recently a m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640903214083
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Good suspension lessens the pistoning (vertical displacement) of the residual limb inside the prosthetic socket. Several methods are used for measuring the pistoning. STUDY DESIGN:Clinical trial. OBJECTIVES:To introduce and evaluate a new simple method for measuring the pistoning between the soft liner and...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1177/0309364611423130
更新日期:2011-12-01 00:00:00
abstract::Pushchairs for adults are used by two distinct groups: the high dependency users who cannot walk or use a self-propelling chair and the occasional users who may be able to walk indoors but are unable to walk significant distances outdoors. In the past, both disparate groups were provided with similar wheelchairs descr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164274
更新日期:1991-04-01 00:00:00
abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640309167979
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Orthotic treatment of idiopathic toe walking is complicated by the lack of a known etiology. This study compared control of toe walking using an articulated ankle-foot orthosis versus a rigid carbon fiber footplate attached to a foot orthosis. OBJECTIVES:Ascertain differences between two orthoses in the con...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364614564023
更新日期:2016-04-01 00:00:00
abstract::In a prospective study of polypropylene (PP) prostheses for trans-tibial amputees four different modified SACH feet were used. These are identified as: 1. BAVI from the national manufacturer of componentry in BaVi; 2. HCMC a design initiated by the International Committee of the Red Cross (ICRC) together with the Army...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071641
更新日期:1999-12-01 00:00:00
abstract::Prefabricated ICEROSS (Icelandic Roll On Silicone Socket) sockets have been in use in Iceland since early 1986. Use of custom-made silicone sockets began several years earlier, and a paper devoted to the subject was presented at the 1984 AOPA Assembly by the author of this article. The ICEROSS system is primarily used...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649309164354
更新日期:1993-04-01 00:00:00
abstract::Foot complications in diabetes can be decreased by preventive measures. The authors evaluated the current diabetic foot screening and prevention programme of the diabetes outpatient clinic of their university hospital, by assessing the presence of risk factors for the development of foot disorders and the preventive m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640108726586
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:High-quality clinical practice guidelines are necessary for effective use of resources both at an individual patient- and national-level. Nordic clinical practice guidelines recommendations for orthotic treatment of knee osteoarthritis vary and little is known about their quality. OBJECTIVES:The aim of the ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619857854
更新日期:2019-10-01 00:00:00
abstract::Static footprint parameters have been used to quantify arch height with conflicting results. This could be caused by the inherent inaccuracy and variations of the methodology used. Since the foot is a dynamic structure that undergoes changes during a step, it is more desirable to capture and analyse the dynamic footpr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640408726701
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Conservative pedorthic management of the diabetic foot has been shown to be an effective method to prevent ulcers, amputations, and re-amputations. This article exhibits why and how pedorthics plays such an important role via modalities such as footwear, shoe modifications, custom foot orthoses, and partial ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364614535233
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Lower extremity amputee outcome measures assess basic mobility. The Comprehensive High-Level Activity Mobility Predictor was developed to assess high-level mobility. Validity evidence was collected in military men with traumatic lower extremity amputations. This study examines its validity in a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364619887559
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:In 2003, the British Society of Rehabilitation Medicine (BSRM) published guidelines on amputee and prosthetic rehabilitation, including those with congenital limb deficiency. OBJECTIVES:The aim of the study was to evaluate the service provided by the Regional Disablement Service (RDS) to children with conge...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611427070
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Prosthetic foot prescription guidelines lack scientific evidence and are concurrent with an amputee's concurrent with an amputee's Medicare Functional Classification Level (K-Level) and categorization of prosthetic feet. OBJECTIVE:To evaluate the influence of gait training and four categories of prosthetic ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612473501
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:The aim of this case study was to identify the effect of a powered hip orthosis on the kinematics and temporal-spatial parameters of walking by a patient with spinal cord injury (SCI). CASE DESCRIPTION AND METHODS:Two orthoses were evaluated while worn by an incomplete SCI subject with a T-8level of injury....
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611431482
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Individuals with transtibial amputation are at increase risk of falling. The absence of an ankle joint and the associated musculature in these individuals can reduce clearance between the prosthetic foot and ground during the swing phase of gait, which may increase the risk of stumbling and in turn falling. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616650085
更新日期:2017-08-01 00:00:00
abstract::This paper describes a new casting system for transtibial socket fabrication. Like the earlier CIR Sand Casting System, the CIR Casting System is based on the 'dilatancy' principle that is similar to the packaging process for coffee beans by which loose beans become a solid mass when a vacuum is applied. The main diff...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802446703
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND AIM:In recent years, there has been an increased interest in recording high-quality electromyographic signals from within the sockets of lower-limb amputees. However, successful recording presents major challenges to both researchers and clinicians. This article details and compares four prototypical int...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613516484
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND AND AIM:Partial hand amputations are common in developing countries and have a negative impact on patients and their families' quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620905220
更新日期:2020-04-01 00:00:00
abstract:AIM:Finger and partial finger amputations are commonly due to traumatic injuries; digit loss may also be attributed to congenital malformations and disease. Finger prostheses are difficult to fabricate as they demand both aesthetic and function. When dealing with these types of prostheses, the only method of gaining su...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614528203
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:The incidence and etiology of prosthetic services utilization is poorly understood during the first 90 days post-delivery of the initial lower limb prosthesis. This period is of critical importance, as prevailing policy dictates limits on the reimbursement for certain services provided during this time perio...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618774053
更新日期:2018-10-01 00:00:00
abstract::Fifty-nine amputees, 24 below-knee (BK), 17 through-knee (TK) and 18 above-knee (AK) who had prosthetic replacements, were evaluated using a questionnaire which provided a quantitative and qualitative assessment scale for the prosthetic function. The ability to apply or don the prosthesis was noted in 100% of the BK, ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164336
更新日期:1992-12-01 00:00:00
abstract::The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA)...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640701253952
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614556837
更新日期:2016-02-01 00:00:00
abstract::The effect of one years general use on the performance of four shock attenuating insoles is reported. Testing was carried out using the JP Biomechanics Shock Meter on twelve volunteers on a timed oval course at eight intervals during the year. The results show that two of the insoles perform well (Viscolas and PPT) al...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649009080322
更新日期:1990-08-01 00:00:00
abstract::A polio victim who has been in a negative pressure ventilator ("iron lung") since 1950 was in need of an activated mattress to combat the hallucinatory effects of complete immobilization and to assist with body pressure distribution. A mechanical method was used to give the patient's mattress a moving wave form of ver...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093647809177773
更新日期:1978-08-01 00:00:00
abstract::Myoelectric prostheses are generally not provided in the United Kingdom for children before the age of 3 1/2 years. Following the introduction of a smaller sized electric hand in the United Kingdom in 1993 the authors decided to introduce electrically powered hands for a group of congenital upper limb deficient childr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649809164477
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:Prosthetic alignment is usually unchanged once optimized. However, a previous study indicated that long-distance walking significantly altered gait patterns, suggesting some alignment adjustments after walking are required. This study investigated the effects of alignment changes (by inserting a heel lift) o...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612461521
更新日期:2013-08-01 00:00:00