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Improved Self-Reported Comfort, Stability, and Limb Temperature Regulation with an Immediate Fit, Adjustable
Chloe McCloskey1, Jessica Kenia1, Frances Shofer2
1Department of Physical Medicine and Rehabilitation, University of Pennsylvania Perelman School of Medicine; Philadelphia, PA.
Archives of Rehabilitation Research and Clinical Translation
|December 31, 2020
Summary
The adjustable iFIT transtibial prosthesis significantly improved patient satisfaction and temperature perception compared to conventional devices. This immediate-fit system shows promise for enhanced prosthetic care.
Area of Science:
- Prosthetics and Orthotics
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Transtibial limb loss necessitates prosthetic devices for mobility.
- Conventional prosthetics can present challenges in fit and comfort.
- Adjustable, immediate-fit systems offer a potential alternative to traditional fabrication methods.
Purpose of the Study:
- To compare patient satisfaction with an adjustable, immediate-fit transtibial prosthesis (iFIT) versus conventionally fabricated devices.
- To evaluate subjective outcomes related to comfort and thermal perception.
Main Methods:
- Prospective, single-group, pre-post intervention study design.
- 24 adult participants with transtibial limb loss were evaluated over two weeks.
- The modified Prosthetic Evaluation Questionnaire (PEQ) was used to assess satisfaction.
Main Results:
- The iFIT system showed significantly higher Modified PEQ scores compared to conventional prosthetics (p < 0.01).
- Participants reported significantly better temperature perception with the iFIT system (p < 0.001).
- No adverse events such as skin breakdown, prosthetic issues, or falls were reported.
Conclusions:
- The adjustable, immediate-fit transtibial prosthesis (iFIT) significantly enhances patient satisfaction and thermal perception.
- These findings support the efficacy of immediate-fit adjustable prosthetic systems.
- Further international, long-term studies are ongoing to assess durability and efficacy in diverse populations.
