Abstract
Ali S, Abu Osman NA, Naqshbandi MM, Eshraghi A, Kamyab M, Gholizadeh H. Qualitative
study of prosthetic suspension systems on transtibial amputees' satisfaction and perceived
problems with their prosthetic devices.
Objective
To investigate the effects of 3 dissimilar suspension systems on participants' satisfaction
and perceived problems with their prostheses.
Design
Questionnaire survey.
Setting
A medical and engineering research center and a university biomedical engineering
department.
Participants
Persons with unilateral transtibial amputation (N=243), using prostheses with polyethylene
foam liner, silicone liner with shuttle lock, and seal-in liner.
Interventions
Not applicable.
Main Outcome Measures
Descriptive analyses were performed on the demographic information, satisfaction,
and prosthesis-related problems of the study participants.
Results
The results showed significant differences between the 3 groups regarding the degree
of satisfaction and perceived problems with the prosthetic device. Analyses of the
individual items revealed that the study participants were more satisfied with the
seal-in liner and experienced fewer problems with this liner. The silicone liner with
shuttle lock and seal-in liner users reported significant differences in maintenance
time compared with the polyethylene foam liner. Users of the silicone liner with shuttle
lock experienced more sweating, while those who used the seal-in liner had greater
problems with donning and doffing the device.
Conclusions
The results of the survey provide a good indication that prosthetic suspension is
improved with the seal-in liner as compared with the polyethylene foam liner and silicone
liner with shuttle lock. However, further prospective studies are needed to investigate
which system provides the most comfort and the least problems for participants.
Key Words
List of Abbreviations:
JMERC (Janbazan Medical and Engineering Research Center), PTA (person with transtibial amputation)To read this article in full you will need to make a payment
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References
- The Iceross concept: a discussion of a philosophy.Prosthet Orthot Int. 1993; 17: 49-55
- Iceross—a consensus view: a questionnaire survey of the use of Iceross in the United Kingdom.Prosthet Orthot Int. 1997; 21: 124-128
- A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputees.Prosthet Orthot Int. 2005; 29: 231-240
- Evaluation of problems and needs of veteran lower-limb amputees in the San Francisco Bay Area during the period 1977-1980.J Rehabil Res Dev. 1983; 20: 57-71
- Skin problems of the leg amputee.Prosthet Orthot Int. 1980; 4: 37-44
- Skin disorders in amputees.J Am Acad Dermatol. 2000; 42: 501-507
- Suspension of the below-knee prosthesis: an overview.Prosthet Orthot Int. 1979; 33: 1-19
- The patella-tendon bearing below-knee prosthesis.in: University of California at Berkeley, Berkeley1961: 119-130
- Artificial limbs fabrication without the use of commercially made components.Prosthet Orthot Int. 1972; 4: 21-25
- Suspension prosthetic sleeve for rigorous activity.(US patent 4,908,037)1990 March 13
- Negative pressures during swing phase in below-knee prostheses with rubber sleeve suspension.Arch Phys Med Rehabil. 1975; 56: 22-26
- Criteria for use of supracondylar and supracondylar-suprapatellar suspension for below-knee prostheses.Prosthet Orthot Int. 1973; 27: 14-18
- Analysis of below-knee suspension systems: effect on gait.J Rehabil Res Dev. 1990; 27: 385-396
- Energy costs of below-knee prostheses using two types of suspension.Arch Phys Med Rehabil. 1979; 60: 293-297
- Suspension systems for prostheses.Clin Orthop Relat Res. 1999; 361: 55-62
- Quantification of prosthetic outcomes: elastomeric gel liner with locking pin suspension versus polyethylene foam liner with neoprene sleeve suspension.J Rehabil Res Dev. 2004; 41: 591-602
- Suction sock suspension for above-knee prostheses.J Prosthet Orthot. 1991; 3: 90-93
- Silicone-only suspension (SOS) for the above-knee amputee.J Prosthet Orthot. 1992; 4: 76-85
- 3-S prosthesis: a preliminary report.J Pediatr Orthop. 1991; 11: 112
- The future of artificial limbs.in: Pasquina P.F. Cooper R.A. Care of the combat amputee. U.S. Army Medical Department Borden Institute, Frederick2009: 721-730
- Prosthesis Evaluation Questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life.Arch Phys Med Rehabil. 1998; 79: 931-938
- Prosthetic profile of people with lower extremity amputation: conception and design of a follow-up questionnaire.Arch Phys Med Rehabil. 1993; 74: 862-870
- Measuring long-term outcome in people with lower limb amputation: cross-validation of the Italian versions of the Prosthetic Profile of the Amputee and Prosthesis Evaluation Questionnaire.Eura Medicophys. 2005; 41: 1-6
- Use of the Prosthesis Evaluation Questionnaire (PEQ).J Prosthet Orthot. 2006; 18: 68-79
- Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study.Am J Phys Med Rehabil. 2001; 80: 563-571
- Patient satisfaction following lower-limb amputation: the role of gait deviation.Prosthet Orthot Int. 2011; 35: 225-233
- Silicon suction socket (3S) versus supracondylar PTB prosthesis with pelite liner: transtibial amputees' preferences.J Prosthet Orthot. 1996; 8: 96-99
- Transtibial prosthetic socket pistoning: static evaluation of Seal-In X5 and Dermo Liner using motion analysis system.Clin Biomech (Bristol, Avon). 2012; 27: 34-39
- Differences in function and safety between Medicare Functional Classification Level-2 and -3 transfemoral amputees and influence of prosthetic knee joint control.J Rehabil Res Dev. 2009; 46: 417-434
- Issues of importance reported by persons with lower limb amputations and prostheses.J Rehabil Res Dev. 1999; 6: 155-163
- Prosthetic prescription in the Netherlands: an interview with clinical experts.Prosthet Orthot Int. 2004; 28: 98-104
- Vacuum suspension and its effects on the limb.Orthopadie Technik. 2006; 4: 1-6
- Polyurethane gel liner usage in the Oxford Prosthetic Service.Prosthet Orthot Int. 2001; 25: 41-46
- Effect on gait and socket comfort in unilateral trans-tibial amputees after exchange to a polyurethane concept.Prosthet Orthot Int. 2004; 28: 28-36
- Experiences with respect to the ICEROSS system for trans-tibial prosthesis.Prosthet Orthot Int. 1994; 18: 78-83
- Literature review of the possible advantages of silicon liner socket use in trans-tibial prostheses.Prosthet Orthot Int. 2005; 29: 27-38
- Skin problems of the residual limb and hand function in lower limb amputees: a historic cohort study.Prosthet Orthot Int. 2008; 32: 179-185
- Enabling factors related to prosthetic use by people with transtibial and transfemoral amputation.Arch Phys Med Rehabil. 1999; 80: 706-713
Article info
Publication history
Published online: May 11, 2012
Footnotes
Supported by the Malaysia UM/MOHE HIR (grant no: D000014-16001).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Reprints are not available from the author.
In-press corrected proof published online on Jul 7, 2012, at www.archives-pmr.org.
Identification
Copyright
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
