Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study - ePrints Soton The University of Southampton Courses University life Research Business Global About Visit Alumni Departments News Events Contact × Search the SiteSearch Filter your search: All Courses Projects Staff University of Southampton Institutional Repository Search Advanced Search Policies & Help Latest Download Statistics Browse by Year Browse by Divisions LeftRight Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study 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 defning 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 ft, comfort and user satis‑ faction 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 ampu‑ tation) 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 acceler‑ ometer 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 satisfed with socket ft (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. 10.31219/osf.io/rq8vu 1743-0003 Diment, Laura ae7297b9-3a62-4e7c-a52d-49aba51b7608 Nguon, RaksmeyMutta d2937863-a88f-4c16-8a5b-d1fe3f1d871f Seng, Sovansereyrathna 740c4a55-7188-4cc8-9b23-a6ba6d6a3a99 Sit, Vannsnavy 87844180-8507-454c-a7a1-68bb6b505619 Lors, Ply 667f6ccb-4fc8-43ff-b136-a134e5f678ad Thor, Phearsa 91412a51-3d69-45ab-9e83-cf6dcf597f6a Srors, Samedy 76561b0d-aeec-444e-adb2-e877cfa45318 Kheng, Sisary d60e8931-2cd9-4b8b-885a-f5259ade8b38 Granat, Malcolm fc2cdec6-d546-43af-8f50-43238c8dcb66 Donovan-Hall, Margaret 5f138055-2162-4982-846c-5c92411055e0 Worsley, Peter 6d33aee3-ef43-468d-aef6-86d190de6756 Dickinson, Alexander 10151972-c1b5-4f7d-bc12-6482b5870cad 2 May 2022 Diment, Laura ae7297b9-3a62-4e7c-a52d-49aba51b7608 Nguon, RaksmeyMutta d2937863-a88f-4c16-8a5b-d1fe3f1d871f Seng, Sovansereyrathna 740c4a55-7188-4cc8-9b23-a6ba6d6a3a99 Sit, Vannsnavy 87844180-8507-454c-a7a1-68bb6b505619 Lors, Ply 667f6ccb-4fc8-43ff-b136-a134e5f678ad Thor, Phearsa 91412a51-3d69-45ab-9e83-cf6dcf597f6a Srors, Samedy 76561b0d-aeec-444e-adb2-e877cfa45318 Kheng, Sisary d60e8931-2cd9-4b8b-885a-f5259ade8b38 Granat, Malcolm fc2cdec6-d546-43af-8f50-43238c8dcb66 Donovan-Hall, Margaret 5f138055-2162-4982-846c-5c92411055e0 Worsley, Peter 6d33aee3-ef43-468d-aef6-86d190de6756 Dickinson, Alexander 10151972-c1b5-4f7d-bc12-6482b5870cad Diment, Laura, Nguon, RaksmeyMutta, Seng, Sovansereyrathna, Sit, Vannsnavy, Lors, Ply, Thor, Phearsa, Srors, Samedy, Kheng, Sisary, Granat, Malcolm, Donovan-Hall, Margaret, Worsley, Peter and Dickinson, Alexander (2022) Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study. Journal of NeuroEngineering and Rehabilitation, 19 (42). (doi:10.31219/osf.io/rq8vu). Record type: Article 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 defning 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 ft, comfort and user satis‑ faction 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 ampu‑ tation) 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 acceler‑ ometer 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 satisfed with socket ft (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. Text 2022_03_08_PrePrint_Cambodia_ActivityComfortFitSocial - Author's Original Restricted to Repository staff only Available under License Creative Commons Attribution. Request a copy Text s12984-022-01021-7 - Version of Record Available under License Creative Commons Attribution. Download (4MB) More information In preparation date: 22 November 2021 Submitted date: 6 December 2021 Accepted/In Press date: 13 April 2022 Published date: 2 May 2022 Learn more about Institute for Life Sciences research Identifiers Local EPrints ID: 456913 URI: http://eprints.soton.ac.uk/id/eprint/456913 DOI: doi:10.31219/osf.io/rq8vu ISSN: 1743-0003 PURE UUID: 1be462b1-75f1-445a-bb40-d5fd90588f0e ORCID for Peter Worsley: orcid.org/0000-0003-0145-5042 ORCID for Alexander Dickinson: orcid.org/0000-0002-9647-1944 Catalogue record Date deposited: 17 May 2022 16:36 Last modified: 18 May 2022 01:39 Export record ASCII CitationAtomBibTeXData Cite XMLDublin CoreDublin CoreEP3 XMLEndNoteHTML CitationHTML CitationHTML ListJSONMETSMODSMPEG-21 DIDLOpenURL ContextObjectOpenURL ContextObject in SpanRDF+N-TriplesRDF+N3RDF+XMLRIOXX2 XMLReferReference ManagerSimple Metadata Altmetrics Share this record Share this on FacebookShare this on Twitter Share this on Weibo Contributors Author: Laura Diment Author: RaksmeyMutta Nguon Author: Sovansereyrathna Seng Author: Vannsnavy Sit Author: Ply Lors Author: Phearsa Thor Author: Samedy Srors Author: Sisary Kheng Author: Malcolm Granat Author: Margaret Donovan-Hall Author: Peter Worsley Author: Alexander Dickinson Download statistics Downloads from ePrints over the past year. 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