Factors influencing the self-perceived mobility of active unilateral lower limb amputees assessed with the Prosthetic Mobility Questionnaire: a brief report

Morosato, Federico; Gentile, Chiara; Bernardo, Arianna Di; Gruppioni, Emanuele; Miccio, A

doi:10.1097/mrr.0000000000000560

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…After lower limb loss, individuals with amputation are involved in a prosthetic rehabilitation treatment which aims at maximizing the recovery of the lost functionality [1]. The return to an active social life is largely dependent on the artificial limb, typically consisting of mass-produced components, such as a prosthetic foot and/or knee, and a custom-made socket [2,3].…”

Section: Introductionmentioning

confidence: 99%

A Workflow for Studying the Stump–Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping

Gariboldi

Gruppioni

2023

Sensors

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The design and fitting of prosthetic sockets can significantly affect the acceptance of an artificial limb by persons with lower limb amputations. Clinical fitting is typically an iterative process, which requires patients’ feedback and professional assessment. When feedback is unreliable due to the patient’s physical or psychological conditions, quantitative measures can support decision-making. Specifically, monitoring the skin temperature of the residual limb can provide valuable information regarding unwanted mechanical stresses and reduced vascularization, which can lead to inflammation, skin sores and ulcerations. Multiple 2D images to examine a real-life 3D limb can be cumbersome and might only offer a partial assessment of critical areas. To overcome these issues, we developed a workflow for integrating thermographic information on the 3D scan of a residual limb, with intrinsic reconstruction quality measures. Specifically, workflow allows us to calculate a 3D thermal map of the skin of the stump at rest and after walking, and summarize this information with a single 3D differential map. The workflow was tested on a person with transtibial amputation, with a reconstruction accuracy lower than 3 mm, which is adequate for socket adaptation. We expect the workflow to improve socket acceptance and patients’ quality of life.

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Section: Introductionmentioning

confidence: 99%

A Workflow for Studying the Stump–Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping

Gariboldi

Gruppioni

2023

Sensors

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A retrospective multidimensional comparison of microprocessor and mechanical knee users: Analysis of quality of life and satisfaction with the prosthesis

Cutti,

Morosato,

Gentile

et al. 2024

Prosthetics &Amp; Orthotics International

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Background: Despite the demonstrated greater efficacy of microprocessor knees (MPK) over mechanical knees (MK), the latter is still widely used by persons with transfemoral amputation. Besides motivations related to local insurance policies, quality of life (QoL) and satisfaction with the prosthesis play a key role in user preference. Objective: The aim of this study is to compare QoL and satisfaction in a large sample of MPK and MK users and to assess how these outcomes are explained by clinical and demographic characteristics. Study Design: Retrospective study. Methods: The study was conducted on 75 MPK and 60 MK users. Quality of life was assessed using the EuroQoL Five Dimensions and the EuroQoL Visual Analog Scale questionnaires. Satisfaction was assessed with the Satisfaction with Prosthesis questionnaire. All 3 instruments were self-administered. Univariate and multivariate regression analyses were conducted thereafter. Results: The difference in satisfaction between MPK and MK users was not statistically significant. Significant differences were observed instead for QoL. From the univariate regression analysis, 6 factors were significant predictors of QoL and satisfaction. On multivariate analysis, the number of significant factors was reduced to 3, namely knee type, age at the first prosthesis, and experience with prosthesis. Type of knee and age at the first prosthesis significantly predicted QoL scores, explaining 12% of EuroQoL Five Dimensions and 25% of EuroQoL Visual Analog Scale variances. Age at the first prosthesis and experience with prosthesis predicted Satisfaction with Prosthesis scores in the multivariate model, explaining 25% of the variance. Conclusions: MPK affects QoL but not satisfaction, which is positively driven by patients’ experience with prosthesis and negatively affected by the age at the time of the first prosthesis.

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Factors influencing the self-perceived mobility of active unilateral lower limb amputees assessed with the Prosthetic Mobility Questionnaire: a brief report

Cited by 2 publications

References 16 publications

A Workflow for Studying the Stump–Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping

A Workflow for Studying the Stump–Socket Interface in Persons with Transtibial Amputation through 3D Thermographic Mapping

A retrospective multidimensional comparison of microprocessor and mechanical knee users: Analysis of quality of life and satisfaction with the prosthesis

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