Document Detail


Effect of prosthetic gel liner thickness on gait biomechanics and pressure distribution within the transtibial socket.
MedLine Citation:
PMID:  22773525     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Prosthetic gel liners are often prescribed for persons with lower-limb amputations to make the prosthetic socket more comfortable. However, their effects on residual limb pressures and gait characteristics have not been thoroughly explored. This study investigated the effects of gel liner thickness on peak socket pressures and gait patterns of persons with unilateral transtibial amputations. Pressure and quantitative gait data were acquired while subjects walked on liners of two different uniform thicknesses. Fibular head peak pressures were reduced (p = 0.04) with the thicker liner by an average of 26 +/- 21%, while the vertical ground reaction force (GRF) loading peak increased 3 +/- 3% (p = 0.02). Most subjects perceived increased comfort within the prosthetic socket with the thicker liner, which may be associated with the reduced fibular head peak pressures. Additionally, while the thicker liner presumably increased comfort by providing a more compliant limb-socket interface, the higher compliance may have reduced force and vibration feedback to the residual limb and contributed to the larger vertical GRF loading peaks. We conclude that determining optimal gel liner thickness for a particular individual will require further investigations to better identify and understand the compromises that occur between user perception, residual-limb pressure distribution, and gait biomechanics.
Authors:
Erin Boutwell; Rebecca Stine; Andrew Hansen; Kerice Tucker; Steven Gard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation research and development     Volume:  49     ISSN:  1938-1352     ISO Abbreviation:  J Rehabil Res Dev     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-07-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8410047     Medline TA:  J Rehabil Res Dev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-40     Citation Subset:  IM    
Affiliation:
Northwestern University Prosthetics-Orthotics Center, 680 N Lake Shore Dr, Suite 1100, Chicago, IL 60611. erinboutwell2015@u.northwestern.edu.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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