An Automatically-adjusting Prosthetic Socket for People With Transtibial Amputation
University of Washington
Summary
People with leg amputations often experience daily changes in the size (volume) of their residual limb. These daily changes can cause a prosthesis to fit poorly. They can also cause limb problems like pain or skin breakdown. Prosthetic socket systems that accommodate limb volume changes can help address these issues, but they require users to make adjustments throughout the day. The aim of this research is to create a system that will automatically adjust the fit of the socket and create a well-fitting prosthesis for people with leg amputations who experience volume fluctuations when using their prosthesis.
Description
he goal of this research is to determine if an automatic-adjusting prosthetic socket produces better participant outcomes than a manually-adjusting socket or a standard of care control in people with trans-tibial limb amputation. Prosthesis users will wear each socket configuration for 2 weeks. Endpoints will include self-reported comfort, convenience, and fatigue; residual limb health; wear time; activities time; and variability in socket fit. Each condition will be tested separately in a cross-over study design, including a 2-week washout period between the conditions. This aim will use a cr…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
* 18 years or older * Unilateral or bilateral trans-tibial amputation at least 12 months prior * Have a limb of length 9 cm or greater * Are capable of at least 5 minutes of continuous walking * Are capable of at least 1 hour of intermittent walking * Regularly use a definitive prosthesis with a pin-lock suspension system and no or few pads * Have adequate sensation to verbalize a socket that is too large or too small to be tolerated * Do not regularly use assistive devices (e.g., cane, walker) for ambulation * Do not have open wounds on their residual limb at the time of enrollment
Interventions
- DeviceAuto Adjusting Prosthesis
Participants will test the auto adjusting prosthesis. The prosthesis will be able to move up to 3 panels built into the socket walls to expand or tighten the socket's fit. The auto adjustments will take place during periods of sitting, standing, or walking. Manual adjustments will also be possible either via the researcher controlling the prosthesis or via the key fob developed in the first aim.
Location
- William H. Foege HallSeattle, Washington