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.

截肢妇女接受更频繁的假肢护理，但对适合性不太满意， 他们的舒适度和假肢的外观比男性。这些发现并不奇怪，因为大多数 假体部件没有性别区分，似乎是为男性设计的。组件 像假脚是由模具制成的，对于假肢公司来说， 提供大量和多种脚形选择。 最近的调查表明，腿部截肢的女性退伍军人无法穿许多 由于假脚的限制，他们希望穿的鞋的类型。退伍军人 他们的假肢如何影响鞋类选择也经历了更大的挑战 更关注身体形象，更少参与日常活动。 该项目将评估一种新的假肢系统的影响，包括一个模块化的假肢踝关节， 可以与几个3D打印的脚互换使用。假肢脚是定制的， 广泛的鞋类，包括不同鞋跟高度和宽度的鞋。换鞋时， 使用者简单地将假踝从一个脚-鞋组合上取下并将其连接到另一个脚-鞋组合上， 而不需要工具或对假体对准的修改。这个新的假肢系统 极大地改善了使用假肢的人的鞋类选择， 截肢退伍军人妇女的身体形象和社区参与。 在这项研究中，截肢的女性退伍军人将从全国样本中招募，以测试他们的身体状况。 模块化脚踝- 3D打印脚系统。将收集知情同意书和基线测量结果 远程控制然后，妇女将前往明尼阿波利斯退伍军人管理局安装新的假肢系统 鞋子的选择。适应新的假肢系统将在几个月内进行， 在明尼阿波利斯度过了几天，并接受了密切的临床监督。回国后，妇女退伍军人与 将对截肢进行为期6个月的远程跟踪，以跟踪其结果。这项研究将 测试我们的新假肢改善鞋类选择将改善身体形象的假设 以及参与截肢的女性退伍军人。定性采访和photovoice也将 在整个研究过程中进行，以了解使用这种新假体的益处和障碍 系统