Prosthetic socket fit comfort score
Prosthetic socket fit comfort score
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DOI：
10.1080/09638280310001603983
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发表时间：
2003-11-18
影响因子：
2.2
通讯作者：
Nieveen, R
中科院分区：
文献类型：
--
作者：
Hanspal, RS;Fisher, K;Nieveen, R
目的：验证一种简单的数字量表来记录假肢的关节窝舒适度。方法：本研究采用疼痛数值评定量表（Downie et al.(1)），形成11分制，记录窝孔舒适评分（SCS）。患者被要求用0-10分来评价他们的眼窝舒适度，其中0和10代表最不舒服和最舒适的眼窝。不适合的临床证据评分由医生和义肢师独立记录。在对关节窝进行任何必要的干预后，患者给出了新的舒适度数值评分。对连续44例假肢康复门诊患者进行重复性、标准相关效度、变化敏感性及临床应用研究。结果：研究表明，报告的SCS是一致和可靠的，独立记录者从患者获得的三个评分之间存在高度相关性。在报告的SCS和临床证据之间存在很强的关系，这些临床证据是由医生和义肢专家的评分判断的。干预后，SCS出现明显的积极变化，以改善契合度。结论：SCS具有重复性、标准相关效度和变化敏感性。具有临床应用价值，推荐广泛应用。
Purpose: To validate a simple numerical scale to record the socket comfort of an artificial limb. Method: This study has adapted the numerical rating scale for pain (Downie et al. (1)) to form a 11 point scale to record the socket comfort score (SCS). Patients were asked to rate the comfort of their socket on a 0-10 scale where 0 and 10 represented the most uncomfortable and the most comfortable socket imaginable. Ratings of clinical evidence of poor fit were recorded independently by the physician and the prosthetist. Patients gave new numerical ratings of comfort after any necessary intervention to the socket. Repeatability, criterion related validity, sensitivity to change and use in clinical practice was studied on 44 consecutive patients in the prosthetic rehabilitation clinic. Results: The study showed the reported SCS was consistent and reliable, high correlations being found between three scores obtained from patients by independent recorders. A strong relationship existed between the reported SCS and clinical evidence of poor fit judged by the physician and by the prosthetists' ratings. Significant positive changes in SCS were found after intervention to improve the fit. Conclusion: SCS has shown repeatability, criterion related validity and sensitivity to change. It has clinical utility and wider use is recommended.