Kintec Footlabs: emergent human centred frameworks for the design and manufacture of orthotics

Kintec Footlabs：新兴的以人为本的矫形器设计和制造框架

• 批准号: 544551-2019
• 负责人: Doyle, Keith
• 金额: $ 1.82万
• 依托单位: Emily Carr University of Art + Design
• 依托单位国家: 加拿大
• 项目类别: Applied Research and Development Grants - Level 1
• 财政年份: 2019
• 资助国家: 加拿大
• 起止时间: 2019-01-01 至 2020-12-31
• 项目状态: 已结题
• 来源: https://www.nserc-crsng.gc.ca/ase-oro/Details-Detailles_eng.asp?id=680133
• 关键词: Kintec; Footlabs; emergent; human; centred

In 2016 the foot orthotic market represents an approximate value of $US1.2 billion throughout North America.[1] Broadly speaking, foot orthotics are clinically effective for a variety of conditions from plantar fasciitis to lower back pain yet the specific mechanisms behind this clinical success are elusive. The traditional clinical process that determines how or why a specific design of orthotic is based from a framework developed by Root, O'Rien, and Weed that states lower extremity pathology is a result of poor alignment.[2] It is therefore, according to Root, the objective of an orthotic to correct any alignment defect using one, or a combination of, arch support, hind-foot posting or forefoot wedging. The patient's comfort is a secondary aspect in this process and is addressed insofar as to assist in the compliance of this corrective device. Two significant developments over the past 10 years have now drawn into question the validity of the Root et al. approach. A new design framework that emphasizes a more patient-centered approach could greatly reduce those costs, as well as enhance the value and effectiveness of foot orthotics. Kintec would like to collaborate with two Research Centres at Emily Carr University, the Health Design Lab (HDL) and Material Matters (MML), to develop a new design framework for orthotics, which involves a human-centered and design engineering perspective. Researchers from HDL specialize in human-centred design approaches to address complex health and healthcare challenges, while Researchers from MML specializes in design transfer, material and technology development. The project supports a variety of research and design questions including: how might we consider patient comfort in the design of orthotics, and how might 3d printing enable more customized and comfortable orthotics? How can the process of orthotic fittings be improved to better support patient comfort and patient decision making in the process? Initially this research will take the form of exploratory interviews and service design mapping to gain a general understanding of the landscape of Kintec and the foot orthotic industry, including existing materials, designs and objectives. The next phase will include patient interviews and review of patient data from completed questionnaire responses to identify patient interests, and expectations surrounding pedorthic services. By combining our research into patient experiences with foot orthotic clinical theory, we will start to collaboratively conceptualize a novel design framework that can incorporate dynamic, objective gait data directly into the orthotic design.

2016年，整个北美的足部矫形器市场价值约为12亿美元。[1]从广义上讲，足部矫形器在临床上对从足底筋膜炎到下背痛的各种疾病都有效，但这种临床成功背后的具体机制尚不清楚。 传统的临床过程确定了矫正器的特定设计如何或为什么是基于Root、O'Rien和Weed开发的框架，该框架指出下肢病理是不良对准的结果。[2]因此，根据Root的说法，矫正器的目标是使用足弓支撑、后足定位或前足楔形定位中的一种或多种组合来纠正任何对齐缺陷。 患者的舒适度是该过程中的次要方面，并且在帮助该矫正装置的顺应性的范围内被解决。 过去10年来的两个重大发展现在使人们对Root等人的方法的有效性产生了疑问。 一个新的设计框架，强调一个更以病人为中心的方法可以大大降低这些成本，以及提高足部矫形器的价值和有效性。Kintec希望与艾米丽卡尔大学的两个研究中心，健康设计实验室（HDL）和材料问题（MML）合作，为矫形器开发一个新的设计框架，其中涉及以人为本和设计工程的角度。HDL的研究人员专注于以人为本的设计方法，以解决复杂的健康和医疗保健挑战，而MML的研究人员则专注于设计转移，材料和技术开发。该项目支持各种研究和设计问题，包括：我们如何在矫形器设计中考虑患者舒适度，以及3d打印如何实现更定制和舒适的矫形器？如何改进矫形器装配过程，以更好地支持患者的舒适度和患者在此过程中的决策？最初，这项研究将采取探索性访谈和服务设计映射的形式，以获得对Kintec和足部矫形行业的总体了解，包括现有材料，设计和目标。下一阶段将包括患者访谈和审查患者数据，从完成的问卷调查，以确定患者的利益，并围绕足矫正服务的期望。通过将我们对患者经验的研究与足部矫形临床理论相结合，我们将开始合作概念化一种新的设计框架，该框架可以将动态，客观的步态数据直接纳入矫形器设计中。