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Evaluating the use of a thermoplastic socket in Kenya: A pilot study
Giulia Barbareschi1, Wesley Teerlink2, Josepg Gakunga Njuguna3
1University College London Interaction Centre, London, UK.
Prosthetics and Orthotics International
|March 25, 2022
Summary
The Confidence Socket shows promise for improving prosthetic access in low-resource settings, with users reporting better mobility. However, long-term satisfaction with the transtibial prosthesis needs further study.
Area of Science:
- Biomedical Engineering
- Rehabilitation Science
- Prosthetics and Orthotics
Background:
- Access to prosthetic care is limited for amputees in low-resource settings.
- Novel technologies like the thermoplastic Confidence Socket may improve prosthetic service accessibility.
Purpose of the Study:
- To evaluate user satisfaction and performance of transtibial prostheses utilizing the Confidence Socket.
Main Methods:
- A longitudinal study involving 26 transtibial amputees fitted with the Confidence Socket.
- Functional mobility assessed using the L test and Amputee Mobility Predictor.
- Satisfaction measured via Trinity Amputation and Prosthetic Experience Scales and Likert scales.
Main Results:
- Significant improvements in perceived activity restriction and L test mobility times were observed.
- Self-reported satisfaction with the Confidence Socket was lower at follow-up compared to initial fitting.
- Only 10 out of 26 participants completed the follow-up assessment.
Conclusions:
- The Amparo Confidence Socket offers a potential solution for enhancing prosthetic access in Kenya.
- Further investigation is required to understand and address the decrease in user satisfaction over time.
