Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees' Satisfaction and Perceived Problems With Their Prosthetic Devices

Ali, Sadeeq; Osman, Noor Azuan Abu; Naqshbandi, M. Muzamil; Eshraghi, Arezoo; Kamyab, Mojtaba; Gholizadeh, Hossein

doi:10.1016/j.apmr.2012.04.024

Cited by 52 publications

(93 citation statements)

References 26 publications

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“…Topical methenamine has been reported to be effective in amputee hyperhidrosis [29]. There are no convincing data that certain liner types are superior to others as it relates to sweat control [30]. Botulinum toxin is regarded as an important management option in other forms of hyperhidrosis [21], and there are a few case reports and small case series that highlight botulinum toxin as a possible treatment in people with amputation [13,[19][20]31].…”

Section: Discussionmentioning

confidence: 99%

“…Some existing data suggest that differing suspension systems and liner materials may have an effect on sweating complaints [16,30], and collecting this information could have provided important additional insights into the problem. Further, subjects were not asked to identify whether they were utilizing new liner materials or suspension systems.…”

Section: Discussionmentioning

confidence: 99%

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Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

et al. 2015

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Abstract-To assess the incidence and severity of selfreported hyperhidrosis in patients with amputation and understand its effects on prosthetic fit or function, a cross-sectional survey of patients at two amputee clinics was performed.Responses from 121 subjects with lower-limb amputation were analyzed. Of these subjects, 66% reported sweating to a degree that it interfered with daily activities, as measured by the Hyperhidrosis Disease Severity Scale. There was a significant association between sweating and interference with prosthetic fit and function. Sweating was more severe in cases of transtibial amputations, patients under the age of 60 yr, warm weather, and vigorous activity. There was no relationship between severity of sweating and time since amputation, etiology of amputation, duration of daily prosthetic use, or reported ability to perform functional tasks. Subjects reported trying multiple interventions, but the self-reported effectiveness of these treatments was low. Hyperhidrosis, a common problem associated with prosthetic usage, varies in severity and often interferes with daily activities. Sweating severity is associated with poor prosthetic fit and function. Risk factors include younger age and transtibial amputation status. Treatment strategies generally lack efficacy. The results of this study may provide guidance for future interventions and treatment options.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

et al. 2015

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“…The methodological designs of the 19 articles that focus on qualitative outcomes and prosthetic socket design varied considerably across studies: crossover designs (n = 5) [29][30][31][32][33], randomized crossover designs (n = 3) [24,[34][35], and cross-sectional designs (n = 3) [36][37][38] were the most frequent study methods used. The remaining studies included case report or single-subject design (n = 2) [39][40], case-series design (n = 1) [41], survey (n = 1) [21], randomized controlled trial (RCT) (n = 2) [23], controlled trial (n = 1) [42], and prospective study design (n = 1) [43] ( Table 1).…”

Section: Methods Of Studiesmentioning

confidence: 99%

“…Design Setting Brunelli et al, 2013 [33] Crossover Trial Italy Eshraghi et al, 2012 [35] Randomized Crossover Trial Department of Rehabilitation, Malaya University, Malaysia Ali et al, 2012 [38] Cross-sectional Study The Janbazan Medical and Engineering Centre, Iran Ali et al, 2012 [30] Crossover Trial Department of Rehabilitation, Malaya University, Malaysia Gholizadeh et al, 2012 [40] Case Report Department of Rehabilitation, Malaya University, Malaysia Gholizadeh et al, 2012 [32] Crossover Trial Department of Rehabilitation, Malaya University, Malaysia Boutwell et al, 2012 [31] Crossover Trial United States Ferraro, 2011 [37] Cross-sectional Study Four physiotherapy centers, United States Sutton et al, 2011 [39] Case Study Dayton Artificial Limb, United States Klute et al, 2011 [24] Randomized Crossover Trial Household, community, and laboratory environments, United States Manucharian, 2011 [42] Controlled [29] Crossover Trial Laboratory, Turkey Hachisuka et al, 2001 [21] Survey Orthotics and prosthetics companies, Japan Hachisuka et al, 1998 [41] Case Series Centre for the Disabled, Kitakiushu, Japan Datta et al, 2004 [22] Randomized Controlled Trial Amputee rehabilitation and prosthetic center, United Kingdom silicone liners * (n = 1), or silicon or urethane * In order to achieve a TSB socket with a silicone liner, the prosthetist in the reported study fabricated a soft inner socket by laminating a silicone resin over the positive plaster model of the residual limb. liners (n = 1).…”

Section: Studymentioning

confidence: 99%

Systematic review of effects of current transtibial prosthetic socket designs—Part 1: Qualitative outcomes

Safari

Meier

2015

J Rehabil Res Dev

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Abstract-This review is an attempt to untangle the complexity of transtibial prosthetic socket fit, determine the most important characteristic for a successful fitting, and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. Further, it is intended to provide directions for future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and used medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design or type of outcome measure. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that incorporated the Downs and Black risk of bias assessment checklist. Results for the qualitative outcomes (n = 19 articles) are synthesized. Total surface bearing sockets lead to greater activity levels and satisfaction in active persons with amputation, those with a traumatic cause of amputation, and younger persons with amputation than patellar tendon bearing sockets. Evidence on vacuum-assisted suction and hydrostatic sockets is inadequate, and further studies are much needed. To improve the scientific basis for prescription, comparison of and correlation between mechanical properties of interface material, socket designs, user characteristics, and outcome measures should be conducted and reported in future studies.

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“…One study was rated as having robust evidence [13], nine as having moderate evidence [21,[28][29][30][31][32]43,[49][50], and two as having weak evidence [34,44] TSB. Moderate evidence-Based on a case series by Hachisuka et al (DBS 23), pistoning, tightness of socket during walking, and ease of swing were regarded as "good" or "somewhat good" for TSB sockets with laminated silicone liners by more than 75 percent of participants [49].…”

Section: Residual Limb and Socket Movementmentioning

confidence: 99%

Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes

Safari

Meier

2015

J Rehabil Res Dev

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Abstract-This review is an attempt to untangle the complexity of transtibial prosthetic socket fit and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. In addition, we identified knowledge gaps, thus providing direction for possible future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design and type of outcome measure used. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that included the Downs and Black risk of bias assessment checklist. This article presents the results from the systematic review of the quantitative outcomes (n = 27 articles). Trends indicate that vacuum-assisted suction sockets improve gait symmetry, volume control, and residual limb health more than other socket designs. Hydrostatic sockets seem to create less inconsistent socket fittings, reducing a problem that greatly influences outcome measures. Knowledge gaps exist in the understanding of clinically meaningful changes in socket fit and its effect on biomechanical outcomes. Further, safe and comfortable pressure thresholds under various conditions should be determined through a systematic approach.

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Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees' Satisfaction and Perceived Problems With Their Prosthetic Devices

Cited by 52 publications

References 26 publications

Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

Systematic review of effects of current transtibial prosthetic socket designs—Part 1: Qualitative outcomes

Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes

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