Abstract:
BACKGROUND:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges. OBJECTIVES:The objective of this study was to test and explore the clients' perspectives with the application of this device. STUDY DESIGN:Within a mixed-methods approach, a longitudinal sequential explanatory design was applied. METHODS:The Orthotic and Prosthetic User's Survey was administered to explore the use of the direct manufacturing prosthetic socket system in terms of function, health-related quality of life and client satisfaction. A conveniently selected sample of 21 individuals who suffered a unilateral trans-tibial amputation was included. Data were collected at 1, 3 and 6 months post fitting, and two focus group discussions were also administered. RESULTS:Of the 21 participants recruited, 11 returned for follow up. Although participants reported favourably about the prosthesis, their scores were generally worse than the norms with regard to function and quality of life. Participants highlighted the need for improvement in the cosmetic appearance of the prosthesis. CONCLUSION:The direct manufacturing prosthetic socket system could be considered as an alternative technique of socket manufacturing for individuals living in rural areas due to the shorter manufacture time and promising initial results, but further research on this topic with a bigger sample is recommended. Clinical relevance The direct manufacturing prosthetic socket system may be considered as an alternative to the traditional prosthetic socket manufacturing technique used in South Africa. As this device requires only one visit and therefore decreased travel by the patients to the hospitals, it could be applicable to more amputees who cannot return to hospital post discharge.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Ennion L,Johannesson A,Rhoda Adoi
10.1177/0309364616683982subject
Has Abstractpub_date
2017-10-01 00:00:00pages
455-462issue
5eissn
0309-3646issn
1746-1553journal_volume
41pub_type
杂志文章abstract::Pushchairs for adults are used by two distinct groups: the high dependency users who cannot walk or use a self-propelling chair and the occasional users who may be able to walk indoors but are unable to walk significant distances outdoors. In the past, both disparate groups were provided with similar wheelchairs descr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164274
更新日期:1991-04-01 00:00:00
abstract::Patients with osteoarthritis of the hip were treated with a conservative therapy of heel lifting. Orthoses were applied on 35 hips in 33 subjects and the cases were followed for 23 months on average. Dramatic pain relief was reported, but the time required to reduce or completely relieve pain increased according to th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649709164544
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Nowadays, a transfemoral amputation prosthesis can be fitted to the skeleton using an osseointegrated implant, that is, without a socket. Treated patients have reported improvements in quality of life. OBJECTIVES:To investigate differences in prosthetic costs and service of osseointegrated prostheses compar...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612454160
更新日期:2013-04-01 00:00:00
abstract::The purpose of this study was to investigate the effects of a 4 week physiotherapy programme on patients who were given a spinal orthosis for neuromuscular scoliosis. This study was planned as a single group pre- and post-intervention repeated measures design. All patients were given a polyethylene spinal orthosis wit...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640409167759
更新日期:2004-12-01 00:00:00
abstract::A Reference Library of socket shapes for an Above-Knee Computer Aided Socket Design (CASD) System has been created. This library forms part of a more general CASD System (Dean & Saunders, 1985; Novicov & Foort, 1982). It consists of a matrix of reference shapes representing above-knee socket characteristics and is bas...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648909079421
更新日期:1989-12-01 00:00:00
abstract:BACKGROUND AND AIM:Partial hand amputations are common in developing countries and have a negative impact on patients and their families' quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620905220
更新日期:2020-04-01 00:00:00
abstract:AIM:Finger and partial finger amputations are commonly due to traumatic injuries; digit loss may also be attributed to congenital malformations and disease. Finger prostheses are difficult to fabricate as they demand both aesthetic and function. When dealing with these types of prostheses, the only method of gaining su...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614528203
更新日期:2015-08-01 00:00:00
abstract::The effects of introducing the Team Approach to the management of the lower limb amputee has been assessed in a consecutive series of 233 patients over a five year period. During the first year, baseline data was collected and during the subsequent yearly phases the effects of introducing a physiotherapist co-ordinato...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648709079376
更新日期:1987-04-01 00:00:00
abstract:BACKGROUND:Patients suffering from medial compartment knee osteoarthritis (OA) may be treated with unloader knee orthoses or laterally wedged insoles. OBJECTIVES:The aim of this study was to identify and compare the effects of them on the gait parameters and pain in these patients. STUDY DESIGN:Quasi-experimental. M...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,随机对照试验
doi:10.1177/0309364612447094
更新日期:2013-02-01 00:00:00
abstract::In a prospective study of polypropylene (PP) prostheses for trans-tibial amputees four different modified SACH feet were used. These are identified as: 1. BAVI from the national manufacturer of componentry in BaVi; 2. HCMC a design initiated by the International Committee of the Red Cross (ICRC) together with the Army...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071641
更新日期:1999-12-01 00:00:00
abstract::Gains in stump volume have been documented in trans-tibial amputees while walking in custom made under-sized, total surface-bearing, vacuum-assisted sockets (Board et al., 2001). These gains raised doubts as to whether the sockets were truly under-sized and concerns that using an over-sized socket with vacuum-assist c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726666
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND::Orthotic treatment for adolescent idiopathic scoliosis is a mainstay in nonoperative treatment to prevent progressive spinal deformity. OBJECTIVE::To determine the effectiveness of the Providence orthosis in the treatment of adolescent idiopathic scoliosis. STUDY DESIGN::Retrospective review. METHODS::Pa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364618792727
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Individuals with proximal femoral focal deficiency (PFFD) present with a shortened femur. This report highlights the process used to determine prosthetic candidacy, a novel use of the International Committee of the Red Cross (ICRC) prosthetic materials, and subsequent rehabilitation when treating in rural Ha...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612447095
更新日期:2013-02-01 00:00:00
abstract::In Europe, bespoke orthopaedic shoes are usually sent for a trial fitting in order to check the fit and indicate any modifications required before final finishing. The use of shell shoes at the fit assessment stage, rather than the traditional alternative of partially or fully finished shoes, can offer service advanta...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509168002
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:The advanced reciprocating gait orthosis (ARGO) has a rigid structure which provides restricted movement at the hip, knee, and ankle joints and incorporates a pelvic section with an extended section in the lumbar region. Healthy subjects, when walking with an RGO in situ, could feasibly demonstrate the level...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364615592699
更新日期:2016-04-01 00:00:00
abstract::This paper reviews and summarizes the evidence for important observations of normal and pathological gait and presents an approach to rehabilitation and orthotic management, which is based on the significance of shank and thigh kinematics for standing and gait. It discusses normal gait biomechanics, challenging some t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.3109/03093646.2010.485597
更新日期:2010-09-01 00:00:00
abstract::Static footprint parameters have been used to quantify arch height with conflicting results. This could be caused by the inherent inaccuracy and variations of the methodology used. Since the foot is a dynamic structure that undergoes changes during a step, it is more desirable to capture and analyse the dynamic footpr...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640408726701
更新日期:2004-08-01 00:00:00
abstract::Long-term results over a period of more than 10 years give evidence of the superiority of the through-knee compared to the above-knee stump. However, failures in through-knee stumps before, during and after operation and pitfalls in prosthetic fitting are still too frequent. They are mostly due to errors because the p...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648309166986
更新日期:1983-08-01 00:00:00
abstract:BACKGROUND:The aim of this case study was to identify the effect of a powered hip orthosis on the kinematics and temporal-spatial parameters of walking by a patient with spinal cord injury (SCI). CASE DESCRIPTION AND METHODS:Two orthoses were evaluated while worn by an incomplete SCI subject with a T-8level of injury....
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364611431482
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Positive adjustments to amputation and an artificial limb play important roles in the rehabilitation process. OBJECTIVES:To study the different facets of adjustments to amputation and an artificial limb in lower limb amputees and to assess the possible role of different background and amputation-related fac...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613489332
更新日期:2014-04-01 00:00:00
abstract::This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot wit...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640108726609
更新日期:2001-12-01 00:00:00
abstract::This study investigated the validity of post-amputation application of removable rigid dressings (RRDs) for trans-tibial amputees, regarding preparation for prosthetic management and key rehabilitation timelines. It was hypothesised that the use of RRDs would result in faster preparation of the residual limb for prost...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802016795
更新日期:2008-06-01 00:00:00
abstract::Telehealth has the potential to be a valuable tool for technical and clinical support of computer controlled prosthetic devices. This pilot study examined the use of Internet-based, desktop video conferencing for remote configuration of the Otto Bock C-Leg. Laboratory tests involved connecting two computers running Mi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640208726638
更新日期:2002-08-01 00:00:00
abstract::The purpose of this study was to determine the effect of varying prosthetic shank mass, while maintaining the mass centre location and moment of inertia, on the swing phase kinematics, kinetics and hip muscular effort of free speed above-knee (AK) amputee gait. Six AK amputees, wearing similar prosthetic designs, had ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649009080338
更新日期:1990-12-01 00:00:00
abstract::The objective of this study was to develop guidelines for the prescription of ankle-foot, knee, wrist-hand and elbow orthoses for patients with neurological disorders. The study is part of a more comprehensive study focusing on the development of clinical guidelines for the prescription of these orthoses in a wider pa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640500533232
更新日期:2006-04-01 00:00:00
abstract::This study served as a pilot to develop the methodology for a larger number of clinical trials. Ten trans-tibial amputees compared sockets made by conventional methods with sockets made using computer aided socket design (CASD). Prosthetists, paired for experience, fitted each subject with one prosthesis using each me...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648609164519
更新日期:1986-12-01 00:00:00
abstract::Ten years after the ISPO consensus conference on amputation surgery, a search of relevant publications in the Rehabilitation-prosthetics-literature over the years 1990-2000 was performed. The main key-words in this research were: "lower limb, amputation, human and rehabilitation". One hundred and four (104) articles w...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640108726563
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND AND AIM:In recent years, there has been an increased interest in recording high-quality electromyographic signals from within the sockets of lower-limb amputees. However, successful recording presents major challenges to both researchers and clinicians. This article details and compares four prototypical int...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613516484
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Dysvascularity is the main cause of lower limb amputations in Scotland, and there is an insignificant proportion (1.7%) of knee disarticulations, despite the benefits of amputation. OBJECTIVES:The outcomes of knee disarticulation and its associated surgical techniques will be evaluated based on healing, rea...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364615574163
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617729925
更新日期:2018-10-01 00:00:00