A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses

Study Design: Randomised controlled trial with blinding of orthotists and patients to the construction technique used. Background: Three-dimensional laser scanning has been used for patient measurement for cranial helmets and spinal braces. Ankle foot orthoses are commonly prescribed for children wi...

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Main Authors: Roberts, Andrew, Wales, Johanna, Smith, Heather, Sampson, Christopher James, Jones, Peter, James, Marilyn
Format: Article
Published: International Society for Prosthetics and Orthotics International 2014
Subjects:
Online Access:https://eprints.nottingham.ac.uk/27844/
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author Roberts, Andrew
Wales, Johanna
Smith, Heather
Sampson, Christopher James
Jones, Peter
James, Marilyn
author_facet Roberts, Andrew
Wales, Johanna
Smith, Heather
Sampson, Christopher James
Jones, Peter
James, Marilyn
author_sort Roberts, Andrew
building Nottingham Research Data Repository
collection Online Access
description Study Design: Randomised controlled trial with blinding of orthotists and patients to the construction technique used. Background: Three-dimensional laser scanning has been used for patient measurement for cranial helmets and spinal braces. Ankle foot orthoses are commonly prescribed for children with orthopaedic conditions. This trial sought to compare ankle foot orthoses produced by laser scanning or traditional plaster casting. Objectives: Assessment of the effectiveness and efficiency of using laser scanning to produce AFOs. Methods: A randomised double blind trial comparing fabrication of AFOs from casts or laser scans. Results: The time spent in the rectification and moulding of scanned AFOs was around 50% less than for cast AFOs. A non-significant increase of 9 days was seen in the time to delivery to the patient for LSCAD/CAM. There was a higher incidence of problems with the scan-based AFOs at delivery of the device, but no difference in how long the AFOs lasted. Costs associated with laser scanning were not significantly different from traditional methods of AFO manufacture. Conclusions: Compared with conventional casting techniques laser scan based AFO manufacture neither significantly improved the quality of the final product nor delivered a useful saving in time.
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spelling nottingham-278442020-05-04T16:55:21Z https://eprints.nottingham.ac.uk/27844/ A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses Roberts, Andrew Wales, Johanna Smith, Heather Sampson, Christopher James Jones, Peter James, Marilyn Study Design: Randomised controlled trial with blinding of orthotists and patients to the construction technique used. Background: Three-dimensional laser scanning has been used for patient measurement for cranial helmets and spinal braces. Ankle foot orthoses are commonly prescribed for children with orthopaedic conditions. This trial sought to compare ankle foot orthoses produced by laser scanning or traditional plaster casting. Objectives: Assessment of the effectiveness and efficiency of using laser scanning to produce AFOs. Methods: A randomised double blind trial comparing fabrication of AFOs from casts or laser scans. Results: The time spent in the rectification and moulding of scanned AFOs was around 50% less than for cast AFOs. A non-significant increase of 9 days was seen in the time to delivery to the patient for LSCAD/CAM. There was a higher incidence of problems with the scan-based AFOs at delivery of the device, but no difference in how long the AFOs lasted. Costs associated with laser scanning were not significantly different from traditional methods of AFO manufacture. Conclusions: Compared with conventional casting techniques laser scan based AFO manufacture neither significantly improved the quality of the final product nor delivered a useful saving in time. International Society for Prosthetics and Orthotics International 2014-10-21 Article PeerReviewed Roberts, Andrew, Wales, Johanna, Smith, Heather, Sampson, Christopher James, Jones, Peter and James, Marilyn (2014) A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses. Prosthetics and Orthotics International . ISSN 0309-3646 (In Press) Computer-aided design/computer-aided manufacturing fabrication techniques lower limb orthotics http://poi.sagepub.com/content/early/2014/10/21/0309364614550263 doi:10.1177/0309364614550263 doi:10.1177/0309364614550263
spellingShingle Computer-aided design/computer-aided manufacturing
fabrication techniques
lower limb orthotics
Roberts, Andrew
Wales, Johanna
Smith, Heather
Sampson, Christopher James
Jones, Peter
James, Marilyn
A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title_full A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title_fullStr A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title_full_unstemmed A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title_short A randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
title_sort randomised controlled trial of laser scanning and casting for the construction of ankle foot orthoses
topic Computer-aided design/computer-aided manufacturing
fabrication techniques
lower limb orthotics
url https://eprints.nottingham.ac.uk/27844/
https://eprints.nottingham.ac.uk/27844/
https://eprints.nottingham.ac.uk/27844/