The effect of flexible and hard sockets on the ambulation of above knee amputees

Results: When socket weight acceptance through the amputated side and flexibility assessment related with prostheses were compared between the two sockets applications, important differences were found to be in flexibility, prosthetic weight and weight bearing on the amputated side in favour of the flexible socket (p

📌 3 Key Takeaways

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Objective & Hypothesis:This study was performed to investigate the effect of flexible and hard sockets on the rehabilitation of above knee amputees.

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Key Findings & Data:Material and methods: 40 unilateral above knee amputees with age of 20-40 years were included in the study.

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Conclusion & Impact:Results: When socket weight acceptance through the amputated side and flexibility assessment related with prostheses were compared between the two sockets applications, important differences were found to be in flexibility, prosthetic weight and weight bearing on the amputated side in favour of the flexible socket (p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

This study was performed to investigate the effect of flexible and hard sockets on the rehabilitation of above knee amputees. Material and methods: 40 unilateral above knee amputees with age of 20-40 years were included in the study. Amputees received prosthetic treatment with hard and flexible sockets seven days respectively. Balance, weight acceptance, gait and ambulation activities were given in prosthetic treatment. After the treatment with each socket application flexibility assessment related with prostheses, prosthetic weight, weight acceptance through the amputated side, gait analysis, .ambulation activities were evaluated. Results: When socket weight acceptance through the amputated side and flexibility assessment related with prostheses were compared between the two sockets applications, important differences were found to be in flexibility, prosthetic weight and weight bearing on the amputated side in favour of the flexible socket (p

Özet

Bu çalışma, diz üstü amputelerde esnek ve sert soketlerin ambulasyona etkisini araştırmak amacıyla planlandı. Gereç ve yöntem: Çalışma kapsamında yaşları 20-40 yıl arasında değişen unilateral 40 diz üstü ampute alındı. Olgulara önce sert daha sonra esnek soket ile yedişer günlük denge, ağırlık aktarma, yürüme ve ambulasyon aktivitelerini içeren protez eğitimi verildi. Eğitimi takiben olgular protez ile oturma ve ayakta durma pozisyonunda esneklik ölçümleri, protez ağırlığı, ampute taraf ağırlık taşıma yüzdesi, yürüyüş ve ambulasyon aktiviteleri açısından her iki soket tipi ile değerlendirildi. Sonuçlar: Yapılan değerlendirmeler sonucunda; esneklik ölçümleri, protez ağırlığı ve ağırlık taşıma yüzdesi yönünden esnek soket lehine anlamlı farklılıklar olduğu saptandı (p0.05), sağlam taraf adım uzunlukları arasında esnek soket lehine istatistiksel olarak anlamlı bir fark elde edildi (p

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Cite This Article

ÜLGER, G. Ö., AKDOĞAN, S., BAYAR, K., YAKUT, Y., ERBAHÇECİ, F., ŞENER, G., YİĞİTER, K. (2022). The effect of flexible and hard sockets on the ambulation of above knee amputees. Fizyoterapi Rehabilitasyon, Cilt: 13 - Sayı: 1, 13–18. https://ajindex.com/articles/516990

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References (19)

Schuch CM. Thermoplastic applications in lower extremity prosthetics. J Prosthet Orthot. 1990; 3(7): 1-8
Pritham CH, Fillauer C, Fillauer K. Experience with the Scandinavian flexible socket. Prosthet Orthot Int. 1985; 39:17-32
Pritham CH. Biomechanics and shape of the above knee socket considered in light of the ischial containment concept. Prosthet Orthot Int. 1990; 14:9-21
Redhead RG. Total surface bearing self suspending above-knee sockets. Prosthet Orthot Int. 1979; 3:126- 136
Kristinsson O. Flexible above knee socket made from low density, polyethylene suspended a weight- transmitting frame. Prosthet Orthot Int. 1983; 37:25-27
Kawamura I, Kawamura J. Some biomechanical evaluation of the ISYN flexible above-knee system with quadrilateral socket. Prosthet Orthot Int. 1986; 40(2): 17- 23
Lehneis HR. Flexible prosthetic socket techniques. Clin Prosthet Orthot. 1984; 8(l):6-8
Sabolich J. Contoured adducted trochanteric-controlled alignment method: Introduction and basic principles. Clin Prosthet Orthot. 1985; 9:15-26
Schuch CM. Modern above-knee fitting practice. J Prosthet Orthot. 1988;12: 77-90
Hanak R, Hoffmann ES. Specifications and fabrication details for the ISYN above-knee socket system. Prosthet Orthot Int. 1986; 40(2): 38-42
Fishman S, Berger N, Krebs D. The ISYN (Icelandic- Swedish-New York University) flexible above-knee socket. Phys Ther. 1985; 65: 742
Long I. Normal shape-normal alignment (NSNA) above- knee prosthetics. Clin Prosthet Orthot. 1985; 9:9-14
Gruendel TM. Relationship between weight-bearing characteristics in standing ambulatory independence in hemiplegics. Physiother Can. 1992; 44(4):16-17
Jones ME, Steel JR, Bashford GM, Davidson IR. Static versus dynamic prosthetic weight-bearing in elderly trans-tibial amputees. Prosthet Orthot Int. 1997; 21:100- 106
Whittle MW. Gait Analysis: An Introduction. Butterworth, Heinemann, Oxford. 1991; 130-173
Shores M. Footprint analysis in gait documentation. Phys Ther. 1980; 60:1163-1167
Gailey RS, Clark CR. Physical therapy of adult lower- limb amputees. Bowker JH, Michael JW (eds). Atlas of Limb Prosthetics: Surgical, Prosthetic and Rehabilitation Principles. Mosby Year Book. St. Louis. 1992; 569-597
Kegel B, Carpenter LM, Buegess ME. Functional capabilities of lower extremity. Arch Phys MedRehabil. 1987; 59:109-120
Geertzen JHB, Martina JD, Rietman HS. Lower limb amputation Part 2: Rehabilitation - a 10 year l