Thermographic evaluation and adaptation to the prosthesis of people with lower limb amputation: a qualitative approach
DOI:
https://doi.org/10.11606/issn.2317-0190.v25i3a162668Keywords:
Amputation, Artificial Limbs, Thermography, Qualitative AnalysisAbstract
Objective: To evaluate qualitatively the characteristics of the thermographic map of the lower limb intact limb and adaptation to the prosthesis of amputated patients of lower limbs. Method: Qualitative research, descriptive and exploratory. The sample consisted of five amputees of lower limbs of both sexes, with transtibial and transfemoral levels, aged between 18 and 65 years, literate and protected by the Unified Health System (SUS). Anamnesis and thermographic evaluation were performed qualitatively analyzing the intact limb and stump applied to the Prothesis Evaluation Questionnaire (PEQ) questionnaire. Results: Thermographic images of transfemoral individuals presented in the residual limb an increase in temperature in the inguinal region, and may be due to the friction of the superior fit of the prosthesis. In all samples, temperature was observed in the lower extremity of the stump, indicating a possible reduction of vascularization in this region. In the PEQ, the domain most strongly cited as unfavorable for the participants was mobility, mainly in the questions of going up and down stairs, climbing and descending steep hills and walking on slippery places. The transpiration within the socket and the swelling of the residual limb were also complaints well cited by the participants. Conclusion: The issues of greatest impact to the adaptation of the prosthesis were the mobility, transfer characteristics related to the edema, sensation of weight and thermal discomfort of the residual limb in the region of the prosthetic fitting. Thermography showed higher values of intact limb temperature, as well as temperature increase in the prosthesis fitting region and temperature reduction at the end of the stump.
Downloads
References
Marães VRFS, Cruz BOAM, Moreira JA, Sampaio TF, Almeida CC, Garcia PA. Avaliação do quadril de amputados transfemoral durante contração isométrica em dinamômetro isocinético. Rev Bras Med Esporte. 2014; 20(5):336-9.
Chamlian TR, Starling M. Avaliação da qualidade de vida e função em amputados bilaterais de membros inferiores: revisão da literatura. Acta Fisiatr. 2013;20(4):229-33. DOI: https://doi.org/10.5935/0104-7795.20130038
Raichle KA, Hanley MA, Molton I, Kadel NJ, Campbell K, Phelps E, et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev. 2008;45(7):961-72.
Kent JA, Stergiou N, Wurdeman SR. Dynamic balance changes within three weeks of fitting a new prosthetic foot component. Gait Posture. 2017;58:23-29. DOI: https://doi.org/10.1016/j.gaitpost.2017.07.003
Kageyama ERO, Yogi M, Sera CTN, Yogi LS, Pedrinelli A, Camargo O. Validação da versão para a língua portuguesa do questionário de Medida Funcional para Amputados (Functional Measure for Amputees Questionnaire). Fisioter Pesqui. 2008;15(2):164-71.
Highsmith MJ, Schulz BW, Hart-Hughes S, Latlief GA, Phillips SL. Differences in the spatiotemporal parameters of transtibial and transfemoral amputee gait. J Prosthet Orthot. 2010;22(1):26-30. DOI: https://doi.org/10.1097/JPO.0b013e3181cc0e34
Peery JT, Ledoux WR, Klute GK. Residual-limb skin temperature in transtibial sockets. J Rehabil Res Dev. 2005;42(2):147-54. DOI: https://doi.org/10.1682/JRRD.2004.01.0013
Ghoseiri K, Safari MR. Prevalence of heat and perspiration discomfort inside prostheses: literature review. J Rehabil Res Dev. 2014;51(6):855-68. DOI: https://doi.org/10.1682/JRRD.2013.06.0133
Wernke MM, Schroeder RM, Kelley CT, Denune JA, CP, Colvin JM. Smart temp prosthetic liner significantly reduces residual limb temperature and perspiration. J Prosthet Orthot. 2015;27(4):134-9. DOI: https://doi.org/10.1097/JPO.0000000000000070
Cutti AG, Perego P, Fusca MC, Sacchetti R, Andreoni G. Assessment of lower limb prosthesis through wearable sensors and thermography. Sensors (Basel). 2014;14(3):5041-55. DOI: https://doi.org/10.3390/s140305041
Luz SCT, Oliveira TP, Andrade MC, Ávila AOV, Rosa FJB. Adaptação à prótese híbrida de extremidade superior: estudo termográfico de um caso. Fisioter Pesqui. 2010;17(2):173-7.
Gauthier-Gagnon C, Grisé MC. Prosthetic profile of the amputee questionnaire: validity and reliability. Arch Phys Med Rehabil. 1994;75(12):1309-14.
Repo JP, Piitulainen K, Häkkinen A, Roine RP, Kautiainen H, Becker P, et al. Reliability and validity of the Finnish version of the prosthesis evaluation questionnaire. Disabil Rehabil. 2018;40(17):2081-2087. DOI: https://doi.org/10.1080/09638288.2017.1323032
Ring EFJ, Ammer K, Jung A, Murawski P, Wiecek B, Zuber J, et al. Standardization of infrared imaging. Proceedings of the 26th Annual International Conference of the IEEE EMBS. San Francisco: EMBS; 2004. p.1183-5.
Zaproudina N, Varmavuo V, Airaksinen O, Närhi M. Reproducibility of infrared thermography measurements in healthy individuals. Physiol Meas. 2008;29(4):515-24. DOI: https://doi.org/10.1088/0967-3334/29/4/007
Conrad C, Chamlian TR, Ogasowara MS, Pinto MAGS, Masiero D. Tradução para o português, adaptação cultural e validação do Questionário de Avaliação de Próteses. J Vasc Bras. 2015;14(2):110-4. DOI: https://doi.org/10.1590/1677-5449.0038
Tawy GF, Rowe P, Biant L. Gait variability and motor control in patients with knee osteoarthritis as measured by the uncontrolled manifold technique. Gait Posture. 2018;59:272-277. DOI: https://doi.org/10.1016/j.gaitpost.2017.08.015
Nederhand MJ, Van Asseldonk EH, van der Kooij H, Rietman HS. Dynamic Balance Control (DBC) in lower leg amputee subjects; contribution of the regulatory activity of the prosthesis side. Clin Biomech (Bristol, Avon). 2012;27(1):40-5. DOI: https://doi.org/10.1016/j.clinbiomech.2011.07.008
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. Assist Technol. 2018;30(3):133-9. DOI: https://doi.org/10.1080/10400435.2016.1272070
Legro MW, Reiber G, del Aguila M, Ajax MJ, Boone DA, Larsen JA, et al. Issues of importance reported by persons with lower limb amputations and prostheses. J Rehabil Res Dev. 1999;36(3):155-63.
Gholizadeh H, Abu Osman NA, Eshraghi A, Ali S, Sævarsson SK, Wan Abas WA, et al. Transtibial prosthetic suspension: less pistoning versus easy donning and doffing. J Rehabil Res Dev. 2012;49(9):1321-30. DOI: https://doi.org/10.1682/JRRD.2011.11.0221
Van de Meent H, Hopman MT, Frölke JP. Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses. Arch Phys Med Rehabil. 2013;94(11):2174-8. DOI: https://doi.org/10.1016/j.apmr.2013.05.020
Dillingham TR, Pezzin LE, MacKenzie EJ, Burgess AR. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil. 2001;80(8):563-71. DOI: https://doi.org/10.1097/00002060-200108000-00003
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Acta Fisiátrica
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Funding data
-
Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina
Grant numbers 3656/2013 -
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Grant numbers 14/2013