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Related Experiment Video

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Fluid Volume Management in Prosthesis Users: Augmenting Panel Release with Pin Release.

Jake B McLean1, Brian G Larsen1, Ethan J Weathersby1

  • 1Department of Bioengineering, University of Washington, Seattle, WA, USA.

PM & R : the Journal of Injury, Function, and Rehabilitation
|February 28, 2020
PubMed
Summary

Releasing the locking pin along with adjustable socket panels significantly improves transtibial prosthesis users' residual limb fluid volume retention. This strategy enhances socket fit by better managing limb fluid over time.

Keywords:
accommodationadjustable socketamputeelimb volumeprosthesis

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Area of Science:

  • Biomedical Engineering
  • Rehabilitation Science
  • Prosthetics and Orthotics

Background:

  • Managing residual limb fluid volume is crucial for transtibial prosthesis users to maintain optimal socket fit.
  • Daily fluctuations in limb fluid can lead to discomfort and poor prosthetic function.

Purpose of the Study:

  • To evaluate the efficacy of releasing both the panels and locking pin of an adjustable socket compared to releasing panels alone.
  • To determine if this combined release strategy improves limb fluid volume recovery and retention.

Main Methods:

  • A repeated-measures experiment was conducted in a laboratory setting.
  • Participants with transtibial amputations walked on a treadmill.
  • Limb fluid volume was measured using bioimpedance analysis before and after the intervention.

Main Results:

  • Combined panel and pin release showed significantly greater long-term limb fluid volume retention compared to panel release alone.
  • Significant improvements were observed in both anterior and posterior regions of the residual limb.
  • No significant differences were found in short-term fluid retention between the two methods.

Conclusions:

  • Augmenting adjustable socket panel release with locking pin release is an effective strategy for transtibial prosthesis users.
  • This method aids in better retention of residual limb fluid volume, potentially improving long-term socket fit and user comfort.