The development and evaluation of the realism of an alternative prosthetic model for prosthetics and Physical Therapy education: the Pelvic-Femoral Learning Model (PFLM)
Rafael Nathaniel Mabasa | Joshua James Esguerra | Ma. Kristina Ayate | Andrea Maxine Blanco | Allana Marie Sol | Maxene Giuliana Lina | Ram Austin Reyes | Japher Gerard Regidor | Rachelle Ann Ligan
Discipline: medicine by specialism
Abstract:
Introduction Hands-on of training in palpation, bandaging, and casting is an essential component
health sciences education; however, opportunities for repeated practice remain limited. Physical Therap?
students often have minimal exposure to actual patient handling, while Prosthetics and Orthotics students
may have access to individuals with amputations primarily during onsite clinical training. As a result,
opportunities for self-directed practice of quadrilateral casting are constrained, particularly in the absence
of appropriate model subjects. These limitations pose challenges in the effective teaching of procedural
skills. To address this gap, the researchers developed a prototype transfemoral residual limb simulator,
the Pelvic-Femoral Learning Model (PFLM).
Methods The model's effectiveness was evaluated using an instructional sheet comprising an "EffectivenessSurvey Questionnaire" and a Measurement Chart. Anatomical structures were sourced online and refined
with Blendr 3D, while the residual limb shape was created based on a 3D scan of an actual amputee.
Results The PFLM achieved a passing score. Statistical analysis compared two datasets (Baseline and PO
Evaluators'Management)indicating no significant difference and demonstrating measurement consistency.
Most participants found the model highly beneficial, noting its close resemblance to an actual patient.
Conclusion: The findings support the hypothesis that the model is an effective learning tool for students.
Future improvements could include adding moving mechanical parts to enhance landmark palpation.
The PFLM was deemed a valuable, alternative educational resource for PT and PO students.
References:
- Colorado Physical Therapy Network. What is the role of a physical therapist? [Internet]. 2019 [cited 2022 Nov 12]. Available from: https://coloradophysicaltherapynetwork.com/what-is-the-role-of-a-physical-therapist/
- Co JRM, Culaba AB. 3D printing: challenges and opportunities of an emerging disruptive technology. In: Proceedings of the 2019 IEEE 11th International Conference on Humanoid, Nanotechnology, Information Technology, Communication and Control, Environment, and Management (HNICEM); 2019 Nov; Laoag City, Philippines. Piscataway (NJ): IEEE; 2019. p. 1–6. doi:10.1109/HNICEM48295.2019.9073427.
- Coull AF. Bandages and bandaging techniques for compression therapy [Internet]. Stirling (UK): University of Stirling; MA Healthcare Ltd; [cited 2022 Nov 12]. Available from: https://www.stir.ac.uk/research/hub/publication/892021
- Infinite Technologies Orthotics and Prosthetics. Taking the next steps: your therapist and orthotist/prosthetist working towards one common goal [Internet]. 2020 [cited 2022 Nov 13]. Available from: https://www.infinitetech.org/taking-the-next-steps-your-therapist-and-orthotistprosthetist-working-towards-one-common-goal/
- Jamróz W, Szafraniec J, Kurek M, Jachowicz R. 3D printing in pharmaceutical and medical applications: recent achievements and challenges. Pharm Res 2018;35(9):176. doi:10.1007/s11095-018-2454-x.
- Johns Hopkins Medicine. Orthotist and prosthetist [Internet] 2019 [cited 2022 Nov 13]. Available from: https://www.hopkinsmedicine.org/health/treatmenttests-and-therapies/orthotist-and-prosthetist
- Mortejo J, Canare F, Rivera C, Cruz C, Robles S, Dizon JR. Awareness level on additive manufacturing (3D printing) technology in the province of Bataan. Bulacan State Univ Res J 2022;25:1–17. doi:10.47789/burdj.mbtcbbgs.20222501.01.
- Swartz MH, Swartz TH. The physical examination. In: Swartz MH (editor). Textbook of Physical Diagnosis: History and Examination. 8th ed. Philadelphia (PA): Elsevier; 2021. Chapter 6.