Article

Management of residual limb volume affects decisions regarding timing of fit of
the first prosthesis, when a new prosthetic socket is needed, design of a
prosthetic socket, and prescription of accommodation strategies for daily volume
fluctuations. This systematic review assesses what is known about measurement and
management of residual limb volume change in persons with lower-limb amputation.
Publications that met inclusion criteria were grouped into three categories:
group I: descriptions of residual limb volume measurement techniques; group II:
studies investigating the effect of residual limb volume change on clinical care
in people with lower-limb amputation; and group III: studies of residual limb
volume management techniques or descriptions of techniques for accommodating or
controlling residual limb volume. We found that many techniques for the
measurement of residual limb volume have been described but clinical use is
limited largely because current techniques lack adequate resolution and in-socket
measurement capability. Overall, limited evidence exists regarding the management
of residual limb volume, and the evidence available focuses primarily on adults
with transtibial amputation in the early postoperative phase. While we can draw
some insights from the available research about residual limb volume measurement
and management, further research is required.

Langue : ANGLAIS