Unilateral transfemoral amputation Transfemoral limb loss Prosthetic socket fitting Functional limitations in transfemoral amputees Restricted hip motion during floor sitting and kneeling Mobility and comfort in lower limb prosthesis users Transfemoral posthesis Prosthetic socket Above knee amputation Resource limited settings Socket Comfort Floor sitting culture Dynamic balance
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Adult unilateral above knee amputee who has used prothesis for at least 1 year. 2 Short to long length of residual limb 3 Cause of amputation is non-dysvascular 4 Has been a prosthesis user for more than a year 5 Activity level two or higher 6 Body mass index (BMI) between 17 to 30 kg/m2 with weight less than 100 kg 7 Be able to read, understand and write in Thai language
Exclusion criteria
Exclusion criteria: 1 They have more than one major lower limb amputation 2 Any surgical procedure involving the non-amputated side 3 Limitations in hip range of motion (ROM) 4 Manual muscle test grade of less than four on either lower extremity, stump edema, stump wounds and any history of allergic reactions to socket plastics (Polypropylene, Polyester resin) and/or EMG electrode materials (Ag/Cl) 5Problems in comprehension and communication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| socket comfort after walking test and floor sitting Socket comfort score,Walking performance approximately 5hr familiarization period after optimum fit is achieved Six minute walk test ,dynamic balance approximately 5hr familiarization period after optimum fit is achieved four square stepped test ,Metabolic cost approximately 5hr familiarization period after optimum fit is achieved oxygen consumption during walking test ,Temporal-Spatial Gait Analysis approximately 5hr familiarization period after optimum fit is achieved gait parameters measured using G walk sensor system | — |
Secondary
| Measure | Time frame |
|---|---|
| Hip range of motion after functional performance tests general and floor sitting Hip range of motion measure via kinovea system | — |
Countries
Thailand
Contacts
Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital, Mahidol University