Transfemoral sockets with vacuum-assisted suspension comparison of hip kinematics, socket position, contact pressure, and preference: Ischial containment versus brimless
- 1 January 2013
- journal article
- research article
- Published by Journal of Rehabilitation Research & Development in Journal of Rehabilitation Research and Development
- Vol. 50 (9), 1241-1252
- https://doi.org/10.1682/jrrd.2013.01.0003
Abstract
The objective of this study was to investigate the effect of brimless compared with ischial ramus containment (IRC) prosthetic sockets when using vacuum-assisted suspension (VAS) on persons with a unilateral transfemoral amputation (TFA). A randomized crossover design with a 2 d accommodation was used. People with unilateral TFA (n = 9 analyzed) were enrolled. Interventions were IRC VAS and brimless VAS sockets. Main outcome measures included coronal hip angle and vertical and lateral socket movement as measured by X-ray, skin pressure measured by Tekscan, and preference measured subjectively. The brimless design was statistically equivalent to IRC in all measured coronal hip angles and vertical and lateral socket displacement. The peak/stance mean pressure in the medial proximal aspect of the socket was 322 mmHg in the IRC compared with 190 mmHg in the brimless condition. Except for medial proximal pressure, no other measures reached statistical significance. All subjects reported the brimless design to be more comfortable than the IRC in short-term preference. Brimless VAS socket design may be a clinically viable choice for people with TFA.Keywords
This publication has 25 references indexed in Scilit:
- Real-time subject-specific analyses of dynamic internal tissue loads in the residual limb of transtibial amputeesMedical Engineering & Physics, 2010
- Patient-specific analyses of deep tissue loads post transtibial amputation in residual limbs of multiple prosthetic usersJournal of Biomechanics, 2009
- Pressure–time cell death threshold for albino rat skeletal muscles as related to pressure sore biomechanicsJournal of Biomechanics, 2006
- Concepts of Pressure in an Ischial Containment Socket: MeasurementJPO Journal of Prosthetics and Orthotics, 2005
- Can Loaded Interface Characteristics Influence Strain Distributions in Muscle Adjacent to Bony Prominences?Computer Methods in Biomechanics and Biomedical Engineering, 2003
- A Case Study Using Fluoroscope to Determine the Vital Elements of Transfemoral Interface DesignJPO Journal of Prosthetics and Orthotics, 2002
- Transfemoral AmputationClinical Orthopaedics and Related Research, 1999
- The Effect of the CAT-CAM Above-Knee Prosthesis on Functional RehabilitationClinical Orthopaedics and Related Research, 1989
- A mixture approach to the mechanics of skinJournal of Biomechanics, 1987
- STUDIES ON PAIN. A NEW METHOD FOR MEASURING PAIN THRESHOLD: OBSERVATIONS ON SPATIAL SUMMATION OF PAINJCI Insight, 1940