REVIEW OF PROSTHETICS & ORTHOTICS NEEDS FOR 21ST CENTURY – VISION FOR 2025

Authors

DOI:

https://doi.org/10.33137/cpoj.v4i2.37113

Keywords:

Prosthetic, Systems, Future integration, Health Economics, Rehabilitation, Assistive devices, Technology

Abstract

What would we do, if only we had the power to go back?! The best way to consider this is to align and join all the known dots. To think of Prosthetics and Orthotics (P&O) as a system holistically centred around care of the user, identifying all their needs continuously, in their environment and in their lifestyle. This could produce a new value proposition for all multi-disciplinary team members by generating patient-centred therapeutic benefits and clinical outcomes that align all stakeholders in P&O towards using a common narrative, which makes decisions based on data. In this case, data is the outcome, using Standards and Instruments which are validated (e.g. www.amprom.uk) to quantify questions such as: “Have we reduce risk of falls?”, “Have we reduced risk of tissue injury?”, “Have we reduced risk of low back pain?”, “Have we reduced long term risk of osteoarthritis?”, etc.   If we have, we are assured this will benefit the comfort and confidence for the user. We can have confidence in rehabilitation measured by improved stability and increased activity, and other measures which enable the accurate classification of products and services to match users. A prescription index, based on Outcomes, could, for example, be calculated by a formula which accounts for the percentage reduction in falls probability, a patient satisfaction score, a mobility score and a quality-of-life score, allowing practitioners to base their choices of treatment pathways and component selection.  This paper provides both the context for and contributing factors that make the proposing of such an objective Prescription Index an interesting thing to consider when discussing Health Economics in P&O.

Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/37113/28348

How To Cite: Zahedi S. Review of prosthetics & orthotics needs for 21st Century – Vision for 2025. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.20. https://doi.org/10.33137/cpoj.v4i2.37113

Corresponding Author: Professor Sir Saeed Zahedi,
Blatchford Group, Unit D Antura, Bond Close, Basingstoke, RG24 8PZ, United Kingdom.
E-Mail: saeed.zahedi@blatchford.co.uk
ORCID ID: https://orcid.org/0000-0002-6959-632X

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Author Biography

Saeed Zahedi, Blatchford Group, Unit D Antura, Bond Close, Basingstoke, RG24 8PZ, United Kingdom.

Professor Sir Saeed Zahedi has over 40 years of experience in the field of prosthetics and he and his team have created outstanding results for many thousands of amputees around the world, giving them back the opportunity to live their lives to the fullest. He was responsible for the commercialisation of the first Intelligent Prosthesis in the early 1990s and the world’s first fully integrated limb system, Linx, in 2014. In 2018 Queens Birthday Honours List, he was named to receive a Knighthood for his outstanding services to Innovation and Engineering in the field of rehabilitation. Sir Saeed is a multi-award winning author and presenter of over 170 papers, books and scientific publications and over 60 patents.  He works for Blatchford, a global company who develops and manufactures orthopaedic products that offer the best possible mobility, function, comfort and cosmetics after amputation or other pathology.  For over 130 years, Blatchford has been involved in provision of services, design and development of assistive technologies for mobility.  Their main focus has been enabling independence and social participation for lower limb amputees and real living for people with neuromuscular conditions. The reward has been witnessing renaissance in application of technology that has transformed lives. A Fellow of the Royal Academy, 2018 Honorary fellow of the Institute of Mechanical Engineers, Special Commendation in the Prince Philip Designer prize in 2011 and RSA Royal Designer for Industry in 2013. He and his team were the winner of US Medical Design Excellence Award, German Design Award in 2017 following their 2016 Mc Roberts’s engineering award (Gold medal and finalists in the 2010) adding to their 4th Queens Awards for technological achievement. In 2014 he received BHTA life time achievement award, and the team is EEF 2013 winner of winners, for smart product and export. In 2017 he received AOPA life time achievement award. Working on Integration (products+services = servitization) in Prosthetics and Orthotics.    

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Published

2021-09-21