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Related Experiment Videos

Prosthetic socket fit comfort score.

R S Hanspal1, Keren Fisher, Richard Nieveen

  • 1Stanmore Disability Services Centre, RNOHT, Middlesex, UK. rajiv.hanspal@thh.nhs.uk

Disability and Rehabilitation
|November 18, 2003
PubMed
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A new 11-point scale effectively measures socket comfort for artificial limbs. This Socket Comfort Score (SCS) is reliable, valid, and sensitive to changes, proving useful in clinical practice.

Area of Science:

  • Prosthetics and Orthotics
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Socket comfort is crucial for prosthetic users' quality of life.
  • Existing methods for assessing socket comfort may lack standardization or sensitivity.
  • A simple, reliable tool is needed to quantify socket comfort.

Purpose of the Study:

  • To validate a simple numerical scale for recording artificial limb socket comfort.
  • To establish the reliability and validity of the Socket Comfort Score (SCS).

Main Methods:

  • Adapted an 11-point numerical rating scale for pain to create the Socket Comfort Score (SCS).
  • Assessed 44 patients in a prosthetic rehabilitation clinic.
  • Evaluated repeatability, criterion-related validity, and sensitivity to change after interventions.

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Main Results:

  • The SCS demonstrated consistency and reliability, with high correlations between repeated patient scores.
  • A strong relationship was observed between reported SCS and clinical assessments of poor fit by physicians and prosthetists.
  • Significant improvements in SCS were recorded after interventions to enhance socket fit.

Conclusions:

  • The Socket Comfort Score (SCS) is repeatable, valid, and sensitive to changes in socket fit.
  • The SCS has demonstrated clinical utility in prosthetic rehabilitation.
  • Wider adoption and use of the SCS are recommended for improved patient care.