1. How do transtibial residual limbs adjust to intermittent incremental socket volume changes?
- Author
-
Katheryn J. Allyn, Joseph L. Garbini, Brian G. Larsen, Joan E. Sanders, Jake B. McLean, and Jacob T. Brzostowski
- Subjects
Adult ,Male ,medicine.medical_treatment ,Artificial Limbs ,Walking ,Health Professions (miscellaneous) ,Prosthesis ,Prosthesis Fitting ,Humans ,Medicine ,Aged ,Orthodontics ,Tibia ,business.industry ,Amputation Stumps ,Rehabilitation ,Biomechanics ,Extracellular Fluid ,Middle Aged ,equipment and supplies ,Adaptation, Physiological ,body regions ,Female ,Limb volume ,business ,Fluid volume ,Residual limb ,Volume (compression) - Abstract
Strategies to maintain prosthesis users' daily limb volume are needed.Test how intermittent incremental socket volume adjustments affect limb fluid volume and limb-socket distance.Repeated measures.People with transtibial limb loss walked on an outdoor trail wearing a motor-driven adjustable socket that they adjusted a small amount, approximately 0.3% socket volume, every 2 min using a mobile phone app. Limb fluid volume and sensed distance between the socket and a target in their elastomeric liner were monitored. A gradual socket enlargement phase was followed by a gradual socket reduction phase.An incremental socket enlargement significantly increased limb fluid volume (Participants' residual limb fluid volume increases during ambulation compensated for incremental socket volume increases. For incremental socket volume decreases, residual limb fluid volume decreases did not compensate and the socket fit became tighter.Results support the hypothesis that for people without co-morbidities, intermittent incremental socket volume enlargements are an effective accommodation strategy to increase limb fluid volume while maintaining socket fit. Intermittent incremental socket volume reductions decreased limb fluid volume but also made the socket fit tighter.
- Published
- 2019