Satisfaction and Problems Experienced With Transfemoral Suspension Systems: A Comparison Between Common Suction Socket and Seal-In Liner

被引:25
作者
Gholizadeh, Hossein [1 ,2 ]
Abu Osman, Noor Azuan [1 ]
Eshraghi, Arezoo [1 ,2 ]
Ali, Sadeeq [1 ]
Yahyavi, Elham Sadat [2 ,3 ]
机构
[1] Univ Malaya, Fac Engn, Dept Biomed Engn, Kuala Lumpur 50603, Malaysia
[2] Univ Tehran Med Sci, Fac Rehabil Sci, Orthot & Prosthet Dept, Tehran, Iran
[3] Univ Kebangsaan Malaysia, Fac Engn & Built Environm, Dept Elect & Elect Engn, Bangi 43600, Malaysia
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2013年 / 94卷 / 08期
关键词
Amputation; Patient satisfaction; Prostheses and implants; Rehabilitation; LOWER-LIMB AMPUTEES; PROSTHETIC PROFILE; PERCEIVED PROBLEMS; SKIN PROBLEMS; GEL LINER; QUESTIONNAIRE; AMPUTATION;
D O I
10.1016/j.apmr.2012.12.007
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To compare a seal-In liner with the common suction socket with regards to patient satisfaction and problems experienced with the prosthesis. Design: Retrospective survey. Setting: A medical and engineering research center and a department of biomechanical engineering. Participants: Men (N=90) with traumatic transfemoral amputation who used both suspension systems participated in the study. Intervention: Two prosthetic suspension systems: a seal-in liner and common suction socket. Main Outcome Measures: Two questionnaires were completed by each subject to evaluate their satisfaction and problems experienced with the 2 suspension systems. Satisfaction and problems with the prosthetic suspension systems were analyzed in terms of fitting, donning and doffing, sitting, walking, stair negotiation, appearance, sweating, wounds, pain, irritation, pistoning, edema, smell, sound, and durability. Results: The study revealed that the respondents were more satisfied with a seal-in liner with regards to fitting, sitting, and donning and doffing. Overall satisfaction increased with the use of a seal-in liner compared with the suction socket (P<.05). However, satisfaction with the prosthesis showed no significant differences in terms of walking (flat and uneven surfaces), appearance, and stair negotiation. Furthermore, problems experienced differed significantly between the 2 suspension systems (P<.05). Sweating, wounds, pain, irritation, pistoning, edema, smell, and sound were less problematic with the use of a seal-in liner, whereas durability was significantly better with the suction socket. Conclusions: The results of the survey suggest that satisfaction and problems with prosthetic suspension in persons with transfemoral amputation can be improved with a seal-in liner compared with the suction socket, provided that the durability of the liner is enhanced. (c) 2013 by the American Congress of Rehabilitation Medicine
引用
收藏
页码:1584 / 1589
页数:6
相关论文
共 39 条
[1]   Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees' Satisfaction and Perceived Problems With Their Prosthetic Devices [J].
Ali, Sadeeq ;
Abu Osman, Noor Azuan ;
Naqshbandi, Mohammad Muzamil ;
Eshraghi, Arezoo ;
Kamyab, Mojtaba ;
Gholizadeh, Hossein .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2012, 93 (11) :1919-1923
[2]   Skin problems of the stump and hand function in lower limb amputees: A historic cohort study [J].
Baars, E. C. T. ;
Dijkstra, P. U. ;
Geertzen, J. H. B. .
PROSTHETICS AND ORTHOTICS INTERNATIONAL, 2008, 32 (02) :179-185
[3]   Literature review of the possible advantages of silicon liner socket use in trans-tibial prostheses [J].
Baars, ECT ;
Geertzen, JHB .
PROSTHETICS AND ORTHOTICS INTERNATIONAL, 2005, 29 (01) :27-37
[4]  
Beil TL, 2002, J REHABIL RES DEV, V39, P693
[5]   Comparison of satisfaction with current prosthetic care in veterans and servicemembers from Vietnam and OIF/OEF conflicts with major traumatic limb loss [J].
Berke, Gary M. ;
Fergason, John ;
Milani, John R. ;
Hattingh, John ;
McDowell, Martin ;
Nguyen, Viet ;
Reiber, Gayle E. .
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 2010, 47 (04) :361-371
[6]  
Carroll K., 2006, Prosthetics and patient management: a comprehensive clinical approach, P93
[7]  
Centers for Medicare and Medicaid Services, 2001, HCFA COMM PROC COD S
[8]   Lower limb amputation - Part 3: Prosthetics - a 10 year literature review [J].
Cochrane, H ;
Orsi, K ;
Reilly, P .
PROSTHETICS AND ORTHOTICS INTERNATIONAL, 2001, 25 (01) :21-28
[9]   Quantification of prosthetic outcomes: Elastomeric gel liner with locking pin suspension versus polyethylene foam liner with neoprene sleeve suspension [J].
Coleman, KL ;
Boone, DA ;
Laing, LS ;
Mathews, DE ;
Smith, DG .
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 2004, 41 (04) :591-602
[10]  
Dietzen CJ., 1991, JPO: Journal of Prosthetics and Orthotics, V3, P90, DOI 10.1097/00008526-199100320-00005