Perceived impact of socket fit on major lower limb prosthetic rehabilitation: a clinician and amputee perspective
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Published version
Author(s)
Turner, Shruti
McGregor, Alison
Type
Journal Article
Abstract
Objective
To determine amputees’ and rehabilitation clinicians’ perspectives on the impact of socket fit and issues caused by ill-fitting sockets throughout lower limb prosthetic rehabilitation.
Design
A survey was developed to identify rehabilitation factors and issues for prosthesis wearers and rehabilitation clinicians. Participants opted to participate in a further telephone interview.
Setting
Online and across the United Kingdom.
Participants
Lower limb prosthetic wearers and clinicians that are part of a lower limb prosthetic rehabilitation team.
Interventions
Not applicable.
Main Outcome Measure(s)
A survey and an interview to measure the perceived impact of socket fit on lower limb rehabilitation.
Results
48.0% of amputees and 65.7% of clinicians identified socket fit related issues as the biggest factor impacting rehabilitation. Amputee interviewees focused on the impact of fit on quality of life and the ability to complete daily tasks, whilst clinicians focused on the lack of widespread ability to adjust the socket and gait re-education.
Conclusions
Socket fit has a large impact on and is a large source of frustration to amputees and their clinical teams throughout rehabilitation. From the interviews, it became clear that the interpretation of socket fit is different for each person; thus “socket fit” does not mean the same for all.
To determine amputees’ and rehabilitation clinicians’ perspectives on the impact of socket fit and issues caused by ill-fitting sockets throughout lower limb prosthetic rehabilitation.
Design
A survey was developed to identify rehabilitation factors and issues for prosthesis wearers and rehabilitation clinicians. Participants opted to participate in a further telephone interview.
Setting
Online and across the United Kingdom.
Participants
Lower limb prosthetic wearers and clinicians that are part of a lower limb prosthetic rehabilitation team.
Interventions
Not applicable.
Main Outcome Measure(s)
A survey and an interview to measure the perceived impact of socket fit on lower limb rehabilitation.
Results
48.0% of amputees and 65.7% of clinicians identified socket fit related issues as the biggest factor impacting rehabilitation. Amputee interviewees focused on the impact of fit on quality of life and the ability to complete daily tasks, whilst clinicians focused on the lack of widespread ability to adjust the socket and gait re-education.
Conclusions
Socket fit has a large impact on and is a large source of frustration to amputees and their clinical teams throughout rehabilitation. From the interviews, it became clear that the interpretation of socket fit is different for each person; thus “socket fit” does not mean the same for all.
Date Issued
2020-09
Date Acceptance
2020-05-07
Citation
Archives of Rehabilitation Research and Clinical Translation, 2020, 2 (3), pp.1-8
ISSN
2590-1095
Publisher
Elsevier
Start Page
1
End Page
8
Journal / Book Title
Archives of Rehabilitation Research and Clinical Translation
Volume
2
Issue
3
Copyright Statement
© 2020 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine. The Journal Pre-Proof available open access under a CC-BY-NC-ND Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Identifier
PII: S2590-1095(20)30024-0
Publication Status
Published
Article Number
ARTN 100059
Date Publish Online
2020-05-21