Strategic Integration of Orthotic and Prosthetic Solutions in Disaster Risk Management: A Multi-method Study Protocol

Background Physical injuries after disasters often result in a high volume of casualties with fractures, lacerations, and amputations, which can disrupt emergency care for those in need. Providing primary care through orthotic and prosthetic solutions can effectively manage these injuries, reducing the need for emergency surgery and preventing subsequent injuries and complications. This necessitates a comprehensive framework for preparedness before disasters occur, as well as a timely response during and after the event. This study aims to develop such a framework for the strategic integration of orthotic and prosthetic solutions in disaster risk management, thereby enhancing preparedness and response, preventing further injuries, and facilitating rehabilitation. Methods This multimethod study protocol encompasses a systematic scoping review, qualitative content analysis, and the Delphi method, each phase targeting specific research goals to achieve a unified approach. The initial phase involves a systematic scoping review adhering to the Arksey and O'Malley five-step framework and PRISMA-ScR reporting guidelines, identifying key studies related to the integration of orthoses and prostheses across disaster risk management stages. The second phase employs qualitative content analysis through semi-structured interviews with healthcare providers, policymakers, and service providers, capturing their perspectives on the use of orthotic and prosthetic solutions in disaster emergency situations. The final phase utilizes the Delphi method to iteratively refine and develop comprehensive recommendations for integrating orthotic and prosthetic solutions into disaster management. Discussion Developing a framework for the management of orthotic and prosthetic treatments, guided by a structured study protocol, can help researchers recognize evidence and gaps in international research. Integrating existing evidence with the experiences of rehabilitation specialists enriches the findings of studies in the field of accidents and disasters. The results of this study will acquaint researchers and stakeholders with the critical role of rehabilitation in disaster risk management.