Ghoseiri Kamiar, Safari Mohammad Reza
J Rehabil Res Dev. 2014;51(6):855-68. doi: 10.1682/JRRD.2013.06.0133.
People with limb amputation deal with thermal stresses in their daily activities. Unfortunately, in the majority of this population, all thermal transfer mechanisms, including convection, radiation, evaporation, and conduction, can be disturbed due to the prosthetic socket barrier, decreased body surface area, and/or vascular disease. The thermal environment inside prosthetic sockets, in addition to decreased quality of life and prosthesis use, comfort, and satisfaction, could endanger people with amputation with a high risk of skin irritations. The current review explores the importance of thermal and perspiration discomfort inside prosthetic sockets by providing an insight into the prevalence of the problem. The literature search was performed in two databases, PubMed and Web of Knowledge, to find relevant articles. After considering the review criteria and hand-searching the reference sections of the selected studies, 38 studies were listed for review and data extraction. This review revealed that more than 53% of people with amputation in the selected studies experienced heat and/or perspiration discomfort inside their prostheses. In spite of great technological advances, current prostheses are unable to resolve this problem. Therefore, more attention must be paid by researchers, clinicians, and manufacturers of prosthetic components to thermal-related biomechanics of soft tissues, proper fabrication technique, material selection, and introduction of efficient thermoregulatory systems.
肢体截肢者在日常活动中会面临热应激。不幸的是，在这一群体中的大多数人身上，包括对流、辐射、蒸发和传导在内的所有热传递机制都可能因假肢接受腔的屏障、体表面积减小和/或血管疾病而受到干扰。除了生活质量下降、假肢使用不便、舒适度和满意度降低外，假肢接受腔内的热环境还可能使截肢者面临皮肤刺激的高风险。本综述通过深入了解该问题的普遍性，探讨了假肢接受腔内热不适和出汗不适的重要性。在两个数据库PubMed和Web of Knowledge中进行了文献检索，以查找相关文章。在考虑了综述标准并人工检索所选研究的参考文献部分后，列出了38项研究进行综述和数据提取。本综述显示，在所选研究中，超过53%的截肢者在假肢内经历过热和/或出汗不适。尽管技术取得了巨大进步，但目前的假肢仍无法解决这个问题。因此，假肢部件的研究人员、临床医生和制造商必须更加关注软组织的热相关生物力学、合适的制造技术、材料选择以及高效热调节系统的引入。
