Pressure casting technique for transtibial prosthetic socket fit in developing countries
| Autor: | Jimmy Lavranos, Peter Vee Sin Lee, Nguyen Hai Thanh, Sheridan Laing, Noel Lythgo |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Cost-Benefit Analysis medicine.medical_treatment Developing country Artificial Limbs Prosthesis Design Prosthesis Amputation Surgical Patient satisfaction Prosthesis Fitting Surveys and Questionnaires medicine Humans Developing Countries Gait Aged Rehabilitation Tibia business.industry Biomechanics Recovery of Function Middle Aged Biomechanical Phenomena Surgery Amputation Patient Satisfaction Population Surveillance Multivariate Analysis Physical therapy Female Cadence business |
| Zdroj: | Journal of Rehabilitation Research and Development. 51:101-110 |
| ISSN: | 1938-1352 0748-7711 |
| DOI: | 10.1682/jrrd.2012.10.0191 |
| Popis: | This study investigated a low-cost and low-skill dependent pressure casting technique (PCAST) to fabricate and fit transtibial (TT) prosthetic sockets in a developing country. Thirteen adult volunteers (average age 47 yr) with unilateral TT amputation participated. After fitting, five participants were lost to follow-up (four rejected the prosthesis and one died). The eight remaining participants used the prosthesis for an average of 167 +/- 1 d and indicated regular use throughout this period. Success was evaluated by measures of satisfaction (Satisfaction with Prosthesis Questionnaire [SATPRO]), physical function, and gait recorded after fitting and following the usage period. SATPRO results showed high levels of satisfaction on both occasions. After the usage period, the timed up-and-go and six-minute walk performances increased by 1.7 +/- 2.0 s and 60 +/- 29 m (p = 0.001), respectively, whereas gait speed, cadence, step and stride length, support base, and percent gait cycle times remained unchanged. The results show that a TT PCAST socket (with some minor modifications) was successfully fitted to eight of the participants (success rate of 62%). It is reasonable to conclude that this technique may assist people with TT amputation in a developing country where there is a lack of trained personnel. Importantly, this technique may reduce TT prosthetic costs and increase fitting opportunity in a developing country. |
| Databáze: | OpenAIRE |
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