Journal of Rehabilitation Research & Development (JRRD)

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Volume 50 Number 9, 2013
   Pages 1241 — 1252

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

Jason T. Kahle, MSMS, CPO, FAAOP;* M. Jason Highsmith, PT, DPT, PhD, CP, FAAOP

School of Physical Therapy and Rehabilitation Sciences, University of South Florida, Tampa, FL

Abstract — 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.

Clinical Trial Registration: ClinicalTrials.gov; NCT01416129; "Southern bone & joint study–Brimless sockets";
http://clinicaltrials.gov/ct2/show/NCT01416129

Key words: amputation, biomechanics, fluoroscope, ischial ramus containment, kinematics, prosthetic, suspension, transfemoral socket, vacuum-assisted suspension, X-ray.


View HTML  ¦  View PDF  ¦  Contents Vol. 50, No. 9
The article and any supplementary material should be cited as follows:
Kahle JT, Highsmith MJ. Transfemoral sockets with vacuum-assisted suspension comparison of hip kinematics, socket position, contact pressure, and preference: Ischial containment versus brimless. J Rehabil Res Dev. 2013; 50(9):1241–52.
http://dx.doi.org/10.1682/JRRD.2013.01.0003
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