Systematic review of effects of current transtibial prosthetic socket designs—Part 1: Qualitative outcomes

Journal article


Safari, Reza and Meier, Margrit Regula 2015. Systematic review of effects of current transtibial prosthetic socket designs—Part 1: Qualitative outcomes. Journal of Rehabilitation Research and Development. https://doi.org/10.1682/JRRD.2014.08.0183
AuthorsSafari, Reza and Meier, Margrit Regula
Abstract

This review is an attempt to untangle the complexity of transtibial prosthetic socket fit, determine the most important characteristic for a successful fitting, and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. Further, it is intended to provide directions for future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and used medical subject headings and standard key words to search for articles in relevant databases. No restrictions were made on study design or type of outcome measure. From the obtained search results (n = 1,863), 35 articles were included. The relevant data were entered into a predefined data form that incorporated the Downs and Black risk of bias assessment checklist. Results for the qualitative outcomes (n = 19 articles) are synthesized. Total surface bearing sockets lead to greater activity levels and satisfaction in active persons with amputation, those with a traumatic cause of amputation, and younger persons with amputation than patellar tendon bearing sockets. Evidence on vacuum-assisted suction and hydrostatic sockets is inadequate, and further studies are much needed. To improve the scientific basis for prescription, comparison of and correlation between mechanical properties of interface material, socket designs, user characteristics, and outcome measures should be conducted and reported in future studies.

KeywordsProsthetic Socket; Amputation; PTB socket
Year2015
JournalJournal of Rehabilitation Research and Development
PublisherPLOS
ISSN0748-7711
1938-1352
Digital Object Identifier (DOI)https://doi.org/10.1682/JRRD.2014.08.0183
Web address (URL)http://hdl.handle.net/10545/621061
hdl:10545/621061
Publication dates2015
Publication process dates
Deposited25 Nov 2016, 10:05
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Archived with thanks to Journal of Rehabilitation Research and Development

ContributorsUniversity Of Social Welfare and Rehabilitation Sciences, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; and Department for Occupational Therapy, Prosthetics, and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
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