Volume Changes in Below‐knee Amputation Stumps as Affected by Type of Whirlpool‐tank Hydrotherapy*

Goldberg, Melvin J.; Culver, Judith V.; Carson, John H.

doi:10.1111/j.1532-5415.1968.tb03976.x

Cited by 1 publication

(3 citation statements)

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“…Sixteen studies were reviewed in group III [9, 10, 21, 48–51, 53, 54, 56–61] (including one systematic review [17] ) that compared different methods of post-operative residual limb volume reduction (Section 3.3.1). Three studies [51, 53, 54] described the use of early preparatory prostheses that allow volume adjustment (Section 3.3.2); two studies [56, 57] evaluated the effect of vacuum-assisted suspension on mature residual limb volume (Section 3.3.3); and three studies [58, 59, 61] described the use of inflatable inserts to accommodate fluctuations in mature residual limb volume (Section 3.3.4).…”

Section: Results Of Reviewmentioning

confidence: 99%

“…Goldberg et al [48] conducted a before and after trial of 7 males with trans-tibial amputation for whom whirlpool therapy had been prescribed. The purpose of this study was to determine whether or not residual limb edema could be prevented based on the position of the body and residual limb within the whirlpool tank (one tank where the person was seated with the residual limb hanging unsupported, one tank where the person was seated and the residual limb supported in a horizontal position, and one tank where the person was supported in a supine position).…”

Section: Results Of Reviewmentioning

confidence: 99%

“…For this particular body of literature, fatigue and learning (IV-9), and accommodation and washout (IV-10) were applicable for only two studies [56, 57] . For three articles [48, 56, 57] classified as before-and-after trials (E5), criteria regarding group comparisons were not applicable (IV-2, IV-3, IV-4 and IV-12). Therefore, overall scores for internal/external validity were assessed using the following criteria:

If more than half of the applicable internal/external validity variables were not addressed or poorly addressed (i.e., marked “no” or “unknown”), then the overall assessment was deemed to be low.

If more than one but less than half of the applicable internal/external validity variables were appropriately addressed (i.e., marked “yes”), then overall assessment was deemed to be moderate.

If one or none of the applicable internal/external validity variables were not addressed or poorly addressed (i.e., marked “no” or “unknown”), then the overall assessment was deemed to be high.

…”

Section: Methodsmentioning

confidence: 99%

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Residual limb volume change: Systematic review of measurement and management

Sanders¹,

Fatone²

2011

JRRD

180

239

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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 insocket 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.

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Section: Results Of Reviewmentioning

confidence: 99%

Section: Results Of Reviewmentioning

confidence: 99%

If more than one but less than half of the applicable internal/external validity variables were appropriately addressed (i.e., marked “yes”), then overall assessment was deemed to be moderate.

…”

Section: Methodsmentioning

confidence: 99%

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