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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Transtibial Socket Design, Interface, and Suspension: A Clinical Practice Guideline
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Transtibial Socket Design, Interface, and Suspension: A Clinical Practice Guideline

机译:Transtibial Socket设计,界面和暂停:临床实践指南

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Materials: N/A Methods: The guideline is based upon the best available evidence as it relates to socket design, interface, and suspension of definitive transtibial prostheses. Where possible, recommendations are drawn from systematic review and meta-analysis. Where this standard is unavailable, alternate academic literature has been used to support individual recommendations. Results: Recommendation 1: The static and dynamic pressure distribution of the residual limb within the socket are essential considerations in patient comfort, function and well-being. Recommendation 2: Total surface bearing sockets are indicated to decrease fitting times and enable higher activity levels. Recommendation 3: Compared to traditional foam-based interfaces, viscoelastic interface liners are indicated to decrease dependence on walking aides, improve suspension, improve load distribution, decrease pain and increase comfort Recommendation 4: Among modern suspension options, vacuum assisted suspension (VAS) sockets permits the least amount of pistoning within the socket, followed by suction suspension and then pin-lock suspension. The traditional suspension options of supracondylar, cuff and sleeve suspension provide comparatively compromised suspension. Recommendation 5: VAS sockets are indicated to decrease daily limb volume changes of the limb in the socket while facilitating more favorable pressure distribution during gait Recommendation 6: VAS sockets require both awareness and compliance on the part of the end user and are not universally indicated. Conclusions: These clinical practice guidelines summarize the available evidence related to the socket design, interface, and suspension of definitive transitibial prostheses. The noted clinical practice guidelines are meant to serve on as "guides." They may not apply to all patients and clinical situations.
机译:材料:N / A方法:指南基于最佳可用证据,因为它与套接字设计,界面和暂停的套接字设计,界面和悬浮液相关。在可能的情况下,从系统审查和META分析中汲取建议。如果该标准不可用,则已习惯备选学术文献来支持个人建议。结果:建议1:插座内残留肢体的静态和动态压力分布是患者舒适,功能和福祉的基本考虑因素。建议2:总表面轴承插座表示为减少拟合时间并实现更高的活动水平。建议3:与传统的泡沫界面相比,粘弹性界面衬垫指示依赖于行走助手,改善悬浮液,提高负荷分布,降低疼痛和增加舒适推荐4:真空辅助悬架(VAS)插座之间的舒适推荐允许在插座内的最少的活塞,然后抽吸悬浮液然后销锁悬浮液。 Supracondylar,袖带和套筒悬浮液的传统悬架选择提供相对受损的悬浮液。建议5:VAS插座表示,在步态建议6期间促进更有利的压力分布,促进了插座中的肢体的每日肢体体积变化,促进了最终用户的一部分,并且不会普遍地指出,因此在步态推荐中减少了斜槽的日常压力分布。结论:这些临床实践指南总结了与套接字设计,界面和悬浮液相关的可用证据。已注意的临床实践指南旨在作为“指南”。它们可能不适用于所有患者和临床情况。

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