Clinical evaluation of two prosthetic suspension systems in a bilateral transtibial amputee

Gholizadeh, Hossein and Abu Osman, Noor Azuan and Kamyab, Mojtaba and Eshraghi, Arezoo and Luviksdottir, Asa Gulaug and Wan Abas, Wan Abu Bakar (2012) Clinical evaluation of two prosthetic suspension systems in a bilateral transtibial amputee. American Journal of Physical Medicine & Rehabilitation, 91 (10). pp. 894-898. ISSN 0894-9115, DOI https://doi.org/10.1097/PHM.0b013e31823c74d7.

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Abstract

The effects of Seal-In X5 and Dermo liner (Össur) on suspension and patient's comfort in lower limb amputees are unclear. In this report, we consider the case of a 51-yr-old woman with bilateral transtibial amputation whose lower limbs were amputated because of peripheral vascular disease. The subject had bony and painful residual limbs, especially at the distal ends. Two prostheses that used Seal-In X5 liners and a pair of prostheses with Dermo liners were fabricated, and the subject wore each for a period of 2 wks. Once the 2 wks had passed, the pistoning within the socket was assessed and the patient was questioned as to her satisfaction with both liners. This study revealed that Seal-In X5 liner decreased the residual limb pain experienced by the patient and that 1-2 mm less pistoning occurred within the socket compared with the Dermo liner. However, the patient needed to put in extra effort for donning and doffing the prosthesis. Despite this, it is clear that the Seal-In X5 liner offers a viable alternative for individuals with transtibial amputations who do not have enough soft tissue around the bone, especially at the end of the residual limb.

Item Type:	Article
Funders:	UNSPECIFIED
Additional Information:	Gholizadeh, Hossein Abu Osman, Noor Azuan Kamyab, Mojtaba Eshraghi, Arezoo Luviksdottir, Asa Gulaug Wan Abas, Wan Abu Bakar eng Case Reports Evaluation Studies Research Support, Non-U.S. Gov't 2011/12/17 06:00 Am J Phys Med Rehabil. 2012 Oct;91(10):894-8.
Uncontrolled Keywords:	Amputation; Pain; Prostheses; Rehabilitation; amputation stump; body equilibrium; case report; evaluation; female; human; instrumentation; leg; limb prosthesis; methodology; middle aged; pain assessment; patient satisfaction; peripheral vascular disease; physiology; prosthesis; tibia; walking; weight bearing; Amputation Stumps; Artificial Limbs; Humans; Pain Measurement; Peripheral Vascular Diseases; Postural Balance; Prosthesis Design; Prosthesis Fitting; Weight-Bearing
Subjects:	R Medicine T Technology > T Technology (General) T Technology > TA Engineering (General). Civil engineering (General)
Divisions:	Faculty of Engineering
Depositing User:	Mr Jenal S
Date Deposited:	09 Apr 2014 01:53
Last Modified:	02 Dec 2019 09:27
URI:	http://eprints.um.edu.my/id/eprint/9484

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