Clinical evidence for transfemoral socket prescription: a review of the literature
— University of Strathclyde Skip to main navigation Skip to search Skip to main content University of Strathclyde Home Help & FAQ Home Profiles Research Units Research output Projects Datasets Equipment Student theses Impacts Prizes Activities Search by expertise, name or affiliation Clinical evidence for transfemoral socket prescription: a review of the literature Melissa Brodie, Laura Murray, Anthony McGarry Biomedical Engineering Research output: Contribution to conference › Paper › peer-review Overview Fingerprint Abstract BACKGROUND The prosthetic socket is the interface which connects the human body to the artificial limb and allows transmission of body weight and forces during gait. AIM The review purpose is to assess the quality of scientific evidence and compare this for a variety of available TF socket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort and the advantages/disadvantages associated with each design. METHOD Socket designs included were: Quadrilateral; Ischial Containment; Marlo Anatomical Socket; Sub-Ischial; HighFidelity and the Socket-less socket. A literature review was conducted in five online databases - Compendex, Embase, PubMed, ProQuest Materials science and ProQuest Biological Science - using Boolean search terms and truncation of relevant keywords. Included articles were published between 1989 and 2018. A predetermined methodological criterion was used in conjunction with a modified version of the Oxford Levels of Evidence to assess and grade the quality of selected articles. RESULTS 13 clinical studies were included in this review. Based on the chosen search strategy and quality criterion, this review found a limited, low quality evidence base for all included socket designs. All articles, except one, compared the various socket designs: Quad; Quad and MAS; MAS; Sub-Ischial and HiFi, against an IC socket as this was deemed the ‘standard of care’ design. DISCUSSION AND CONCLUSION Although Ischial Containment attained the highest volume of evidence, this socket design was not proven to be superior. The variety of biomechanical features pertaining to each socket design provide several advantages/disadvantages. Recommendations are made for future research. ACKNOWLEDGEMENTS I would like to thank Marlo Ortiz, R.J. Garrick, Randall Alley and Jay Martin for the images and additional information they provided regarding socket designs. Original language English Publication status Published - 4 Nov 2021 Event International Society for Prosthetics and Orthotics 18th World Congress - Virtual Duration: 1 Nov 2021 → 4 Nov 2021 https://www.ispo-congress.com/ Conference Conference International Society for Prosthetics and Orthotics 18th World Congress Abbreviated title ISPO 2021 Period 1/11/21 → 4/11/21 Internet address https://www.ispo-congress.com/ Keywords prosthetics lower limb transfemoral prosthetic socket Cite this APA Author BIBTEX Harvard Standard RIS Vancouver Brodie, M., Murray, L., & McGarry, A. (2021). Clinical evidence for transfemoral socket prescription: a review of the literature. Paper presented at International Society for Prosthetics and Orthotics 18th World Congress. Brodie, Melissa ; Murray, Laura ; McGarry, Anthony. / Clinical evidence for transfemoral socket prescription : a review of the literature. Paper presented at International Society for Prosthetics and Orthotics 18th World Congress. @conference{5b63e099ffe54fc88e31a08c07fd04fe, title = "Clinical evidence for transfemoral socket prescription: a review of the literature", abstract = "BACKGROUNDThe prosthetic socket is the interface which connects the human body to the artificial limb andallows transmission of body weight and forces during gait.AIMThe review purpose is to assess the quality of scientific evidence and compare this for a variety of available TFsocket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort andthe advantages/disadvantages associated with each design.METHODSocket designs included were: Quadrilateral; Ischial Containment; Marlo Anatomical Socket; Sub-Ischial; HighFidelity and the Socket-less socket. A literature review was conducted in five online databases - Compendex,Embase, PubMed, ProQuest Materials science and ProQuest Biological Science - using Boolean search termsand truncation of relevant keywords. Included articles were published between 1989 and 2018. Apredetermined methodological criterion was used in conjunction with a modified version of the Oxford Levelsof Evidence to assess and grade the quality of selected articles.RESULTS13 clinical studies were included in this review. Based on the chosen search strategy and quality criterion, thisreview found a limited, low quality evidence base for all included socket designs. All articles, exceptone, compared the various socket designs: Quad; Quad and MAS; MAS; Sub-Ischial and HiFi, against an ICsocket as this was deemed the {\textquoteleft}standard of care{\textquoteright} design.DISCUSSION AND CONCLUSIONAlthough Ischial Containment attained the highest volume of evidence, this socket design was not proven tobe superior. The variety of biomechanical features pertaining to each socket design provide severaladvantages/disadvantages. Recommendations are made for future research.ACKNOWLEDGEMENTSI would like to thank Marlo Ortiz, R.J. Garrick, Randall Alley and Jay Martin for the images and additionalinformation they provided regarding socket designs.", keywords = "prosthetics, lower limb transfemoral, prosthetic socket", author = "Melissa Brodie and Laura Murray and Anthony McGarry", year = "2021", month = nov, day = "4", language = "English", note = "International Society for Prosthetics and Orthotics 18th World Congress, ISPO 2021 ; Conference date: 01-11-2021 Through 04-11-2021", url = "https://www.ispo-congress.com/", } Brodie, M, Murray, L & McGarry, A 2021, 'Clinical evidence for transfemoral socket prescription: a review of the literature', Paper presented at International Society for Prosthetics and Orthotics 18th World Congress, 1/11/21 - 4/11/21. Clinical evidence for transfemoral socket prescription : a review of the literature. / Brodie, Melissa; Murray, Laura; McGarry, Anthony. 2021. Paper presented at International Society for Prosthetics and Orthotics 18th World Congress. Research output: Contribution to conference › Paper › peer-review TY - CONF T1 - Clinical evidence for transfemoral socket prescription T2 - International Society for Prosthetics and Orthotics 18th World Congress AU - Brodie, Melissa AU - Murray, Laura AU - McGarry, Anthony PY - 2021/11/4 Y1 - 2021/11/4 N2 - BACKGROUNDThe prosthetic socket is the interface which connects the human body to the artificial limb andallows transmission of body weight and forces during gait.AIMThe review purpose is to assess the quality of scientific evidence and compare this for a variety of available TFsocket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort andthe advantages/disadvantages associated with each design.METHODSocket designs included were: Quadrilateral; Ischial Containment; Marlo Anatomical Socket; Sub-Ischial; HighFidelity and the Socket-less socket. A literature review was conducted in five online databases - Compendex,Embase, PubMed, ProQuest Materials science and ProQuest Biological Science - using Boolean search termsand truncation of relevant keywords. Included articles were published between 1989 and 2018. Apredetermined methodological criterion was used in conjunction with a modified version of the Oxford Levelsof Evidence to assess and grade the quality of selected articles.RESULTS13 clinical studies were included in this review. Based on the chosen search strategy and quality criterion, thisreview found a limited, low quality evidence base for all included socket designs. All articles, exceptone, compared the various socket designs: Quad; Quad and MAS; MAS; Sub-Ischial and HiFi, against an ICsocket as this was deemed the ‘standard of care’ design.DISCUSSION AND CONCLUSIONAlthough Ischial Containment attained the highest volume of evidence, this socket design was not proven tobe superior. The variety of biomechanical features pertaining to each socket design provide severaladvantages/disadvantages. Recommendations are made for future research.ACKNOWLEDGEMENTSI would like to thank Marlo Ortiz, R.J. Garrick, Randall Alley and Jay Martin for the images and additionalinformation they provided regarding socket designs. AB - BACKGROUNDThe prosthetic socket is the interface which connects the human body to the artificial limb andallows transmission of body weight and forces during gait.AIMThe review purpose is to assess the quality of scientific evidence and compare this for a variety of available TFsocket designs. Comparisons will be made of socket biomechanics, metabolic efficiency and comfort andthe advantages/disadvantages associated with each design.METHODSocket designs included were: Quadrilateral; Ischial Containment; Marlo Anatomical Socket; Sub-Ischial; HighFidelity and the Socket-less socket. A literature review was conducted in five online databases - Compendex,Embase, PubMed, ProQuest Materials science and ProQuest Biological Science - using Boolean search termsand truncation of relevant keywords. Included articles were published between 1989 and 2018. Apredetermined methodological criterion was used in conjunction with a modified version of the Oxford Levelsof Evidence to assess and grade the quality of selected articles.RESULTS13 clinical studies were included in this review. Based on the chosen search strategy and quality criterion, thisreview found a limited, low quality evidence base for all included socket designs. All articles, exceptone, compared the various socket designs: Quad; Quad and MAS; MAS; Sub-Ischial and HiFi, against an ICsocket as this was deemed the ‘standard of care’ design.DISCUSSION AND CONCLUSIONAlthough Ischial Containment attained the highest volume of evidence, this socket design was not proven tobe superior. The variety of biomechanical features pertaining to each socket design provide severaladvantages/disadvantages. Recommendations are made for future research.ACKNOWLEDGEMENTSI would like to thank Marlo Ortiz, R.J. Garrick, Randall Alley and Jay Martin for the images and additionalinformation they provided regarding socket designs. KW - prosthetics KW - lower limb transfemoral KW - prosthetic socket M3 - Paper Y2 - 1 November 2021 through 4 November 2021 ER - Brodie M, Murray L, McGarry A. Clinical evidence for transfemoral socket prescription: a review of the literature. 2021. Paper presented at International Society for Prosthetics and Orthotics 18th World Congress. 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