Journal of Rehabilitation Research & Development (JRRD)

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Volume 49 Number 10, 2012
   Pages 1467 — 1478

Abstract — Preliminary investigation of residual-limb fluid volume changes within one day

Joan E. Sanders, PhD;1* Katheryn J. Allyn, CPO;1 Daniel S. Harrison, BSEE;1 Timothy R. Myers, MME;1 Marcia A. Ciol, PhD;2 Elaine C. Tsai, MD, MPH3

Departments of 1Bioengineering and 2Rehabilitation Medicine, University of Washington, Seattle, WA; 3Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA

Abstract–The purpose of this research was to investigate rates of residual-limb fluid volume change within one day for people with transtibial limb loss. Rates of fluid volume change during 30 min test sessions of sitting, standing, and walking activities were measured twice a day, once in the morning and once in the afternoon, on 12 regular prosthesis users with the use of bioimpedance analysis. Between test sessions, all subjects consumed food and drink, and subject activity ranged from low to high. The rate of fluid volume change within sessions ranged from –8.5 to 5.9 %/h (median: –2.2 %/h). The rate of fluid volume change between sessions ranged from –2.7 to 0.9 %/h (median: –1.0 %/h). The between-session rate of fluid volume change correlated highly with afternoon within-session rates of change (r = 0.9) but was not well correlated with morning within-session rates of change (r = 0.8). Subjects with peripheral arterial complications showed greater fluid volume loss rates during test sessions than between sessions. Rate of fluid volume change may be affected by sitting, standing, and walking activities; presence of peripheral arterial complications; being female; time since amputation; and wearing the socket without doffing for extended periods.

Key words: amputation, bioimpedance analysis, diurnal, fluid volume, prosthesis, shrinkage, swelling, transtibial, volume accommodation, volume change.


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 10
This article and any supplementary material should be cited as follows:
Sanders JE, Allyn JK, Harrison DS, Myers TR, Ciol MA Tsai EC. Preliminary investigation of residual-limb fluid volume changes within one day. J Rehabil Res Dev. 2012;49(10):1467–78.
http://dx.doi.org/10.1682/JRRD.2011.12.0236

Last Reviewed or Updated  Wednesday, February 13, 2013 2:06 PM

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