Protocol for assessing the condition of the prosthetic and method for personalized selection of lower limb prosthesis modules

Authors:

Smirnova Ludmila Mikhailovna – Grand PhD in Techinical Sciences (Dr. Tech. Sci.), leading researcher of the Department of Biomechanical Studies of the Musculoskeletal System of Institute of Prosthetics and Orthotics, Albreht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; Professor of Department of Biomedical Engineering, Saint Petersburg Electrotechnical University, 5 Professora Popova Street, 197376 St. Petersburg, Russian Federation; e-mail: info@diaserv.ru; https://orcid.org/0000-0003-4373-9342.

Ivanov Oleg Valentinovich – Head of the Department of Expert Rehabilitation Diagnostics, Main Bureau of Medical and Social Expertise for the City of St. Petersburg, 58, lit. A Liteiny av., 191014 Petersburg, Russian Federation; e-mail: digitalis2@yandex.ru; https://orcid.org/0009-0002-9242-5868.

Fogt Elizaveta Vladimirovna– Head of the Department of Biomechanical Studies of the Musculoskeletal System of Institute of Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: fogtev@center-albreht.ru; https://orcid.org/0000-0002-1017-6179.

Annotation:

Introduction. Existing methods of selecting modular lower limb prostheses often do not provide sufficient personalization, which leads to patient dissatisfaction.

Aim. Development of a methodology for personalized selection of prosthetic modules based on an expanded examination protocol.

Materials and methods. The analysis of medical documentation and regulations governing prosthetics has been carried out.

Results. A structured protocol for multiparametric patient assessment has been developed, including the selection of the type of prosthesis and its components based on a formalized knowledge base.

Discussion. The technique allows to objectify and simplify the selection process, minimizing subjectivity.

Conclusion. The proposed protocol is an effective tool for personalized selection of the prosthesis configuration, especially for primary prosthetic patients.

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