Nouri, M J, Aminian, G, Farahmand, F, Rahgozar, M. (1399). Design and Fabrication of a New Expandable Transtibial Liner with Manual Volume Control: A Prototype. سامانه مدیریت نشریات علمی, 10(4), 543-548. doi: 10.31661/jbpe.v0i0.2001-1056
M J Nouri; G Aminian; F Farahmand; M Rahgozar. "Design and Fabrication of a New Expandable Transtibial Liner with Manual Volume Control: A Prototype". سامانه مدیریت نشریات علمی, 10, 4, 1399, 543-548. doi: 10.31661/jbpe.v0i0.2001-1056
Nouri, M J, Aminian, G, Farahmand, F, Rahgozar, M. (1399). 'Design and Fabrication of a New Expandable Transtibial Liner with Manual Volume Control: A Prototype', سامانه مدیریت نشریات علمی, 10(4), pp. 543-548. doi: 10.31661/jbpe.v0i0.2001-1056
Nouri, M J, Aminian, G, Farahmand, F, Rahgozar, M. Design and Fabrication of a New Expandable Transtibial Liner with Manual Volume Control: A Prototype. سامانه مدیریت نشریات علمی, 1399; 10(4): 543-548. doi: 10.31661/jbpe.v0i0.2001-1056
Design and Fabrication of a New Expandable Transtibial Liner with Manual Volume Control: A Prototype
1PhD Candidate, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran
2PhD, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran
3PhD, Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran
4PhD, Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
چکیده
Diurnal volume changes is one of the main factors influencing socket fit in transtibial prosthesis and causing pressure problem issues. Embedded bladder liners have been recently a potential approach to deal with this problem. The aim of this technical note was to introduce a new transtibial silicone liner designed based on hybrid socket theory. To make expandability in the liner, an integrated wax structure was constructed over the selected areas of the positive model and then removed after lamination process. In addition, a mechanical system with manual control was designed to fit the liner with the residual limb volume by pumping the water in or out of the liner through connective tubes. The results showed that this new design had high reliability in maintaining identical surface pressures after volume changes in laboratory trials. Therefore, it seems that selective expandability of this liner would accommodate residual limb volume fluctuations without disturbing effect on preliminary pressure pattern.
Mak AF, Zhang M, Boone DA. State-of-the-art research in lower-limb prosthetic biomechanics-socket interface: a review. J of rehabilitation research and development. 2001;38(2):161-74. PubMed PMID: 11392649.
Safari R, Meier MR. Systematic review of effects of current transtibial prosthetic socket designs-Part 2: Quantitative outcomes. J Rehabil Res Dev. 2015;52(5):509-26. doi: 10.1682/JRRD.2014.08.0184. PubMed PMID: 26436733.
Sanders JE, Zachariah SG, Jacobsen AK, Fergason JR. Changes in interface pressures and shear stresses over time on trans-tibial amputee subjects ambulating with prosthetic limbs: comparison of diurnal and six-month differences. Journal of biomechanics. 2005;38(8):1566-73. doi: 10.1016/j.jbiomech.2004.08.008. PubMed PMID: 15958212.
Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Determinants of skin problems of the stump in lower-limb amputees. Arch Phys Med Rehabil. 2009;90(1):74-81. doi: 10.1016/j.apmr.2008.07.015. PubMed PMID: 19154832.
Sanders JE, Fatone S. Residual limb volume change: systematic review of measurement and management. J Rehabil Res Dev. 2011;48(8):949-86. doi: 10.1682/jrrd.2010.09.0189. PubMed PMID: 22068373 PubMed PMCID: PMC4423813.
Gosthnian BM, Herr H. Inflatable limb prosthesis with preformed inner surface. Patent 4923475; United States; 1990.
Center, A.T. Pump It Up. Available from : http://www.amputee-center.com/pump.htm.
Carrigan W, Nothnagle C, Savant P, Gao F, Wijesundara MB. Pneumatic actuator inserts for interface pressure mapping and fit improvement in lower extremity prosthetics. 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob); Singapore: IEEE; 2016. p. 574-9. doi: 10.1109/BIOROB.2016.7523687.
Krajbich JI, Pinzur MS, Potter BK, Stevens, PM. Atlas of Amputations and Limb Deficiencies: Surgical, Prosthetic, and Rehabilitation Principles. 4th ed. Canada: Lippincott Williams & Wilkins; 2016. p. 493-508.
Zachariah SG, Saxena R, Fergason JR, Sanders JE. Shape and volume change in the transtibial residuum over the short term: Preliminary investigation of six subjects. J Rehabil Res Dev. 2004;41(5):683-94. doi: 10.1682/jrrd.2003.10.0153. PubMed PMID: 15558398.
Abd Razak NA, Osman NA, Gholizadeh H, Ali S. Prosthetics socket that incorporates an air splint system focusing on dynamic interface pressure. Biomed Eng Online. 2014;13:108. doi: 10.1186/1475-925X-13-108. PubMed PMID: 25085005. PubMed PMCID: PMC4120006.
Eshraghi A, Osman NA, Gholizadeh H, et al. An experimental study of the interface pressure profile during level walking of a new suspension system for lower limb amputees. Clinical Biomechanics. 2013;28(1):55-60. doi: 10.1016/j.clinbiomech.2012.10.002.
Dumbleton T, Buis AW, McFadyen A, McHugh BF, McKay G, Murray KD, Sexton S. Dynamic interface pressure distributions of two transtibial prosthetic socket concepts. Journal of Rehabilitation Research & Development. 2009;46(3):405-16. doi: 10.1682/JRRD.2008.01.0015. PubMed PMID: 19675992.
Moo EK, Abu Osman NA, Pingguan-Murphy B, et al, Solomonidis SE. Interface pressure profile analysis for patellar tendon-bearing socket and hydrostatic socket. Acta of bioengineering and biomechanics. 2009;11(4):37-43. PubMed PMID: 20405814.
Baars EC, Schrier E, Dijkstra PU, Geertzen JH. Prosthesis satisfaction in lower limb amputees: A systematic review of associated factors and questionnaires. Medicine. 2018;97(39):e12296. doi: 10.1097/MD.0000000000012296. PubMed PMID: 30278503. PubMed PMCID: PMC6181602.
Dickinson AS, Steer JW, Worsley PR. Finite element analysis of the amputated lower limb: a systematic review and recommendations. Med Eng Phys. 2017;43:1-18. doi: 10.1016/j.medengphy.2017.02.008. PubMed PMID: 28285881.
Neumann ES. Measurement of socket discomfort-Part I: Pressure sensation. JPO Journal of Prosthetics and Orthotics. 2001;13(4):99-110. doi: 10.1016/j.medengphy.2017.02.008. PubMed PMID: 28285881.