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Design for replicability in open-source distributed assistive technology for low-resource settings: a case study of two-piece 3D-printed forearm crutches

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Publication data
Type Paper
Title Design for replicability in open-source distributed assistive technology for low-resource settings: a case study of two-piece 3D-printed forearm crutches
Year 2026
Language English (en)
Location London, Ontario, Canada
License CC-BY-SA-4.0
Cite as Romani, A., Nansubuga, R. K., Mottaghi, M., Munang, D., Bow Pearce, E., Viswanathan, P.,Jenkyn, T., Loubani, T., Reeves, J., Pearce, J. M. (2026). Design for replicability in open-source distributed assistive technology for low-resource settings: a case study of two-piece 3D-printed forearm crutches. Disability and Rehabilitation: Assistive Technology, 1–21. https://doi.org/10.1080/17483107.2026.2702838 Academia OA preprint MedRXiv
Project data
Location London, ON
Status Designed
Modelled
Prototyped
Verified
Verified by FAST
Uses 3D Printing
Links https://doi.org/10.1080/17483107.2026.2702838
OKH Manifest Download

Purpose

Distributed manufacturing of open-source assistive technology shows potential to offer accessible, affordable, and customisable solutions for users in low-resource contexts. Their real-world adoption, however, depends not only on the availability of openly shared designs but also on their replicability when fabricated in different local contexts. This work investigates the replicability of open-source hardware in assistive technology through a practical design-driven approach, using the development and experimental evaluation of a two-piece open-source forearm crutch as a case study.

Materials and methods

Replicability was considered from early-stage design and evaluated by introducing controlled variations from distributed manufacturing contexts, e.g. material feedstock, manufacturing equipment, and fabrication strategies. Four batches of crutches were fabricated and assembled using virgin and recycled filaments on small- and large-format 3D printers. After visual inspection, mechanical static load testing was performed following ISO 11334:2007, together with quantitative replicability assessment and economic analysis.

Results

Comparable mean load-bearing and consistent failure behaviour were achieved across batches, supporting the replicability of the design in distributed manufacturing. The quantitative replicability assessment translated structural performance and batch variability into a measurable criterion for comparison. Limited cost variability was achieved, supporting repairability and product lifecycle extension, while enabling affordable, easy fabrication in local contexts.

Conclusions

Beyond this case study, the replicability of open-source hardware for assistive devices needs to be considered as an early-stage design constraint, e.g. developing products that allow for variability from local contexts and including product-specific quantitative approaches to assess replicability. This design shift can support accessibility and real-world fabrication of open-source assistive technology in low-resource settings.


Keywords

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mobility, mobility aid, adaptive aid, crutch, 3D printing, additive manufacturing, mechanical testing, open hardware, open-source hardware, frugal innovation, frugal biomed, biomedical engineering, design for additive manufacturing, DFAM, assistive devices
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See also

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Open Source Devices

Health Policy

Page data
Part of FAST Completed
Keywords mobility, mobility aid, adaptive aid, crutch, 3D printing, additive manufacturing, mechanical testing, open hardware, open-source hardware, frugal innovation, biomedical engineering, design for additive manufacturing, DFAM, assistive devices
SDG SDG03 Good health and well-being, SDG08 Decent work and economic growth
Authors Alessia Romani, Rebecca Kaaya Nansubuga, Maryam Mottaghi, Danielle Munang, Emily Bow Pearce, Pooja Viswanathan, Thomas Jenkyn, Tarek Loubani, Jacob Reeves, Joshua M. Pearce
License CC-BY-SA-4.0
Organizations Free Appropriate Sustainable Technology, Western
Language English (en)
Related 0 subpages, 31 pages link here
Views 4 page views (analytics)
Created July 21, 2026 by Joshua M. Pearce
Last edit July 25, 2026 by Joshua M. Pearce
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