The modular socket system in a rural setting in Indonesia

Bob Giesberts* (Corresponding Author), Liezel Ennion, Olle Hjelmstrom, Agusni Karma, Knut Lechler, Edsko Hekman, Arjen Bergsma

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    1 Citation (Scopus)
    48 Downloads (Pure)

    Abstract

    Background: Prosthetic services are inaccessible to people living in rural areas. Systems like the modular socket system have the potential to be fabricated outside of the prosthetic workshop. Objectives: This study aimed to evaluate the patient’s performance and satisfaction with the use of the modular socket system, and the technical feasibility of its implementation in a rural setting. Study design: A quantitative longitudinal descriptive study design was followed. Methods: A total of 15 persons with a lower limb amputation were fitted with the modular socket system and followed over 4–6 months. Performance was measured using a 2-min walk test, 10-m walk test and mobility and function questionnaire. Satisfaction was measured by the Socket Fit Comfort Score, Prosthesis Evaluation Questionnaire and EuroQoL 5 Dimensions 5 Levels. Notes on technical feasibility were taken at the moment of fitting (t0), at 1–3 months post fitting (t1) and at the end evaluation at 4–6 months post fitting (t2). Results: Performance did not change between t0 and t2. The comfort of the socket fit reduced between t0 and t2. Satisfaction with prosthesis and general health status stayed constant over time. The average fitting-time for the modular socket system was 6.4 h. Conclusion: The modular socket system can be considered a useful alternative for use in rural settings. Clinical relevance: The use of the modular socket system is feasible and can improve accessibility to prosthetic technology in rural areas. Experienced prosthetic users were satisfied with the performance and the device. The shorter manufacturing time and use of only hand-held tools makes it an ideal alternative for use in remote and rural settings.

    Original languageEnglish
    Pages (from-to)336-343
    JournalProsthetics and orthotics international
    DOIs
    Publication statusPublished - 1 Jun 2018

    Fingerprint

    Indonesia
    Prostheses and Implants
    Patient Satisfaction
    Amputation
    Health Status
    Longitudinal Studies
    Lower Extremity
    Hand
    Technology
    Education
    Equipment and Supplies
    Surveys and Questionnaires
    Walk Test

    Keywords

    • UT-Hybrid-D
    • community-based rehabilitation
    • direct lamination
    • low-income countries
    • Prosthetics
    • accessibility

    Cite this

    Giesberts, Bob ; Ennion, Liezel ; Hjelmstrom, Olle ; Karma, Agusni ; Lechler, Knut ; Hekman, Edsko ; Bergsma, Arjen. / The modular socket system in a rural setting in Indonesia. In: Prosthetics and orthotics international. 2018 ; pp. 336-343.
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    abstract = "Background: Prosthetic services are inaccessible to people living in rural areas. Systems like the modular socket system have the potential to be fabricated outside of the prosthetic workshop. Objectives: This study aimed to evaluate the patient’s performance and satisfaction with the use of the modular socket system, and the technical feasibility of its implementation in a rural setting. Study design: A quantitative longitudinal descriptive study design was followed. Methods: A total of 15 persons with a lower limb amputation were fitted with the modular socket system and followed over 4–6 months. Performance was measured using a 2-min walk test, 10-m walk test and mobility and function questionnaire. Satisfaction was measured by the Socket Fit Comfort Score, Prosthesis Evaluation Questionnaire and EuroQoL 5 Dimensions 5 Levels. Notes on technical feasibility were taken at the moment of fitting (t0), at 1–3 months post fitting (t1) and at the end evaluation at 4–6 months post fitting (t2). Results: Performance did not change between t0 and t2. The comfort of the socket fit reduced between t0 and t2. Satisfaction with prosthesis and general health status stayed constant over time. The average fitting-time for the modular socket system was 6.4 h. Conclusion: The modular socket system can be considered a useful alternative for use in rural settings. Clinical relevance: The use of the modular socket system is feasible and can improve accessibility to prosthetic technology in rural areas. Experienced prosthetic users were satisfied with the performance and the device. The shorter manufacturing time and use of only hand-held tools makes it an ideal alternative for use in remote and rural settings.",
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    The modular socket system in a rural setting in Indonesia. / Giesberts, Bob (Corresponding Author); Ennion, Liezel; Hjelmstrom, Olle; Karma, Agusni; Lechler, Knut; Hekman, Edsko; Bergsma, Arjen.

    In: Prosthetics and orthotics international, 01.06.2018, p. 336-343.

    Research output: Contribution to journalArticleAcademicpeer-review

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    AU - Ennion, Liezel

    AU - Hjelmstrom, Olle

    AU - Karma, Agusni

    AU - Lechler, Knut

    AU - Hekman, Edsko

    AU - Bergsma, Arjen

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    N2 - Background: Prosthetic services are inaccessible to people living in rural areas. Systems like the modular socket system have the potential to be fabricated outside of the prosthetic workshop. Objectives: This study aimed to evaluate the patient’s performance and satisfaction with the use of the modular socket system, and the technical feasibility of its implementation in a rural setting. Study design: A quantitative longitudinal descriptive study design was followed. Methods: A total of 15 persons with a lower limb amputation were fitted with the modular socket system and followed over 4–6 months. Performance was measured using a 2-min walk test, 10-m walk test and mobility and function questionnaire. Satisfaction was measured by the Socket Fit Comfort Score, Prosthesis Evaluation Questionnaire and EuroQoL 5 Dimensions 5 Levels. Notes on technical feasibility were taken at the moment of fitting (t0), at 1–3 months post fitting (t1) and at the end evaluation at 4–6 months post fitting (t2). Results: Performance did not change between t0 and t2. The comfort of the socket fit reduced between t0 and t2. Satisfaction with prosthesis and general health status stayed constant over time. The average fitting-time for the modular socket system was 6.4 h. Conclusion: The modular socket system can be considered a useful alternative for use in rural settings. Clinical relevance: The use of the modular socket system is feasible and can improve accessibility to prosthetic technology in rural areas. Experienced prosthetic users were satisfied with the performance and the device. The shorter manufacturing time and use of only hand-held tools makes it an ideal alternative for use in remote and rural settings.

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