ArticleProsthetics and orthotics international2020
Effectiveness of elevated vacuum and suction prosthetic suspension systems in managing daily residual limb fluid volume change in people with transtibial amputation.
Article in Prosthetics and orthotics international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Adjustable prosthetic sockets: a systematic review of industrial and research design characteristics and their justifications.Journal of neuroengineering and rehabilitation · 2023Pooled it
- Monitoring the Residual Limb-Socket Interface: A Perspective on Clinical Needs and Challenges.Biomedical materials & devices (New York, N.Y.) · 2025Article
- Frequent versus infrequent partial doffing in transtibial prosthesis users as a means to stabilize residual limb fluid volume.Clinical biomechanics (Bristol, Avon) · 2025Article
- An adaptive prosthetic socket for people with transtibial amputation.Scientific reports · 2024Article
- Mechanically and physiologically optimizing prosthetic elevated vacuum systems in people with transtibial amputation: a pilot study.Journal of prosthetics and orthotics : JPO · 2022Article
- Performance of an auto-adjusting prosthetic socket during walking with intermittent socket release.Journal of rehabilitation and assistive technologies engineeringArticle
- Testing an adjustable prosthetic socket in a simulated military environment.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrevious studies investigating limb volume change with elevated vacuum have shown inconsistent results and have been limited by out-of-socket volume measurements and short, single-activity protocols.
objectivesTo evaluate the effectiveness of elevated vacuum for managing limb fluid volume compared to suction suspension with an in-socket measurement modality during many hours of activity. STUDY
designFixed-order crossover design with a standardized out-of-laboratory activity protocol.
methodsTranstibial electronic elevated vacuum users participated in two sessions. Elevated vacuum was used during the first session, and suction suspension in the second. Participants completed a 5.5-h protocol consisting of multiple intervals of activity. In-socket residual limb fluid volume was continuously measured using a custom portable bioimpedance analyzer.
resultsA total of 12 individuals participated. Overall rate of fluid volume change was not significantly different, though the rate of posterior fluid volume change during Cycle 3 was significantly lower with elevated vacuum. Although individual results varied, 11 participants experienced lower overall rates of fluid volume loss in at least one limb region using elevated vacuum.
conclusionElevated vacuum may be more effective as a volume management strategy after accumulation of activity. Individual variation suggests the potential to optimize the limb fluid volume benefits of elevated vacuum by reducing socket vacuum pressure for some users. CLINICAL RELEVANCE: A better understanding of how elevated vacuum (EV) affects residual limb fluid volume will allow prosthetists to make more informed clinical decisions regarding accommodation strategies designed to improve daily socket fit.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.