Impact of Improving Footwear Options for Women Veterans with Amputations

改善截肢女退伍军人鞋类选择的影响

• 批准号: 10641398
• 负责人: Andrew H. Hansen
• 金额: --
• 依托单位: MINNEAPOLIS VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10641398
• 关键词: 3D Print; Affect; Amputation; Amputees; Ankle; Appearance; Artificial Leg; Body Image; Caring; Clinical; Community Participation; Congresses; Data; Feminine; Focus Groups; Funding; Future; Health; Heel; Height; Home; Informed Consent; Intervention; Interview; Leg; Licensing; Life; Marketing; Measures; Methods; Modeling; Modification; Molds; Outcome; Persons; Prosthesis; Prosthesis Design; Research; Role; Sampling; Shapes; Shoes; Supervision; Surveys; System; Testing; Travel; Veterans; Width; Woman; Work; ankle prosthesis; design; experience; fabrication; foot; home test; improved; men; novel; product development; prosthetic alignment; prosthetic foot; recruit; tool

Women with amputations receive more frequent prosthetics care, but are less satisfied with the fit, comfort, and appearance of their prostheses than men. These findings are not surprising as most prosthesis components are not gender-specific and seem to have been designed for men. Components like prosthetic feet are made from molds, and it is prohibitively expensive for prosthetics companies to provide a high number and variety of foot shape options. Recent surveys indicate that women Veterans with leg amputations are unable to wear many of the types of footwear they desire to wear due to limitations of the prosthetic foot. Women Veterans who have greater perceived challenges with how their prosthesis affected footwear options also experienced significantly more body image concerns and participated less in daily activities. This project will assess the impact of a new prosthesis system including a modular prosthetic ankle that can be used interchangeably with several 3D-printed feet. The prosthetic feet are customized to fit a wide range of footwear, including shoes of different heel heights and widths. To change footwear, the user simply removes the prosthetic ankle from one foot-shoe combination and connects it to another, without the need for tools or modifications to the prosthetic alignment. This new prosthesis system dramatically improves footwear options for persons using leg prostheses, enabling potential to increase body image and community participation for women Veterans with leg amputations. In this study, women Veterans with amputations will be recruited from a national sample to test the modular ankle – 3D printed feet system. Informed consent and baseline measures will be collected remotely. Women will then travel to the Minneapolis VA to be fitted with the novel prosthesis system and shoes of their choice. Accommodation to the new prosthesis system will take place over several days in Minneapolis with close clinical supervision. After returning home, women Veterans with amputations will be followed remotely for a period of 6-months to track their outcomes. The study will test the hypotheses that improving footwear options with our novel prosthesis will improve body image and participation in women Veterans with amputations. Qualitative interviewing and photovoice will also be conducted throughout the study to understand the benefits and barriers to using this new prosthesis system.

截肢妇女接受更频繁的假肢护理，但对合身性不太满意， 她们的假肢的舒适度和外观优于男性，这些发现并不令人惊讶。 假肢组件不分性别，似乎是为男性设计的。 就像假脚是用模具制成的，假肢公司的成本高得令人望而却步。 提供大量和多种脚型选择。 最近的调查表明，腿部截肢的女性退伍军人无法穿着许多 由于假肢的限制，女性退伍军人希望穿什么类型的鞋。 他们的假肢如何影响鞋类选择也经历了更大的挑战 显着更多地关注身体形象，并更少参与日常活动。 该项目将评估新假肢系统的影响，包括模块化假肢脚踝， 可与多个 3D 打印脚互换使用。假脚经过定制，适合不同的脚型。 各种鞋类，包括不同鞋跟高度和宽度的鞋。 用户只需将假肢脚踝从一只脚-鞋组合中取出，然后将其连接到另一只脚-鞋组合上， 无需工具或修改假肢对齐这种新的假肢系统。 极大地改善了使用腿部假肢的人的鞋类选择，从而提高了潜力 腿部截肢的女性退伍军人的身体形象和社区参与。 在这项研究中，将从全国样本中招募截肢的女性退伍军人来测试 模块化脚踝 - 将收集 3D 打印脚系统的知情同意书和基线测量数据。 然后，妇女们将前往明尼阿波利斯退伍军人管理局安装新型假肢系统。 以及他们选择的鞋子。 回到家后，女性退伍军人在明尼阿波利斯接受了密切的临床监督。 该研究将对截肢患者进行为期 6 个月的远程跟踪，以追踪其结果。 测试以下假设：使用我们的新型假肢改进鞋类选择将改善身体形象 还将参与截肢女性退伍军人的定性访谈和照片语音。 在整个研究过程中进行，以了解使用这种新假肢的好处和障碍 系统。