Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 8, 2011
   Pages 949 — 986

Abstract —  Residual limb volume change: Systematic review of measurement and management

Joan E. Sanders, PhD;1* Stefania Fatone, PhD2

1Department of Bioengineering, University of Washington, Seattle, WA; 2Northwestern University Prosthetics-Orthotics Center, Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Chicago, IL

Abstract — Management of residual limb volume affects decisions regarding timing of fit of the first prosthesis, when a new prosthetic socket is needed, design of a prosthetic socket, and prescription of accommodation strategies for daily volume fluctuations. This systematic review assesses what is known about measurement and management of residual limb volume change in persons with lower-limb amputation. Publications that met inclusion criteria were grouped into three categories: group I: descriptions of residual limb volume measurement techniques; group II: studies investigating the effect of residual limb volume change on clinical care in people with lower-limb amputation; and group III: studies of residual limb volume management techniques or descriptions of techniques for accommodating or controlling residual limb volume. We found that many techniques for the measurement of residual limb volume have been described but clinical use is limited largely because current techniques lack adequate resolution and in-socket measurement capability. Overall, limited evidence exists regarding the management of residual limb volume, and the evidence available focuses primarily on adults with transtibial amputation in the early postoperative phase. While we can draw some insights from the available research about residual limb volume measurement and management, further research is required.

Key words: amputation, amputee, artificial limbs, measurement, prosthesis fitting, residual limb volume, shape, stump, suction, vacuum.


View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 8
This article and any supplementary material should be cited as follows:
Sanders JE, Fatone S. Residual limb volume change: Systematic review of measurement and management. J Rehabil Res Dev. 2011;48(8):949-86.
DOI:10.1682/JRRD.2010.09.0189
ResearcherID: Joan Sanders, PhD: E-8204-2011; Stefania Fatone, PhD: E-8490-2011
Crossref

Last Reviewed or Updated  Friday, October 14, 2011 9:45 AM

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