The Impact of Limited Prosthetic Socket Documentation: A Researcher Perspective.

The Impact of Limited Prosthetic Socket Documentation: A Researcher Perspective.
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DOI:
10.3389/fresc.2022.853414
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发表时间:
2022
期刊:
FRONTIERS IN REHABILITATION SCIENCES
影响因子:
--
通讯作者:
Day, Sarah
Day, Sarah
中科院分区:
其他
文献类型:
--
作者:
Olsen, Jennifer;Turner, Shruti;Chadwell, Alix;Dickinson, Alex;Ostler, Chantel;Armitage, Lucy;McGregor, Alison H.;Dupan, Sigrid;Day, Sarah

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大多数假肢都是套筒安装的。对于这些设备,插座对于充分的假体悬挂、舒适性和控制性是必不可少的。插座在假肢部件中是独一无二的,因为它通常不是大规模生产的,而必须由假肢医生为个别残肢定制。关于什么是“好的”牙槽适合性的知识是由专家修复师和技术人员通过多年的经验获得的,很少有记录在案。对隐性知识的依赖使得很难标准化合适的插座标准,导致很难理解插座适配的影响。尽管插座装配的工作流程很重要,但在文献中常常被忽视。由于插座的定制性质,如果文献中提供了信息,则通常只注意插座和悬挂机构的类型,而省略了关于装配和制造过程的信息。在这篇文章中,从医疗保健专业人员和插座制造专家的支持下,从研究人员的角度讨论了由于缺乏上肢和下肢插座文件而引起的关注、问题和后果。建议对插座制造和评估的记录方式进行关键更改,以帮助未来的研究。
The majority of limb prostheses are socket mounted. For these devices, the socket is essential for adequate prosthetic suspension, comfort, and control. The socket is unique among prosthetic components as it is not usually mass-produced and must instead be custom-made for individual residual limbs by a prosthetist. The knowledge of what constitutes “good” socket fit is gained by expert prosthetists and technicians over years of experience, and rarely documented. The reliance on tacit knowledge makes it difficult to standardize the criteria for a well-fitting socket, leading to difficulties understanding the impact of socket fit. Despite its importance, the workflow for socket fitting is often overlooked in literature. Due to the customized nature of sockets, if information is provided in literature, generally only the type of socket and suspension mechanism is noted, with information regarding the fitting and manufacturing processes omitted. In this article, the concerns, issues and consequences arising from lack of upper and lower limb socket documentation are discussed from a researcher perspective, supported by healthcare professionals and socket fabrication specialists. Key changes are proposed to the way socket manufacturing and evaluation are documented to assist future research.
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