Abstract:
BACKGROUND:Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. OBJECTIVES:To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation. STUDY DESIGN:Standardized, two-part laboratory protocol with an interim observational period. METHODS:Participants were classified as "accommodators" or "non-accommodators," based on self-report prosthetic sock use. Participants' residual limb fluid volume change was measured using a custom bioimpedance analyzer and a standardized in-laboratory activity protocol. Self-report health outcomes were assessed with the Socket Comfort Score and Prosthesis Evaluation Questionnaire. Activity was monitored while participants left the laboratory for at least 3 h. They then returned to repeat the bioimpedance test protocol. RESULTS:Twenty-nine people were enrolled. Morning-to-afternoon percent limb fluid volume change per hour was not strongly correlated to percent time weight-bearing or to self-report outcomes. As a group, non-accommodators ( n = 15) spent more time with their prosthesis doffed and reported better outcomes than accommodators. CONCLUSION:Factors other than time weight-bearing may contribute to morning-to-afternoon limb fluid volume changes and reported satisfaction with the prosthesis among trans-tibial prosthesis users. Temporary doffing may be a more effective and satisfying accommodation method than sock addition. Clinical relevance Practitioners should be mindful that daily limb fluid volume change and prosthesis satisfaction are not dictated exclusively by activity. Temporarily doffing the prosthesis may slow daily limb fluid volume loss and should be investigated as an alternative strategy to sock addition.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Sanders JE,Youngblood RT,Hafner BJ,Ciol MA,Allyn KJ,Gardner D,Cagle JC,Redd CB,Dietrich CRdoi
10.1177/0309364617752983subject
Has Abstractpub_date
2018-08-01 00:00:00pages
415-427issue
4eissn
0309-3646issn
1746-1553journal_volume
42pub_type
杂志文章abstract::The surgical and prosthetic treatment of longitudinal lower limb deficiency is described and discussed, in the light of cultural and social requirements. Those with upper limb deficiencies are not fitted with prostheses. ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164653
更新日期:1991-08-01 00:00:00
abstract::The i-LIMB hand is a novel upper limb myoelectric prosthetic hand with several joints in the fingers and thumb. This study aimed to determine whether this new device had more functionality than a more conventional myoelectric prosthetic hand with only a single joint between the thumb and two fingers. Therefore, a 45-y...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093641003767207
更新日期:2010-06-01 00:00:00
abstract::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164323
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:During functional wheelchair movement there are several types of stroke pattern that a manual wheelchair user (MWCU) can utilize in order to propel. OBJECTIVES:To examine the biomechanical differences between disabled (WCU) and able-bodied (NWCU) children whilst taking part in functional activities at the C...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612448807
更新日期:2012-09-01 00:00:00
abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640309167979
更新日期:2003-04-01 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::The multifunctional above-knee prosthesis WLP-7R (Waseda Leg Prosthesis - type 7 Refined) described in this study allows amputees to descend and ascend stairs with no external power sources. With the hydraulic circuit mounted in the shank, the ankle joint and the knee joint mutually conterbalance during stance phase i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648709078198
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:Balance is an important variable to consider during the rehabilitation process of individuals with trans-tibial amputation. Limited evidence exists on the balance abilities of people with trans-tibial amputation due to vascular causes. OBJECTIVE:The purpose of this article is to review literature and determ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1177/0309364616683819
更新日期:2017-08-01 00:00:00
abstract::Orthoses which fit inside shoes have, in many cases in the past, been fashioned to the shape of the patient's foot. It is suggested that improved stability and comfort is achieved if, instead, the outside shape of the foot-piece of the orthosis is fashioned to the inside shape of the footwear. A method for achieving t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909103088
更新日期:1979-08-01 00:00:00
abstract::A polio victim who has been in a negative pressure ventilator ("iron lung") since 1950 was in need of an activated mattress to combat the hallucinatory effects of complete immobilization and to assist with body pressure distribution. A mechanical method was used to give the patient's mattress a moving wave form of ver...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093647809177773
更新日期:1978-08-01 00:00:00
abstract::The effect of one years general use on the performance of four shock attenuating insoles is reported. Testing was carried out using the JP Biomechanics Shock Meter on twelve volunteers on a timed oval course at eight intervals during the year. The results show that two of the insoles perform well (Viscolas and PPT) al...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649009080322
更新日期:1990-08-01 00:00:00
abstract:BACKGROUND:Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. OBJECTIVES:We hypothesized t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613490440
更新日期:2014-06-01 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::This review presents an analytical and comparative survey of upper limb prosthesis acceptance and abandonment as documented over the past 25 years, detailing areas of consumer dissatisfaction and ongoing technological advancements. English-language articles were identified in a search of Ovid, PubMed, and ISI Web of S...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640600994581
更新日期:2007-09-01 00:00:00
abstract::In the present study the psychophysical detection threshold levels mechanical stimulation of 32 prosthetic limbs were determined. Prosthetic limbs were anchored to the bone by means of an implant (n=17) or supported by a socket enclosing the amputation stump (n=15). Detection threshold levels were assessed for pressur...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1080/03093640008726536
更新日期:2000-08-01 00:00:00
abstract::Initial analyses from a survey of people with unilateral upper limb congenital absence registered with the Cambridge Disablement Services Centre (DSC) indicated differences related to laterality and gender. A postal survey of all DSCs in the UK was conducted and support for these findings was provided from the analysi...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649809164487
更新日期:1998-12-01 00:00:00
abstract::The need to measure and evaluate orthotics and prosthetics (O&P) practice has received growing recognition in the past several years. Reliable and valid self-report instruments are needed that can help facilities evaluate patient outcomes. The objective of this project was to develop a set of self-report instruments t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726682
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:Maintaining an optimal rolling of the foot over the ground is thought to increase the stability and efficiency of pathologic gait. Ankle-foot orthoses are often prescribed to improve gait mechanics in individuals with lower extremity injuries; however, their design may compromise how the foot rolls over the ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620971407
更新日期:2020-11-21 00:00:00
abstract:BACKGROUND AND AIM:It is difficult to measure foam model shapes using contact digitizers because the stylus contact tends to get stuck in the soft foam. The aim of this paper is to describe a technique to overcome this challenge and to assess its effect on digitizer error. TECHNIQUE:A controlled laboratory study was c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364610394478
更新日期:2011-06-01 00:00:00
abstract::A keen skier who is a trans-tibial and trans-radial quadrilateral amputee sought an improved adaptation for skiing from the Rehabilitation Engineering Service in Edinburgh. The unpredictable nature of the bending moments and loads that can be imposed on the prostheses during skiing raised concern about the suitability...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640409167927
更新日期:2004-04-01 00:00:00
abstract::A new type of above-knee socket has been designed to provide total surface support and to dispense with ischial bearing as the primary weight bearing area. The socket is based upon the hypothesis that if the soft tissues of an above-knee stump are adequately supported in a suitably shaped container they will behave un...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909103096
更新日期:1979-12-01 00:00:00
abstract::Wheelchair prescription is complex with thousands of choices and options. Theoretically, a higher quality or innovative wheelchair that is appropriately matched to the user and their unique needs will increase participation. It is well accepted that there is an alarmingly high incidence of carpal tunnel syndrome, and ...
journal_title:Prosthetics and orthotics international
pub_type: 历史文章,杂志文章
doi:10.1080/03093640903082126
更新日期:2009-09-01 00:00:00
abstract::The Stanmore-Kingston Splat is a graphical display of the goals and achievements of amputee rehabilitation patients using the Locomotor Capability Index. The chart is in a radial polygram form with the sectors coloured and shaded. Three scores can be shown: The patient's capability at delivery of the prosthesis, the g...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640600818863
更新日期:2006-12-01 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::Clinically applied multichannel stimulation was visualized in the very beginnings of FES. A short survey of existing multichannel systems was taken and compared to initial expectations. While much still remains to be done to get multichannel stimulation out of the research environment and into the clinical routine, th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647709164605
更新日期:1977-04-01 00:00:00
abstract::Terminal overgrowth in transverse deficiencies and in amputations, particularly of the humerus and tibia necessitate serial trimming procedures or re-amputation. Capping using an autogenous bone graft or a titanium and polyethylene endoprosthetic cap provides a satisfactory way of avoiding these re-amputations and all...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649109164641
更新日期:1991-08-01 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 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::Modern sockets for lower limb amputees utilize total contact and distribute some weight on the stump end. Its tolerance to bear weight varies but is better after joint disarticulation, however, systematic measures have been missing. Different levels, indications, shapes etc. were analysed with 102 measurements in 69 p...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648209166575
更新日期:1982-12-01 00:00:00
abstract::This paper describes functional outcome of a population of lower limb amputees five months after amputation compared with their preoperative functional abilities and studies the relationship between potential determinants and functional outcome. Twenty out of 26 patients who underwent a lower limb amputation between D...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649609164423
更新日期:1996-08-01 00:00:00