Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees' Satisfaction and Perceived Problems With Their Prosthetic Devices
Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees' Satisfaction and Perceived Problems With Their Prosthetic Devices
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DOI：
10.1016/j.apmr.2012.04.024
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发表时间：
2012-11-01
影响因子：
4.3
通讯作者：
Gholizadeh, Hossein
中科院分区：
文献类型：
--
作者：
Ali, Sadeeq;Abu Osman, Noor Azuan;Gholizadeh, Hossein
目的：探讨3种不同悬吊系统对受试者义肢满意度和感知问题的影响。设计：问卷调查。单位：医学与工程研究中心，大学生物医学工程系。参与者：单侧经胫骨截肢患者（N=243），使用聚乙烯泡沫衬垫、带穿梭锁的硅胶衬垫和密封衬垫的假体。干预措施：不适用。主要结果测量：对研究参与者的人口统计信息、满意度和假体相关问题进行描述性分析。结果：三组患者对假体装置的满意度和感知问题有显著差异。对单个项目的分析显示，研究参与者对密封衬垫更满意，并且在使用该衬垫时遇到的问题更少。与聚乙烯泡沫衬垫相比，具有穿梭锁和密封衬垫的硅胶衬垫用户报告了维护时间的显着差异。使用带穿线锁的硅胶衬垫的人出汗更多，而使用密封衬垫的人在戴上和脱下设备时遇到了更大的问题。结论：调查结果提供了一个很好的迹象，表明义肢悬吊是改进的，需要密封，以调查哪种系统为参与者提供最舒适和最少的问题。
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 needed to investigate which system provides the most comfort and the least problems for participants.