Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes

Hdl Handle:
http://hdl.handle.net/10545/621057
Title:
Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes
Authors:
Safari, Reza; Meier, Margrit Regula
Abstract:
This review is an attempt to untangle the complexity of transtibial prosthetic socket fit and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. In addition, we identified knowledge gaps, thus providing direction for possible future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design and type of outcome measure used. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that included the Downs and Black risk of bias assessment checklist. This article presents the results from the systematic review of the quantitative outcomes (n = 27 articles). Trends indicate that vacuum-assisted suction sockets improve gait symmetry, volume control, and residual limb health more than other socket designs. Hydrostatic sockets seem to create less inconsistent socket fittings, reducing a problem that greatly influences outcome measures. Knowledge gaps exist in the understanding of clinically meaningful changes in socket fit and its effect on biomechanical outcomes. Further, safe and comfortable pressure thresholds under various conditions should be determined through a systematic approach.
Affiliation:
University of Social Welfare and Rehabilitation Sciences
Citation:
Safari, R. M. and Meier, M. R. (2015) 'Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes', Journal of Rehabilitation Research and Development, 52 (5):509
Publisher:
PLOS
Journal:
Journal of Rehabilitation Research and Development
Issue Date:
2015
URI:
http://hdl.handle.net/10545/621057
DOI:
10.1682/JRRD.2014.08.0184
Additional Links:
http://www.rehab.research.va.gov/jour/2015/525/contents525.html; http://www.rehab.research.va.gov/jrrd/index.html
Type:
Article
Language:
en
ISSN:
0748-7711
EISSN:
1938-1352
Appears in Collections:
Health and Social Care Research Centre

Full metadata record

DC FieldValue Language
dc.contributor.authorSafari, Rezaen
dc.contributor.authorMeier, Margrit Regulaen
dc.date.accessioned2016-11-25T09:36:30Z-
dc.date.available2016-11-25T09:36:30Z-
dc.date.issued2015-
dc.identifier.citationSafari, R. M. and Meier, M. R. (2015) 'Systematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomes', Journal of Rehabilitation Research and Development, 52 (5):509en
dc.identifier.issn0748-7711-
dc.identifier.doi10.1682/JRRD.2014.08.0184-
dc.identifier.urihttp://hdl.handle.net/10545/621057-
dc.description.abstractThis review is an attempt to untangle the complexity of transtibial prosthetic socket fit and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. In addition, we identified knowledge gaps, thus providing direction for possible future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design and type of outcome measure used. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that included the Downs and Black risk of bias assessment checklist. This article presents the results from the systematic review of the quantitative outcomes (n = 27 articles). Trends indicate that vacuum-assisted suction sockets improve gait symmetry, volume control, and residual limb health more than other socket designs. Hydrostatic sockets seem to create less inconsistent socket fittings, reducing a problem that greatly influences outcome measures. Knowledge gaps exist in the understanding of clinically meaningful changes in socket fit and its effect on biomechanical outcomes. Further, safe and comfortable pressure thresholds under various conditions should be determined through a systematic approach.en
dc.language.isoenen
dc.publisherPLOSen
dc.relation.urlhttp://www.rehab.research.va.gov/jour/2015/525/contents525.htmlen
dc.relation.urlhttp://www.rehab.research.va.gov/jrrd/index.htmlen
dc.rightsArchived with thanks to Journal of Rehabilitation Research and Developmenten
dc.subjectPTB socketen
dc.subjectAmputationen
dc.subjectProsthesisen
dc.titleSystematic review of effects of current transtibial prosthetic socket designs—Part 2: Quantitative outcomesen
dc.typeArticleen
dc.identifier.eissn1938-1352-
dc.contributor.departmentUniversity of Social Welfare and Rehabilitation Sciencesen
dc.identifier.journalJournal of Rehabilitation Research and Developmenten
dc.contributor.institutionDepartment of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;-
dc.contributor.institutionDepartment for Occupational Therapy, Prosthetics, and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway-
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