The following report presents a Master thesis project about a re-design of an ankle foot orthosis using additive manufacturing as the production method, conducted by a student in Spring 2020 as part of the Master’s programme Industrial Design at Jönköping University’s School of Engineering. Ankle foot orthoses are the most prescribed lower extremity orthoses worldwide and are worn in a visually obtrusive way making patients feel stigmatized for their disability. The social stigma makes it emotionally difficult for many users to wear an AFO frequently enough for proper rehabilitation. Despite its significance and wide spread use, its design has not changed for over 50 years. Traditional manufacturing methods are difficult to work with and make customization options very limited. By using digital additive manufacturing methods like 3D Scanning, 3D printing and computer simulations, it is possible to offer personalized looks for AFOs by implementing almost any custom pattern expressed in cut-outs on the AFO surface. That kind of perforation simultaneously solves the problem of bad perspiration and air flow. The freedom of graphical expression in those patterns invite the patient to participate in the design process themselves to create an ankle foot orthosis that is their own. That revolutionary twist on the manufacturing and design process empowers the user to take control over their disability to the furthest degree possible and returns the human right of self-determination and independence to them. / Följande rapport presenterar ett examensarbete gällade en omdesign av en ankel-fot-ortos med additiv tillverkning som produktionsmetod, genomförd av en student våren 2020 som del av masterprogrammet Industrial Design vid Jönköpings universitets tekniska högskola. Ortoser för fotleden är de mest föreskrivna ortoserna för underkroppen i hela världen och bärs på ett visuellt påträngande sätt vilket gör att patienterna kan känna sig annorlunda eller utanför för sin funktionsnedsättning. Den sociala stigmatiseringen gör det känslomässigt svårt för många användare att bära en AFO ofta nog för korrekt rehabilitering. Trots dess betydelse och breda användning har designen inte förändrats på över 50 år. Traditionella tillverkningsmetoder är svåra att arbeta med och begränsar alternativen för anpassning. Genom att använda digitala metoder för additiv tillverkning som 3D-skanning, 3D-utskrift och datorsimuleringar är det möjligt att erbjuda ett personligt utseende för AFO genom att införa en stor mängd anpassade mönster i form av utskärningar på AFO-ytan. Denna typ av perforering löser samtidigt problemet med svett och dåligt luftflöde. Friheten för grafiskt uttryck genom dessa mönster låter patienten delta i själva designprocessen för att fotledsortosen ska kännas som deras egen. Detta nya synsätt på utveckling på tillverknings- och designprocessen gör det möjligt för användaren att ta kontroll över sin funktionsnedsättning i största möjliga grad och återställer känslan av självständighet.

Background: Scanners are becoming widespread in Prosthetics and Orthotics, replacing plaster casting in the manufacture of some types of devices. P&O shape capture must be accurate and reliable, so the device is comfortable and reproducible between clinicians/sessions. Objectives: To map knowledge on measuring accuracy and reliability of spatial data produced from 3D scanners. Methods: The study design was a scoping review using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Studies published in or after 2010 in English with a full-text available that analyse either the accuracy/validity or reliability of human 3D scanning data within a P&O context. Sources were obtained from Pubmed, CINAHL, Scopus, Cochrane Library, Web of Science, and AMed databases on 25th March. Results: The search identified 115 studies of which 9 were included (7 experimental [4 prosthetic, 3 orthotic], 1 systematic review, 1 literature review). 7 analysed both reliability and accuracy/validity and 2 analysed reliability. High heterogeneity amongst studies’ methods, techniques, and equipment. Conclusion: Methods, techniques, and equipment used to measure accuracy/validity and reliability varied greatly though more so in the measurement of accuracy/validity. Within the studies, researchers called for more research on standardisation of measurement methods and techniques.

Background: Disruptive technology describes technology that is significantly more advanced than previous iterations, such as: 3D printing, genetic manipulation, stem cell research, innovative surgical procedures, and computer-based charting software. These technologies often require extensive overhauls to implement into older systems and must overcome many difficult financial and societal complications before they can be widely used. In a field like healthcare that makes frequent advancements, these difficulties can mean that the technology will not be utilized to its full potential or implemented at all. Objective: To determine the inhibiting factors that prevent disruptive technology from being implemented in conventional healthcare. Methods: Peer reviewed articles were gathered from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Educational Resources Information Center (ERIC), Elton B. Stephens Co. Host (Ebsco Host), Medical Literature On-line (Medline), and Psychological Information Database (PsychINFO). Articles were included if written in English and focusing on technology that was or is difficult to implement. Results: Research suggests that the primary reason disruptive technology is not implemented sooner is the cost versus benefit ratio. Those technologies with extremely high benefits that greatly improve efficiency, safety, or expense are integrated relatively quickly, especially if their cost is reasonable. Secondary reasons for difficulty with integration include ethical dilemmas, extreme complexity, technical limitations, maintenance, security, and fallibility. Conclusion: Research indicates that a decrease in production cost and selling price along with removing any issues that may depreciate the technology will provide better incentives for healthcare systems to integrate disruptive technologies on a wider scale.