评估改造的插座造和成型与单边横截肢截肢的全表面轴承技术:对旋转控制,插座适合满意度和接口压力的影响
Batoul Bagheripour1,2,3, Mohammad Ali Mardani1, Behnam Hajiaghaei4
1Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Prosthetics and orthotics international
|December 26, 2025
概括
与总表面承载 (TSB) 插座相比,修改后的插座设计改善了跨腿截肢者的行走稳定性和旋转控制. 参与者更喜欢修改后的插座,表明舒适度和功能提高.
科学领域:
- 假肢和整形手术
- 生物力学 生物力学
- 康复工程 康复工程
背景情况:
- 插座设计对于功能和舒适的假肢至关重要.
- 剩余肢体和假肢之间的接口显著影响用户的结果.
- 总表面轴承 (TSB) 插座是一种常见的假肢接口.
研究的目的:
- 为了比较修改的插座造/成型技术与TSB插座的有效性.
- 通过使用不同的插座设计,评估单边横截肢患者的结果.
- 为了评估插座的适合性,稳定性,旋转控制,接口压力和用户偏好.
主要方法:
- 一个交叉试验涉及八个单边的跨肢截肢者.
- 参与者每人使用TSB和修改插座四周.
- 结果指标包括插座满意度,旋转控制,接口压力和保留偏好.
主要成果:
- 修改后的插座显示出明显改善的步态稳定性 (P=0.02) 和侧向旋转控制 (P=0.01).
- 没有观察到在骨或骨头上局部压力的显著差异 (P>0.05).
- 参与者对保留修改后的插座表现出明显更高的偏好 (P=0.03).
结论:
- 修改后的插座设计在假肢行走方面提供了潜在的优势.
- 改进的旋转控制和用户偏好表明对TSB插座有好处.
- 修改后的插座保持总表面接触,同时可能减少特定的压力点.
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