Impact of Improving Footwear Options for Women Veterans with Amputations

改善截肢女退伍军人鞋类选择的影响

• 批准号: 10641398
• 负责人: Andrew H. Hansen
• 金额: --
• 依托单位: MINNEAPOLIS VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10641398
• 关键词: 3D Print; Affect; Amputation; Amputees; Ankle; Appearance; Artificial Leg; Body Image; Caring; Clinical; Community Participation; Congresses; Data; Feminine; Focus Groups; Funding; Future; Health; Heel; Height; Home; Informed Consent; Intervention; Interview; Leg; Licensing; Life; Marketing; Measures; Methods; Modeling; Modification; Molds; Outcome; Persons; Prosthesis; Prosthesis Design; Research; Role; Sampling; Shapes; Shoes; Supervision; Surveys; System; Testing; Travel; Veterans; Width; Woman; Work; ankle prosthesis; design; experience; fabrication; foot; home test; improved; men; novel; product development; prosthetic alignment; prosthetic foot; recruit; tool

Women with amputations receive more frequent prosthetics care, but are less satisfied with the fit, comfort, and appearance of their prostheses than men. These findings are not surprising as most prosthesis components are not gender-specific and seem to have been designed for men. Components like prosthetic feet are made from molds, and it is prohibitively expensive for prosthetics companies to provide a high number and variety of foot shape options. Recent surveys indicate that women Veterans with leg amputations are unable to wear many of the types of footwear they desire to wear due to limitations of the prosthetic foot. Women Veterans who have greater perceived challenges with how their prosthesis affected footwear options also experienced significantly more body image concerns and participated less in daily activities. This project will assess the impact of a new prosthesis system including a modular prosthetic ankle that can be used interchangeably with several 3D-printed feet. The prosthetic feet are customized to fit a wide range of footwear, including shoes of different heel heights and widths. To change footwear, the user simply removes the prosthetic ankle from one foot-shoe combination and connects it to another, without the need for tools or modifications to the prosthetic alignment. This new prosthesis system dramatically improves footwear options for persons using leg prostheses, enabling potential to increase body image and community participation for women Veterans with leg amputations. In this study, women Veterans with amputations will be recruited from a national sample to test the modular ankle – 3D printed feet system. Informed consent and baseline measures will be collected remotely. Women will then travel to the Minneapolis VA to be fitted with the novel prosthesis system and shoes of their choice. Accommodation to the new prosthesis system will take place over several days in Minneapolis with close clinical supervision. After returning home, women Veterans with amputations will be followed remotely for a period of 6-months to track their outcomes. The study will test the hypotheses that improving footwear options with our novel prosthesis will improve body image and participation in women Veterans with amputations. Qualitative interviewing and photovoice will also be conducted throughout the study to understand the benefits and barriers to using this new prosthesis system.

截肢的妇女获得较常见的假肢护理，但对适合的满意不满意， 舒适和假肢的外观比男人。这些发现并不奇怪，因为大多数 假体成分不是特定性别的，并且似乎是为男性设计的。成分 就像假肢是由模具制成的，而对于假肢公司来说，它被禁止 提供大量和多种脚形选择。 最近的调查表明，具有腿截肢的女性退伍军人无法佩戴许多 由于假肢的局限性，他们希望穿的鞋类类型。女退伍军人 通过假体影响鞋类选择，面临更大的挑战 明显更多的身体形象问题，参与日常活动。 该项目将评估新的假体系统的影响，包括模块化的假肢脚踝 可以用几英尺互换使用。定制假肢以适合 各种各样的鞋类，包括高跟高度和宽度不同的鞋子。要改变鞋类， 用户只是从一个脚鞋组合中除去假肢脚踝，然后将其连接到另一个脚鞋， 无需对假肢一致性进行工具或修改。这个新的假体系统 急剧改善了使用腿假肢的人的鞋类选择，从而有可能增加 具有腿截肢的女退伍军人的身体形象和社区参与。 在这项研究中，将从国家样本中招募具有截肢的女退伍军人，以测试 模块化脚踝 - 3D打印脚系统。将收集知情同意和基线措施 远程。然后，妇女将前往明尼阿波利斯弗吉尼亚州，以配备新颖的假体系统 和他们选择的鞋子。新假体系统的住宿将在几个 明尼阿波利斯的天数，并有临床监督。回到家后，妇女退伍军人与 截肢将在6个月的时间内进行远程遵循，以跟踪其结果。研究将 测试假设，即通过我们的新假体改善鞋类选择将改善身体形象 并参与截肢的女退伍军人。定性面试和光载也将 在整个研究中进行进行，以了解使用这种新假体的好处和障碍 系统。