Journal international de médecine physique et de réadaptation
Libre accès

Abstrait

Efficacy of Flared out Sole in Functional and Gait Parameters in Trans-Tibial Prosthetic User

Manas Ranjan Sahoo, Tapas Priyaranjan Behera, A M R Suresh, Smita Jayavant

Introduction: The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration. The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society.

Objective: To investigate the functional and gait parameters improved through flared outsole provided to the trans-tibial prosthetic user.

Results: The mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p<0.001, as there is significant difference between the both Group.

Conclusions: Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced; the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real-world experience to date.