• No results found

The Modular Socket System as Rural Solution in Indonesia

N/A
N/A
Protected

Academic year: 2021

Share "The Modular Socket System as Rural Solution in Indonesia"

Copied!
1
0
0

Bezig met laden.... (Bekijk nu de volledige tekst)

Hele tekst

(1)

Performance (2MWT) and satisfaction (PEQ) scores were comparable to that of similar studies with other lower leg prostheses. Both measures did not

decrease significantly over time. This suggests that the prosthetists were able to reach sufficient quality.

It took the prosthetists 3.5 to 10.5 hours to fit an amputee with a MSS prosthesis. Mean socket production time was 2.0 hours and mean

prosthesis assembly and fitting time was 4.1 hours. The only non-portable machine needed for the production of the prosthesis was a grinding machine (router). Smaller portable machines

used were cast cutter/jigsaw, Icecast® Compact and resin injection tool.

Introduction

Results

Discussion

methods

The majority of the people in

low-income countries, who need assistive technology do not have access

to prosthetic devices. Instead of

these people having to make a long

journey to one of the few prosthetic workshops, solutions like the Modular Socket System (MSS, Össur®) may

be useful. Potentially they could be delivered and manufactured on site, at the location of the person. This

could make it suitable for application in a Community Based Rehabilitation (CBR) setting.

The aim of this study was to evaluate the technical feasibility of the MSS

for implementation in a CBR setting in terms of required tools, skills and required production time.

Patients who normally have to travel long distances to access prosthetic services were only required to make one visit to the health facility in order to receive a prosthesis. If in the future the grinding machine will be replaced by a handheld tool, production of

the MSS could be performed on site, making it suitable for use in a rural setting.

From a technical and quality

perspective the method seems

feasible, although, high costs remain an issue.

Puspadi Bali

EXCEED INDONESIA

P&O Workshop

rural Amputee

Harapan Jaya

amputee

PEQ

0 50 100 ambulation appearance

residual limb health sounds utility 160 m

2MWT

200 100 150

amputees

from Jakarta

from Bali

years old

yrs since amputation

yrs prosthesis use

previous prostheses

prostheses

graduate students

days training

15

5

10

23 - 58

1.2 - 38

0.2 - 35

1 - 12

15

4

3

The study was performed by Exceed Indonesia. Four prosthetists received a three days training in manufacturing of the MSS. Trans-tibial amputees

were recruited to participate in this study from the region of Jakarta

(n = 5) and Bali (n = 10).

A set of standardized instruments including the two minutes’ walking test (2MWT) and Prosthesis

Evaluation Questionnaire (PEQ)

were used to measure performance and satisfaction with the prosthesis. Production and maintenance

logbooks were filled out by the

involved prosthetists to evaluate the technical feasibility of the MSS.

production time

The problem:

Few can affo

rd the journey

The Community of Prosthetics Practice (COPP) targets the problem with

accessibility of assistive devices. Please join the movement now, visit

www.thecoppers.org

M

ODULAR

S

OCKET

S

YSTEM

the MSS as rural solution in Indonesia

Bob Giesberts

University of Twente

r.b.giesberts@utwente.nl

+31 6 5207 0142

R.B. Giesberts 1 L. Ennion 2 O. Hjelmström 3 K. Lechler 4 E.E.G. Hekman 1 A. Bergsma 1,5 1 University of Twente

2 University of Western Cape 3 Exceed Indonesia

4 Össur hf

Referenties

GERELATEERDE DOCUMENTEN

This case-law finally laid the foundations for a system on the basis of which everyone has access to the ordinary courts in order to resolve a dispute involving the

Although word re- sponses of correct length (c,) are far higher, response words longer than the eliciting stimulus have no higher scores than the corresponding

Begrip voor de ander ontwikkelt door je in zijn of haar schoenen (perspectief) te verplaatsen. De ander zijn 'anders-zijn' gunt, ook al is iemand raar, onbegrijpelijk

Een bewoner zegt: ‘Ik vind goed contact met verzorgenden belangrijk en wil rekening met hen kunnen houden.’ Een andere vertelt: ‘Ik merk hoe verzorgenden zich voe- len

Because of the aim of this research, an ALF of a specialty mental healthcare institution in the Netherlands was se- lected. GGz Breburg is one of the 31 Dutch integrated

Changes in the extent of recorded crime can therefore also be the result of changes in the population's willingness to report crime, in the policy of the police towards

48 Randall McGowen, ‘The body and punishment in eighteenth-century England’, The Journal of Modern History 59-4 (December 1987) 651-679. 48 It seems to have been the intention of

How do process, product and market characteristics affect the MTO-MTS decision in the food processing industry and how do market requirements affect the production and