Article

OBJECTIVE: To investigate the effects of 3 dissimilar suspension systems on
participants' satisfaction and perceived problems with their prostheses. DESIGN:
Questionnaire survey. SETTING: A medical and engineering research center and a
university biomedical engineering department. PARTICIPANTS: Persons with
unilateral transtibial amputation (N=243), using prostheses with polyethylene
foam liner, silicone liner with shuttle lock, and seal-in liner. INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: Descriptive analyses were performed on the
demographic information, satisfaction, and prosthesis-related problems of the
study participants. RESULTS: The results showed significant differences between
the 3 groups regarding the degree of satisfaction and perceived problems with the
prosthetic device. Analyses of the individual items revealed that the study
participants were more satisfied with the seal-in liner and experienced fewer
problems with this liner. The silicone liner with shuttle lock and seal-in liner
users reported significant differences in maintenance time compared with the
polyethylene foam liner. Users of the silicone liner with shuttle lock
experienced more sweating, while those who used the seal-in liner had greater
problems with donning and doffing the device. CONCLUSIONS:
The results of the
survey provide a good indication that prosthetic suspension is improved with the
seal-in liner as compared with the polyethylene foam liner and silicone liner
with shuttle lock. However, further prospective studies are needed to investigate
which system provides the most comfort and the least problems for participants.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS