Residual limb volume change: systematic review of measurement and management.

Residual limb volume change: systematic review of measurement and management.
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DOI:
10.1682/jrrd.2010.09.0189
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发表时间:
2011
影响因子:
--
通讯作者:
Fatone S
Fatone S
中科院分区:
其他
文献类型:
--
作者:
Sanders JE;Fatone S

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残肢容量的管理影响到关于第一个假体适配的时机、何时需要新的假体插座、假体插座的设计以及针对日常体积波动的调节策略的处方的决定。这项系统性综述的目的是评估关于测量和处理下肢截肢者残肢体积变化的已知情况。符合纳入标准的出版物分为三类:(I)残肢体积测量技术的描述;(Ii)研究残肢体积变化对临床护理的影响的下肢截肢者的研究;以及(Iii)残肢体积管理技术的研究或对容纳或控制残肢体积的技术的描述。综述显示,目前已描述了许多测量残肢体积的技术,但由于现有技术缺乏足够的分辨率和插管测量能力,临床应用受到很大限制。总体而言,关于残肢容量管理的证据有限,现有的证据主要集中在手术后早期经胫骨截肢的成年人。虽然我们可以从现有的关于残肢体积测量和管理的研究中得到一些启示,但还需要进一步的研究。
Management of residual limb volume affects decisions regarding timing of fit of the first prosthesis, when a new prosthetic socket is needed, design of a prosthetic socket, and prescription of accommodation strategies for daily volume fluctuations. The purpose of this systematic review was to assess what is known about measurement and management of residual limb volume change in persons with lower-limb amputation. Publications that met inclusion criteria were grouped into three categories: (I) descriptions of residual limb volume measurement techniques; (II) studies on people with lower-limb amputation investigating the effect of residual limb volume change on clinical care; and (III) studies of residual limb volume management techniques or descriptions of techniques for accommodating or controlling residual limb volume. The review showed that many techniques for the measurement of residual limb volume have been described but clinical use is limited largely because current techniques lack adequate resolution and in-socket measurement capability. Overall, there is limited evidence regarding the management of residual limb volume, and the evidence available focuses primarily on adults with trans-tibial amputation in the early post-operative phase. While we can draw some insights from the available research about residual limb volume measurement and management, further research is required.
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