Vacuum Suspension with and without Sealing Sleeve in Transtibial Prostheses: Comparison of Mobility and Satisfaction Indicators
Keywords:
Amputee, Sealing, Sleeve, Suspension, VacuumAbstract
Purpose: The suspension system has a significant impact on user satisfaction and mobility, but it is not clear how suspension components affect these factors. The aim of this study was to investigate the effects of sealing sleeve in transtibial amputees who utilize either suction or elevated vacuum suspension systems in terms of balance, mobility and satisfaction.
Methods: Twenty-two participants were included in the study (age 40.18±14.75 years). Participants were divided into two groups according to the sealing type as 'with-sleeve' and 'without-sleeve'. The following tests were used: One Limb Stance Test for balance; Timed Up and Go test for functional mobility; the Mobility subcategory of the Prosthesis Evaluation Questionnaire for perceived mobility with a prosthesis; and the Satisfaction with Prosthesis Questionnaire for prosthetic satisfaction.
Results: There was no difference between the two groups in terms of functional mobility and satisfaction; without-sleeve group was found to be significantly better in terms of prosthetic limb balance and perceived mobility. There was a significant relationship between stump length and both prosthetic limb balance as well as perceived mobility.
Conclusion: The current study may provide important evidence for understanding the role of the sealing sleeve, optimizing prosthetic design, and personalizing prosthetic care for users.
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Copyright (c) 2025 Senay Çerezci Duygu, Güllü Aydın Yağcıoğlu, Kübra Nurdoğan, Nihat Berker Ergüven, Gamze Usta, Osman Erdem Çağılcı, Hakan Türk, Doruk Sayın
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