Residual limb temperature study with Pe-Lite liner in traumatic transtibial amputees

Rohina Kumari; Tausif Jamal

doi:10.18203/2394-6040.ijcmph20232390

Authors

Rohina Kumari Artificial Limb and Rehabilitation Centre, Dr. Shakuntala Mishra National Rehabilitation University, Lucknow, Uttar Pradesh, India
Tausif Jamal Department of Prosthetics and Orthotics, Ishwar Institute of Prosthetics and Orthotics, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232390

Keywords:

Residual limb, Temperature, Pe-lite liner, Traumatic amputation, Transtibial amputee

Abstract

Interventions to alleviate thermal discomfort, a common complaint in amputees, are typically chosen based on residual limb skin temperature while wearing prosthesis; however, residual limb skin temperature while outside of the prosthesis has received less attention. The purpose of this study was to investigate the localized and regional skin temperature over the transtibial residual limb (TRL) when the prosthesis was removed. The present study documents the temperature variations in a traumatic below knee amputee with Pe-Lite liner. This study included eight unilateral transtibial amputees. Over the residual limb, twelve sites were marked in four columns (anterior, posterior, medial, and lateral) and three rows (proximal, middle, and distal). The temperature of the residual limb was measured with an infrared thermometer both in a relaxed state and after 30 minutes of activity with a Pe-Lite liner. The current study found a rise in temperature on the anterior side (36.30⁰C to 36.44⁰C), posterior side (36.36⁰C to 36.50⁰C), medial side (36.34⁰C to 36.40⁰C), and lateral side (36.35⁰C to 36.45⁰C). The temperature distribution over the TRL was found to be unequal, with significantly higher and lower temperatures on its posterior and medial sides, respectively.

Metrics

Metrics Loading ...

References

Williams RJ, Takashima A, Ogata T, Holloway C. A pilot study towards long-term thermal comfort research for lower-limb prosthesis wearers. Prosthetics Orthotics Int. 2019;43(1):47-54.

Hachisuka K, Nakamura T, Ohmine S, Shitama H, Shinkoda K. Hygiene problems of residual limb and silicone liners in transtibial amputees wearing the total surface bearing socket. Arch Physical Med Rehabilitation. 2001;82(9):1286-90.

Butler K, Bowen C, Hughes AM, Torah R, Ayala I, Tudor J, et al. A systematic review of the key factors affecting tissue viability and rehabilitation outcomes of the residual limb in lower extremity traumatic amputees. J Tissue Viability. 2014;23(3):81-93.

Ghoseiri K, Safari MR. Prevalence of heat and perspiration discomfort inside prostheses: Literature review. J Rehabilitation Res Development. 2014;51(6):855-67.

Meulenbelt HEJ, Geertzen JHB, Dijkstra PU, Jonkman MF. Skin problems in lower limb amputees: An overview by case reports. J Eur Academy Dermatol Venereol. 2007;21(2):147-55.

Klute GK, Huff E, Ledoux WR. Does activity affect residual limb skin temperatures? Clin Orthopaed Rel Res. 2014;472(10):3062-7.

Klute GK, Rowe GI, Mamishev AV, Ledoux WR. The thermal conductivity of prosthetic sockets and liners. Prosthet Orthot Int. 2007;31(3):292-9.

Ali S, Azuan N, Osman A, Arifin N, Gholizadeh H, Anwar N, et al. Comparative Study between Dermo, Pelite, and Seal-In X5 Liners: Effect on Patient’s Satisfaction and Perceived Problems Sadeeq. Scientific World J. 2014;2014:1-8.

Dou P, Jia X, Suo S, Wang R, Zhang M. Pressure distribution at the stump/socket interface in transtibial amputees during walking on stairs, slope and non-flat road. Clin Biomechan. 2006;21(10):1067-73.

Lin CC, Chang CH, Wu CL, Chung KC, Liao IC. Effects of liner stiffness for trans-tibial prosthesis: A finite element contact model. Med Engineering and Physics. 2004;26(1):1-9.

Van de Weg FB, van der Windt DAWM. A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputees. Prosthet Orthotics Int. 2005;29(3):231-9.

Wernke M, Kelley C, Haynes M, Gerschutz M, Colvin J. Management of Skin Temperature and Perspiration Using a Prosthetic Liner Incorporating Phase Change Material. J Prosthetics Orthot. 2015;27(4):134-9.

Peery JT, Ledoux WR, Klute GK. Residual-limb skin temperature in transtibial sockets. J Rehabilitation Res Development. 2005;42(2):147-54.

Hagberg K, Brånemark R. Consequences of non-vascular trans-femoral amputation : a survey of quality of life. Prosthetic Use Problems. 2001; 186-94.

Ghoseiri K, Zheng YP, Leung AKL, Rahgozar M, Aminian G, Masoumi M, et al. Temperature measurement and control system for transtibial prostheses: Single subject clinical evaluation. Assistive Technol. 2018;30(3):133-9.

Harden RN, Gagnon CM, Gallizzi M, Khan AS, Newman D. Residual limbs of amputees are significantly cooler than contralateral intact limbs. Pain Practice. 2008;8(5):3427.

Coleman KL, Boone DA, Laing LS, Mathews DE, Smith DG. Quantification of prosthetic outcomes: Elastomeric gel liner with locking pin suspension versus polyethylene foam liner with neoprene sleeve suspension. J Rehabilitation Res Develop. 2004;41(4):591-602.

Boonstra AM, Van Duin WE. Silicone Suction Socket 3S Versus Supracondylar PTB Prosthesis with Pelite liner: Transtibial Amputees preferences. J Prosthet Orthot. 1996;8(3):96-9.