Evaluation of a new geriatric foot versus the Solid Ankle Cushion Heel foot for low-activity amputees. (April 2015)

• Record Type: Journal Article
• Authors: Bonnet, Xavier; Adde, Jean N; Blanchard, François; Gedouin-Toquet, Annick; Eveno, Dominique
• Is Part Of: Prosthetics and orthotics international. Volume 39:Number 2(2015:Apr.)
• Page Start: 112
• Page End: 118
• Publication Date: 2015-04
• Subjects: Prosthetic foot -- geriatric amputee; Orthopedic apparatus -- Periodicals; Prosthesis -- Periodicals; Implants, Artificial -- Periodicals; 617.905
• DOI: 10.1177/0309364613515492
• Languages: English
• ISSNs: 0309-3646

Abstract

Background: It is always a challenge to rehabilitate geriatric amputees to perform self-care skills at home with limited ambulation. A new geriatric foot (with a lower effective foot length) has been specifically designed to reduce residual limb stress and to ease the step completion. Objectives: The aim of this study is to evaluate the benefit of a new geriatric foot versus a Solid Ankle Cushion Heel foot for low-activity persons with transtibial amputation. Study design: Crossover study. Methods: A total of 12 patients were included in this study. Outcome measures: 2-min walking test, Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 questionnaire and pressure socket measurements. Results: The geriatric foot allows for greater patient satisfaction. The maximal pressure was significantly lower in the proximal anterior stump area. No statistical differences were obtained from the 2-min walking test. Conclusion: A geriatric foot designed with a low effective foot length improves the satisfaction and reduces proximal anterior socket pressures for poor-performing persons with transtibial amputation. Clinical relevance: The development and evaluation of feet specifically designed for geriatric persons with transtibial amputation could improve their specific requirements and satisfaction.