Gailey Robert, Kristal Anat, Lucarevic Jennifer, Harris Shane, Applegate Brooks, Gaunaurd Ignacio
1 Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, FL, USA.
2 Western Michigan University, Kalamazoo, MI, USA.
Prosthet Orthot Int. 2019 Feb;43(1):80-87. doi: 10.1177/0309364618791620. Epub 2018 Aug 10.
: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee's performance and satisfaction of a prosthetic socket.
: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance.
: Cross-sectional sample of active amputees.
: Interviews were conducted with prosthetists, physical therapists, and lower limb amputees to identify clinical concerns and common activities influencing socket fit. An expert panel of five clinicians reviewed the items and constructed the original version of the comprehensive lower limb amputee socket survey which was then administered to a convenience sample of 47 active lower limb amputees. Item analysis and Cronbach's alpha were used to determine the final version of the comprehensive lower limb amputee socket survey.
: Following item raw score-to-total score correlation with Cronbach's alpha for comprehensive lower limb amputee socket survey determinants, internal consistency improved when nine questions were eliminated.
: The comprehensive lower limb amputee socket survey is a self-report measure of prosthetic socket satisfaction with very good internal consistency.
When socket problems occur, the ability to determine the specific cause can reduce modification time, enhance socket fit, and promote patient satisfaction. A standardized multi-dimensional assessment measure of socket satisfaction enables prosthetists to quantify the multiple determinants of socket satisfaction, improve patient communication, and demonstrate the value of socket interventions.
假肢接受腔适配是与成功行走及使用假肢相关的重要因素。假肢技师和康复临床医生将受益于一种评估工具，该工具能够区分并量化影响下肢截肢者假肢接受腔使用性能和满意度的多种决定因素。
确定下肢截肢者接受腔综合调查问卷的内部一致性，这是一种新的自我报告式假肢接受腔满意度测量方法，可量化悬吊性、稳定性、舒适度和外观。
活跃截肢者的横断面样本。
对假肢技师、物理治疗师和下肢截肢者进行访谈，以确定临床关注点和影响接受腔适配的常见活动。由五名临床医生组成的专家小组对项目进行了审查，并构建了下肢截肢者接受腔综合调查问卷的原始版本，然后将其应用于47名活跃下肢截肢者的便利样本。采用项目分析和克朗巴哈系数来确定下肢截肢者接受腔综合调查问卷的最终版本。
在对下肢截肢者接受腔综合调查问卷决定因素进行项目原始得分与总分相关性及克朗巴哈系数分析后，剔除九个问题后内部一致性得到改善。
下肢截肢者接受腔综合调查问卷是一种自我报告式的假肢接受腔满意度测量方法，具有非常好的内部一致性。
当接受腔出现问题时，确定具体原因的能力可以减少调整时间，提高接受腔适配度，并提升患者满意度。一种标准化的多维度接受腔满意度评估方法能够使假肢技师量化接受腔满意度的多种决定因素，改善与患者的沟通，并证明接受腔干预措施的价值。
