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Titre : | Comparison of Ischial Containment and Subischial Sockets on Comfort, Function, Quality of Life, and Satisfaction With Device in Persons With Unilateral Transfemoral Amputation: A Randomized Crossover Trial (2021) |
Auteurs : | Stefania Fatone ; Ryan Caldwell ; John Angelico ; Rebecca Stine ; Kwang-Youn Kim ; Steven Gard ; Michael Oros |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 11, 2021) |
Article en page(s) : | p. 2063-2073.e2 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.05.016 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Membre inférieur ; Membres artificiels ; Réadaptation ; Résultat thérapeutique |
Résumé : |
Objective
To compare comfort and functional performance of the Northwestern University Flexible Subischial Vacuum (NU-FlexSIV) Socket with the ischial containment (IC) socket in persons with unilateral transfemoral amputation. Design Randomized crossover trial with two 7-week periods. Setting Private prosthetic clinics and university research laboratory. Participants A total of 30 enrolled (N=30); 25 participants completed the study with full (n=18) or partial data (n=7). Interventions Two custom-fabricated sockets (IC and NU-FlexSIV), worn full-time for 7 weeks, with testing at 1, 4, and 7 weeks after socket delivery. Main Outcome Measures The primary outcome was change in Socket Comfort Score (SCS) at 7 weeks. Secondary outcomes at 7 weeks included the Orthotic and Prosthetic Users Survey (OPUS) to assess lower extremity functional status, health-related quality of life, and satisfaction with device, as well as the 5-Times Rapid Sit-to-Stand Test, Four Square Step Test, and T-Test of Agility to assess functional performance. Results At 7 weeks, the mean SCS for IC (7.0±1.7) and NU-FlexSIV (8.4±1.1) Sockets were significantly different (P<.001 confidence interval results from a linear mixed-effects model accounting for data all time points indicated that the scs was higher nu-flexsiv socket secondary outcomes only opus satisfaction with device significantly better in after points.> Conclusions The results suggest that after 7 weeks accommodation, the NU-FlexSIV Socket was more comfortable and led to greater satisfaction with device than the IC socket in persons with unilateral transfemoral amputation and K3/K4 mobility. Other patient-reported outcomes and function were no different between sockets. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321004615#! |