Self-reported prosthetic sock use among persons with transtibial amputation.

Self-reported prosthetic sock use among persons with transtibial amputation.
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DOI:
10.1177/0309364613499064
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发表时间:
2014-08
影响因子:
1.5
通讯作者:
Sanders JE
Sanders JE
中科院分区:
医学4区
文献类型:
--
作者:
D'Silva K;Hafner BJ;Allyn KJ;Sanders JE

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横断面调查残肢的形状和大小的日常变化影响假肢接受腔的适合性。通常添加或移除假肢袜子以管理肢体体积的变化。关于经胫骨截肢的人如何使用袜子来管理昼夜变化的体积和舒适度的报道很少。采用自定义自我报告问卷调查假肢袜子的使用情况。经胫骨截肢者报告了14天内袜子的数量、厚度和使用时间。纳入了23例受试者(16例男性/7例女性)的数据。平均而言,袜子每天更换不到一次(0.6只/天),并且每天的层数增加(从4.8层增加到5.5层)。与周末相比,受试者在工作日穿戴假体的时间明显更长(15.0小时和14.1小时,p=0.02),换袜子的频率明显更高(0.6/天和0.4/天,p=0.03)。参与者还被分为两个亚组:那些使用袜子来管理肢体体积的人和那些使用袜子来舒适插座的人。袜子的使用在亚组之间没有差异(p>0.05)。换袜子在下肢缺失的人中并不常见。最初,口头报告的袜子使用往往与日志测量的数据不一致。工具(例如,袜子日志或客观仪器)来更好地了解肢体缺失者的袜子使用习惯。
Cross-sectional survey Daily changes in the shape and size of the residual limb affect prosthetic socket fit. Prosthetic socks are often added or removed to manage changes in limb volume. Little has been published about how persons with transtibial amputations use socks to manage diurnal changes in volume and comfort. To investigate prosthetic sock use with a custom, self-report questionnaire. Persons with transtibial amputation reported number, thickness, and timing of socks used over a 14-day period. Data from 23 subjects (16M/7F) were included. On average, socks were changed less than once per day (0.6/day) and ply increased over the day (from 4.8ply to 5.5ply). Subjects wore prostheses significantly longer (15.0hrs and 14.1hrs, p=0.02) and changed socks significantly more often (0.6/day and 0.4/day, p=0.03) on weekdays compared to weekends. Participants were also divided into two subgroups: those who used socks to manage limb volume and those who use socks for socket comfort. Sock use did not differ (p>0.05) between subgroups. Sock changes are infrequent among persons with lower limb loss. Initial, verbal reports of sock use were often inconsistent with data measured by logs. Tools (e.g., sock logs or objective instruments) to better understand sock use habits among persons with limb loss are needed.
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