Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study
— Research @ Flinders Skip to main navigation Skip to search Skip to main content Research @ Flinders Home Home Profiles Research Units Projects Research output Prizes Activities Search by expertise, name or affiliation Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study Laura Diment, Raksmey Mutta Nguon, Sovansereyrathna Seng, Vannsnavy Sit, Ply Lors, Phearsa Thor, Samedy Srors, Sisary Kheng, Malcolm Granat, Maggie Donovan-Hall, Peter Worsley, Alex Dickinson Research output: Contribution to journal › Article › peer-review Overview Fingerprint Abstract Background: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. Methods: Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24–60 years old and 3–43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. Results: Participants averaged 4470 steps/day (743–7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5–17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman’s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person’s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0–10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. Conclusion: Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings. Original language English Article number 42 Number of pages 18 Journal Journal of NeuroEngineering and Rehabilitation Volume 19 Issue number 1 DOIs https://doi.org/10.1186/s12984-022-01021-7 Publication status Published - May 2022 Externally published Yes Keywords 3D scanning Accelerometer Activity Comfort Community participation Limb volume Low resourced country Lower-limb prosthesis Outcome measures Access to Document 10.1186/s12984-022-01021-7Licence: CC BY Diment_Activity_P2022Final published version, 3.87 MBLicence: CC BY Other files and links Link to publication in Scopus Fingerprint Dive into the research topics of 'Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study'. Together they form a unique fingerprint. Community Participation Medicine & Life Sciences 100% Prostheses and Implants Medicine & Life Sciences 70% Lower Extremity Medicine & Life Sciences 64% Cohort Studies Medicine & Life Sciences 54% Amputation Medicine & Life Sciences 29% Exercise Medicine & Life Sciences 19% Extremities Medicine & Life Sciences 14% Cambodia Medicine & Life Sciences 13% View full fingerprint Cite this APA Author BIBTEX Harvard Standard RIS Vancouver Diment, L., Nguon, R. M., Seng, S., Sit, V., Lors, P., Thor, P., Srors, S., Kheng, S., Granat, M., Donovan-Hall, M., Worsley, P., & Dickinson, A. (2022). Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study. Journal of NeuroEngineering and Rehabilitation, 19(1), [42]. https://doi.org/10.1186/s12984-022-01021-7 Diment, Laura ; Nguon, Raksmey Mutta ; Seng, Sovansereyrathna ; Sit, Vannsnavy ; Lors, Ply ; Thor, Phearsa ; Srors, Samedy ; Kheng, Sisary ; Granat, Malcolm ; Donovan-Hall, Maggie ; Worsley, Peter ; Dickinson, Alex. / Activity, socket fit, comfort and community participation in lower limb prosthesis users : a Cambodian cohort study. In: Journal of NeuroEngineering and Rehabilitation. 2022 ; Vol. 19, No. 1. @article{6cc7d29f04f94a6a8fbeb102f8d23168, title = "Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study", abstract = "Background: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. Methods: Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24–60 years old and 3–43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. Results: Participants averaged 4470 steps/day (743–7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5–17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman{\textquoteright}s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person{\textquoteright}s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0–10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. Conclusion: Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings.", keywords = "3D scanning, Accelerometer, Activity, Comfort, Community participation, Limb volume, Low resourced country, Lower-limb prosthesis, Outcome measures", author = "Laura Diment and Nguon, {Raksmey Mutta} and Sovansereyrathna Seng and Vannsnavy Sit and Ply Lors and Phearsa Thor and Samedy Srors and Sisary Kheng and Malcolm Granat and Maggie Donovan-Hall and Peter Worsley and Alex Dickinson", year = "2022", month = may, doi = "10.1186/s12984-022-01021-7", language = "English", volume = "19", journal = "Journal of NeuroEngineering and Rehabilitation", issn = "1743-0003", publisher = "BioMed Central Ltd.", number = "1", } Diment, L, Nguon, RM, Seng, S, Sit, V, Lors, P, Thor, P, Srors, S, Kheng, S, Granat, M, Donovan-Hall, M, Worsley, P & Dickinson, A 2022, 'Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study', Journal of NeuroEngineering and Rehabilitation, vol. 19, no. 1, 42. https://doi.org/10.1186/s12984-022-01021-7 Activity, socket fit, comfort and community participation in lower limb prosthesis users : a Cambodian cohort study. / Diment, Laura; Nguon, Raksmey Mutta; Seng, Sovansereyrathna; Sit, Vannsnavy; Lors, Ply; Thor, Phearsa; Srors, Samedy; Kheng, Sisary; Granat, Malcolm; Donovan-Hall, Maggie; Worsley, Peter; Dickinson, Alex. In: Journal of NeuroEngineering and Rehabilitation, Vol. 19, No. 1, 42, 05.2022. Research output: Contribution to journal › Article › peer-review TY - JOUR T1 - Activity, socket fit, comfort and community participation in lower limb prosthesis users T2 - a Cambodian cohort study AU - Diment, Laura AU - Nguon, Raksmey Mutta AU - Seng, Sovansereyrathna AU - Sit, Vannsnavy AU - Lors, Ply AU - Thor, Phearsa AU - Srors, Samedy AU - Kheng, Sisary AU - Granat, Malcolm AU - Donovan-Hall, Maggie AU - Worsley, Peter AU - Dickinson, Alex PY - 2022/5 Y1 - 2022/5 N2 - Background: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. Methods: Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24–60 years old and 3–43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. Results: Participants averaged 4470 steps/day (743–7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5–17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman’s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person’s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0–10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. Conclusion: Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings. AB - Background: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis users so they can live a more active and socially included lifestyle. This longitudinal observational study aims to assess relationships between physical activity, community participation, prosthetic fit, comfort and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis users. Methods: Twenty participants (5F:15M, nine transfemoral, eleven transtibial, 24–60 years old and 3–43 years since amputation) were recruited. They completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study, and between three and six months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect ten weeks of activity data. Results: Participants averaged 4470 steps/day (743–7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 h/day (4.5–17.6 h/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman’s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person’s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0–10 scale of overall comfort did not provide enough detail to understand the types and severity of discomfort experienced. Conclusion: Associations between perceived and measured activity levels correlated with socket satisfaction in this cohort of people with established lower limb amputations. The small sample size means these correlations should be interpreted with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis users in Cambodia, and potentially in other settings. KW - 3D scanning KW - Accelerometer KW - Activity KW - Comfort KW - Community participation KW - Limb volume KW - Low resourced country KW - Lower-limb prosthesis KW - Outcome measures UR - http://www.scopus.com/inward/record.url?scp=85129245124&partnerID=8YFLogxK U2 - 10.1186/s12984-022-01021-7 DO - 10.1186/s12984-022-01021-7 M3 - Article C2 - 35501879 AN - SCOPUS:85129245124 VL - 19 JO - Journal of NeuroEngineering and Rehabilitation JF - Journal of NeuroEngineering and Rehabilitation SN - 1743-0003 IS - 1 M1 - 42 ER - Diment L, Nguon RM, Seng S, Sit V, Lors P, Thor P et al. Activity, socket fit, comfort and community participation in lower limb prosthesis users: a Cambodian cohort study. Journal of NeuroEngineering and Rehabilitation. 2022 May;19(1). 42. https://doi.org/10.1186/s12984-022-01021-7 Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2022 Elsevier B.V. We use cookies to help provide and enhance our service and tailor content. By continuing you agree to the use of cookies Log in to Pure About web accessibility
