Residual limb volume change: Systematic review of measurement and management

Joan E. Sanders, Stefania Fatone

Research output: Contribution to journalReview article

80 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)949-986
Number of pages38
JournalJournal of rehabilitation research and development
Volume48
Issue number8
DOIs
StatePublished - 2011

Keywords

  • Amputation
  • Amputee
  • Artificial limbs
  • Measurement
  • Prosthesis fitting
  • Residual limb volume
  • Shape
  • Stump
  • Suction
  • Vacuum

ASJC Scopus subject areas

  • Rehabilitation

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