Manufacturing custom-contoured wheelchair seating: A state-of-the-art review.


BACKGROUND:Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seating systems has historically been a labour-intensive process custom-contoured seating systems is historically labour-intensive. OBJECTIVES:Evaluate the strengths and limitations of current manufacturing processes for custom-contoured wheelchair seating to suggest potential future manufacturing processes. STUDY DESIGN:Literature review of the state of the art. METHODS:Research conducted through a literature review focused on the performance of different types of custom-contoured wheelchair seating products and processes over the last 40 years. Recent literature in orthotics and prosthetics was also consulted to assess future trends in seating. RESULTS:There are five main manufacturing processes currently used to produce custom-contoured wheelchair seating systems. No single process is yet suitable for all wheelchair users, but many manufacturers are transitioning to computer numerical controlled (CNC) milling to reduce manual labour. Adjustable micro-modular seating and moulded seat insert manufacturing are also prevalent and offer alternative seating to soft foam carving. CONCLUSION:There is a need in the custom wheelchair seating sector for processes that are fast, cost-effective, produce little to no material waste, and that can effectively maintain a comfortable seating micro-climate. Additive manufacturing may meet these criteria, but further evaluation is required. CLINICAL RELEVANCE:This review suggests that the custom-contoured wheelchair seating manufacturers are moving away from labour-intensive processes towards digital techniques, like CNC foam milling. Additive manufacturing is a potential new process that may reduce overall costs, the lead time in preparing seats and has the potential to better manage the seating micro-climate.


Prosthet Orthot Int


Nace S,Tiernan J,Ní Annaidh A




Has Abstract


2019-08-01 00:00:00












  • Biomechanical improvements following foot strike biofeedback training for a patient using a passive dynamic ankle-foot orthosis during running.

    abstract:BACKGROUND AND PURPOSE:Passive dynamic ankle-foot orthoses have potential to facilitate return to running after a lower limb trauma. However, transitioning patients to new movement patterns that enhance passive dynamic ankle-foot orthoses benefits can pose a challenge. The purpose of this case study was to report biome...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Yoder AJ,Mazzone BN,Miltenberger RS,Farrokhi S

    更新日期:2019-08-01 00:00:00

  • Mandible reconstruction: History, state of the art and persistent problems.

    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


    authors: Ferreira JJ,Zagalo CM,Oliveira ML,Correia AM,Reis AR

    更新日期:2015-06-01 00:00:00

  • Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome.

    abstract:BACKGROUND:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. OBJECTIVES:We hypothesized t...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Mlakar M,Ramstrand N,Burger H,Vidmar G

    更新日期:2014-06-01 00:00:00

  • Graphical representation of the five point Locomotor Capability Index.

    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


    authors: Fulton J,Wertheim D,Hanspal R,Geake T

    更新日期:2009-12-01 00:00:00

  • Heel lifting as a conservative therapy for osteoarthritis of the hip: based on the rationale of Pauwels' intertrochanteric osteotomy.

    abstract::Patients with osteoarthritis of the hip were treated with a conservative therapy of heel lifting. Orthoses were applied on 35 hips in 33 subjects and the cases were followed for 23 months on average. Dramatic pain relief was reported, but the time required to reduce or completely relieve pain increased according to th...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Ohsawa S,Ueno R

    更新日期:1997-08-01 00:00:00

  • Effectiveness of prosthetic rehabilitation of children with limb deficiencies present at birth.

    abstract::This study was performed to investigate the efficacy of prosthetic rehabilitation in children with congenital malformations, also to determine whether there were any factors related to family history and pregnancy which could have affected the formation of such deficiencies. Twenty-five (25) limb deficient children we...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Sener G,Yiğiter K,Bayar K,Erbahçeci F

    更新日期:1999-08-01 00:00:00

  • Comparison of prosthetic outcomes between adolescent transtibial and transfemoral amputees after Sichuan earthquake using Step Activity Monitor and Prosthesis Evaluation Questionnaire.

    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


    authors: Chu CK,Wong MS

    更新日期:2016-02-01 00:00:00

  • Passive prosthetic hands and tools: A literature review.

    abstract:BACKGROUND:The group of passive prostheses consists of prosthetic hands and prosthetic tools. These can either be static or adjustable. Limited research and development on passive prostheses has been performed although many people use these prosthesis types. Although some publications describe passive prostheses, no re...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审


    authors: Maat B,Smit G,Plettenburg D,Breedveld P

    更新日期:2018-02-01 00:00:00

  • Development and measurement properties of the Orthotics and Prosthetics Users' Survey (OPUS): a comprehensive set of clinical outcome instruments.

    abstract::The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments t...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Heinemann AW,Bode RK,O'Reilly C

    更新日期:2003-12-01 00:00:00

  • SMARTWheel: From concept to clinical practice.

    abstract::Wheelchair prescription is complex with thousands of choices and options. Theoretically, a higher quality or innovative wheelchair that is appropriately matched to the user and their unique needs will increase participation. It is well accepted that there is an alarmingly high incidence of carpal tunnel syndrome, and ...

    journal_title:Prosthetics and orthotics international

    pub_type: 历史文章,杂志文章


    authors: Cooper RA

    更新日期:2009-09-01 00:00:00

  • Carbon fibre reinforced plastic knee-ankle-foot orthosis with a partially flexible thigh cuff: a modification for comfort while sitting on a toilet seat.

    abstract::At the request of a polio survivor, a partially flexible thigh cuff made of leather and canvas for a carbon KAFO was devised to allow the wearer to feel more comfortable while sitting on a toilet seat. The original, acrylic resin, thigh cuff was partially excised to make an opening (15x10 cm), which was stuffed with r...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Hachisuka K,Arai K,Arai M

    更新日期:2007-06-01 00:00:00

  • New concept of spinal orthosis for weakened back muscles.

    abstract::An anterior bending posture of the trunk during walking is often seen among the elderly commonly due to weakened thoraco-lumbar and gluteal muscles. For the management of this debilitating condition, the authors have developed a modified design of thoraco-lumbosacral orthosis (TLSO). Incorporated in this device are po...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Watanabe H,Kutsuna T,Asami T,Inoue E

    更新日期:1995-04-01 00:00:00

  • Removable rigid dressings: a retrospective case-note audit to determine the validity of post-amputation application.

    abstract::This study investigated the validity of post-amputation application of removable rigid dressings (RRDs) for trans-tibial amputees, regarding preparation for prosthetic management and key rehabilitation timelines. It was hypothesised that the use of RRDs would result in faster preparation of the residual limb for prost...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Taylor L,Cavenett S,Stepien JM,Crotty M

    更新日期:2008-06-01 00:00:00

  • Outcomes of knee disarticulation and the influence of surgical techniques in dysvascular patients: A systematic review.

    abstract:BACKGROUND:Dysvascularity is the main cause of lower limb amputations in Scotland, and there is an insignificant proportion (1.7%) of knee disarticulations, despite the benefits of amputation. OBJECTIVES:The outcomes of knee disarticulation and its associated surgical techniques will be evaluated based on healing, rea...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审


    authors: Murakami T,Murray K

    更新日期:2016-08-01 00:00:00

  • Tolerance of early walking with total contact among below-knee amputees--a randomized test.

    abstract::In order to reduce the need for repeated changes of socket due to postoperative atrophy and resorption of oedema simple temporary limbs are required to delay the casting of individual sockets until the stump is more mature. A randomized study of 95 below-knee amputees was performed with a re-usable temporary one-size ...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Liedberg E,Hommerberg H,Persson BM

    更新日期:1983-08-01 00:00:00

  • Effects of heel lifting on transtibial amputee gait before and after treadmill walking: a case study.

    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


    authors: Yeung LF,Leung AK,Zhang M,Lee WC

    更新日期:2013-08-01 00:00:00

  • The Locomotor Capability Index in diagram form: the Stanmore-Kingston Splat.

    abstract::The Stanmore-Kingston Splat is a graphical display of the goals and achievements of amputee rehabilitation patients using the Locomotor Capability Index. The chart is in a radial polygram form with the sectors coloured and shaded. Three scores can be shown: The patient's capability at delivery of the prosthesis, the g...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Geake T,Hanspal R,Wertheim D,Fulton J

    更新日期:2006-12-01 00:00:00

  • Affordable passive 3D-printed prosthesis for persons with partial hand amputation.

    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


    authors: Alturkistani R,A K,Devasahayam S,Thomas R,Colombini EL,Cifuentes CA,Homer-Vanniasinkam S,Wurdemann HA,Moazen M

    更新日期:2020-04-01 00:00:00

  • Sensory feedback add-on for upper-limb prostheses.

    abstract:BACKGROUND AND AIM:Sensory feedback systems have been of great interest in upper-limb prosthetics. Despite tremendous research, there are no commercial modality-matched feedback systems. This article aims to introduce the first detachable and feedback add-on option that can be attached to in-use prostheses. TECHNIQUE:...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Fallahian N,Saeedi H,Mokhtarinia H,Tabatabai Ghomshe F

    更新日期:2017-06-01 00:00:00

  • The effect of knee brace misalignment on the anterior cruciate ligament: An experimental study.

    abstract:BACKGROUND:Protective knee braces are used for rehabilitation or prevention. Due to poor patient compliance or slippage, the brace might be misaligned with the knee axis. OBJECTIVES:Does a misaligned knee brace stress the anterior cruciate ligament? STUDY DESIGN:It is an experimental study. METHODS:A strain sensor w...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Hacker SP,Schall F,Ignatius A,Dürselen L

    更新日期:2019-06-01 00:00:00

  • A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy.

    abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审


    authors: Bill M,McIntosh R,Myers P

    更新日期:2001-12-01 00:00:00

  • The effect of custom carbon ankle-foot orthosis alignment on roll-over shape and center of pressure velocity.

    abstract:BACKGROUND:Maintaining an optimal rolling of the foot over the ground is thought to increase the stability and efficiency of pathologic gait. Ankle-foot orthoses are often prescribed to improve gait mechanics in individuals with lower extremity injuries; however, their design may compromise how the foot rolls over the ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Russell Esposito E,Ruble MD,Ikeda AJ,Wilken JM

    更新日期:2020-11-21 00:00:00

  • Contact force ratio: a new parameter to assess foot arch function.

    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


    authors: Leung AK,Cheng JC,Zhang M,Fan Y,Dong X

    更新日期:2004-08-01 00:00:00

  • The short -term effects of an exercise programme as an adjunct to an orthosis in neuromuscular scoliosis.

    abstract::The purpose of this study was to investigate the effects of a 4 week physiotherapy programme on patients who were given a spinal orthosis for neuromuscular scoliosis. This study was planned as a single group pre- and post-intervention repeated measures design. All patients were given a polyethylene spinal orthosis wit...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Bayar B,Uygur F,Bayar K,Bek N,Yakut Y

    更新日期:2004-12-01 00:00:00

  • Assessment of body-powered upper limb prostheses by able-bodied subjects, using the Box and Blocks Test and the Nine-Hole Peg Test.

    abstract:BACKGROUND:The functional performance of currently available body-powered prostheses is unknown. OBJECTIVE:The goal of this study was to objectively assess and compare the functional performance of three commonly used body-powered upper limb terminal devices. STUDY DESIGN:Experimental trial. METHODS:A total of 21 ab...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Haverkate L,Smit G,Plettenburg DH

    更新日期:2016-02-01 00:00:00

  • Foot clearance strategy for step-over-step stair climbing in transfemoral amputees.

    abstract:BACKGROUND AND AIM:Stair ascent is a particularly challenging task for transfemoral amputees. The aim of this clinical note was to describe the kinematic features of foot clearance in transfemoral amputee who can ascend stairs using a step-over-step strategy. TECHNIQUE:The marker trajectories of the first metatarsopha...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Hobara H,Kobayashi Y,Nakamura T,Yamasaki N,Ogata T

    更新日期:2014-08-01 00:00:00

  • Effects of joint alignment and type on mechanical properties of thermoplastic articulated ankle-foot orthosis.

    abstract:BACKGROUND:Articulated or hinged ankle-foot orthosis (AFO) allow more range of motion. However, quantitative investigation on articulated AFO is still sparse. OBJECTIVE:The objective of the study was to quantitatively investigate effects of alignment and joint types on mechanical properties of the thermoplastic articu...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Gao F,Carlton W,Kapp S

    更新日期:2011-06-01 00:00:00

  • The effect of floor reaction ankle foot orthosis on postural control in children with spastic cerebral palsy.

    abstract:BACKGROUND:Children with cerebral palsy (CP) often demonstrate postural control difficulties. Orthotic management may assist in improving postural control in these children. OBJECTIVE:The purpose of this investigation was to examine the influence of floor reaction ankle foot orthosis (FRAFO) on postural flexion called...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Bahramizadeh M,Mousavi ME,Rassafiani M,Aminian G,Ebrahimi I,Karimlou M,Toole GO

    更新日期:2012-03-01 00:00:00

  • The mobile arm support.

    abstract::The Mobile Arm Support, conceived and researched by Dr. Radulovic, is intended for the use of patients whose arm is afflicted. The support consists of a supporting harness, an articulated splint on which the arm is fixed and a pneumatic system of elevation that counterbalances the weight of the arm. Its originality li...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Radulovic R,Piera JB,Cassagne B,Grossiord A,Boruchowitsch G

    更新日期:1980-08-01 00:00:00

  • The i-LIMB hand and the DMC plus hand compared: a case report.

    abstract::The i-LIMB hand is a novel upper limb myoelectric prosthetic hand with several joints in the fingers and thumb. This study aimed to determine whether this new device had more functionality than a more conventional myoelectric prosthetic hand with only a single joint between the thumb and two fingers. Therefore, a 45-y...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章


    authors: Otr OV,Reinders-Messelink HA,Bongers RM,Bouwsema H,Van Der Sluis CK

    更新日期:2010-06-01 00:00:00