3D-Printed Orthoses Show Clinical Improvements

Otto Bock WalkOn Reaction AFO
by The O&P EDGE, September 2, 2025
A team of researchers conducted a literature review across six databases (PubMed, Web of Science, EBSCO, Scopus, Cochrane Library, and Sage) to evaluate the clinical outcomes of 3D-printed orthoses. They concluded that 3D-printed orthoses can enhance gait parameters, functional performance, comfort, fit, and effectiveness compared to conventional methods, but small sample sizes, lack of standardized assessment methods, and durability concerns must be addressed through further research.
Sixty-two studies that assessed 3D-printed insoles, AFOs, spinal orthoses, upper-limb orthoses, and cranial remolding helmets met the inclusion criteria. The main clinical outcomes that were analyzed were gait parameters, functional performance, radiographic measurements, comfort, fit, and effectiveness.
The studies on 3D-printed insoles demonstrated effective plantar pressure redistribution and increased comfort; AFOs showed improvements in gait symmetry and mobility; spinal orthoses showed reductions in Cobb angles and enhanced postural stability in patients with scoliosis; upper-limb orthoses found improved grip strength, spasticity management, and user satisfaction; and helmets demonstrated improved fit and reduced treatment duration.
The open-access study, The current state of 3D-printed orthoses clinical outcomes: a systematic review, was published in BMC Musculoskeletal Disorders.
Source The O&P EDGE
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Further reading |
Economic evaluation of the manufacturing of 3D-printed wrist orthoses vs low temperature thermoplastic wrist orthoses, von Haller M, Couchman L, Honigmann P. 3D Print Med. 2025 Jul 3;11(1):35. doi: 10.1186/s41205-025-00287-6. Full text
Effects of 3D-printed ankle-foot orthoses on gait: a systematic review, Pollen TN, Jor A, Munim F, He Y, Daryabor A, Gao F, Lam WK, Kobayashi T. Assist Technol. 2025;37(4):287-303. doi: 10.1080/10400435.2024.2411563. Epub 2024 Oct 17.
Exploring the rationale for prescribing ankle-foot orthoses and supramalleolar orthoses in children with cerebral palsy: A narrative synthesis of rationale statements. Dailey AH, Landers J, Anderson S, Dillon MP. Prosthet Orthot Int. 2024 Jun 1;48(3):290-299. doi: 10.1097/PXR.0000000000000282. Epub 2023 Oct 13.
Efficacy of hinged and carbon fiber ankle-foot orthoses in children with unilateral spastic cerebral palsy and drop-foot gait pattern, Dobler F, Mayr R, Lengnick H, Federolf P, Alexander N. Prosthet Orthot Int. 2024 Aug 1;48(4):380-386. doi: 10.1097/PXR.0000000000000337. Epub 2024 Apr 5.
Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review, Aboutorabi A, Arazpour M, Ahmadi Bani M, Saeedi H, Head JS. Ann Phys Rehabil Med. 2017 Nov;60(6):393-402. doi: 10.1016/j.rehab.2017.05.004. Epub 2017 Jul 13.
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