Transfemoral sockets with vacuum-assisted suspension comparison of hip kinematics, socket position, contact pressure, and preference: ischial containment versus brimless

The objective of this study was to investigate the effect of brimless compared with ischial ramus containment (IRC) prosthetic sockets when using vacuum-assisted suspension (VAS) on persons with a unilateral transfemoral amputation (TFA). A randomized crossover design with a 2 d accommodation was us...

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2013-01, Vol.50 (9), p.1241-1252
Main Authors: Kahle, Jason T, Highsmith, M Jason
Format: Article
Language:English
Subjects:
Adult
Aged
Amputation Stumps
Amputees - rehabilitation
Artificial Limbs
Biomechanical Phenomena
Comparative analysis
Cross-Over Studies
Female
Fluoroscopy
Hip Joint - physiopathology
Humans
Implants, Artificial
Kinematics
Leg
Male
Middle Aged
Physiological aspects
Pressure
Pressure distribution
Prostheses
Prosthesis
Prosthesis Design
Prosthesis Fitting
Range of Motion, Articular
Studies
Symmetry
Vacuum
Young Adult
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Summary:The objective of this study was to investigate the effect of brimless compared with ischial ramus containment (IRC) prosthetic sockets when using vacuum-assisted suspension (VAS) on persons with a unilateral transfemoral amputation (TFA). A randomized crossover design with a 2 d accommodation was used. People with unilateral TFA (n = 9 analyzed) were enrolled. Interventions were IRC VAS and brimless VAS sockets. Main outcome measures included coronal hip angle and vertical and lateral socket movement as measured by X-ray, skin pressure measured by Tekscan, and preference measured subjectively. The brimless design was statistically equivalent to IRC in all measured coronal hip angles and vertical and lateral socket displacement. The peak/stance mean pressure in the medial proximal aspect of the socket was 322 mmHg in the IRC compared with 190 mmHg in the brimless condition. Except for medial proximal pressure, no other measures reached statistical significance. All subjects reported the brimless design to be more comfortable than the IRC in short-term preference. Brimless VAS socket design may be a clinically viable choice for people with TFA.
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2013.01.0003