COMPARATIVE STUDY OF Ischial containment socket AND repository- and Quadrilateral socket for functional

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    COMPARATIVE STUDY OF Ischial containment socket AND

    Quadrilateral socket for functional Ability

    IN PERSONS WITH UNILATERAL TRANSFEMORAL AMPUTATION

    Dissertation submitted to the Tamil Nadu Dr. MGR Medical University,

    Chennai, in partial fulfillment of requirements for the MD Branch XIX

    (Physical Medicine and Rehabilitation) examination in April 2016

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    D E C L A R A T I O N

    I hereby declare that “Comparative study of Ischial containment socket

    and Quadrilateral socket for functional ability in persons with unilateral

    transfemoral amputation” is my bona fide work in partial fulfillment of the

    requirement of the Tamil Nadu Dr. MGR Medical University, Chennai, for

    the MD Branch XIX (Physical Medicine and Rehabilitation) examination in

    April 2016.

    Dr. Nitha. J

    Candidate Number 201329052

    Department of Physical Medicine and Rehabilitation

    Christian Medical College

    Vellore

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    C E R T I F I C A T E

    This is to certify that “Comparative study of Ischial containment socket

    and Quadrilateral socket for functional ability in persons with unilateral

    transfemoral amputation” is the bona fide work of Dr. Nitha. J, Candidate

    Number 201329052 in partial fulfillment of the requirement of the Tamil

    Nadu Dr. MGR Medical University, Chennai, for the MD Branch XIX

    (Physical Medicine and Rehabilitation) examination in April 2016, done

    under my supervision and guidance.

    Dr. Henry Prakash

    Professor

    Department of Physical Medicine and Rehabilitation

    Christian Medical College

    Vellore

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    C E R T I F I C A T E

    This is to certify that “Comparative study of Ischial containment socket

    and Quadrilateral socket for functional ability in persons with unilateral

    transfemoral amputation” is the bona fide work of Dr. Nitha.J, Candidate

    Number 201329052, in partial fulfillment of the requirement of the Tamil

    Nadu Dr. MGR Medical University, Chennai, for the MD Branch XIX

    (Physical Medicine and Rehabilitation) examination in April 2016, done

    under my supervision and guidance.

    Dr. George Tharion

    Professor and Head of the Department

    Department of Physical Medicine and Rehabilitation

    Christian Medical College

    Vellore

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    C E R T I F I C A T E

    This is to certify that “Comparative study of Ischial containment socket

    and Quadrilateral socket for functional ability in persons with unilateral

    transfemoral amputation” is the bona fide work of Dr. Nitha.J, Candidate

    Number 201329052, in partial fulfillment of the requirement of The Tamil

    Nadu Dr. MGR Medical University, Chennai, for the MD Branch XIX

    (Physical Medicine and Rehabilitation) examination in April 2016, done

    under my supervision and guidance.

    Dr. Alfred Job Daniel

    Principal

    Christian Medical College

    Vellore

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    ACKNOWLEDGEMENT

    Even though my name appears primarily on the covers of this thesis, a great many

    people have contributed to its production. I owe my humble gratitude to all these

    people who have made this thesis possible and made this work a cherishable

    experience.

    I would like to express my deep gratitude to my guide Dr. Henry Prakash whose

    advice and guidance have enabled me to successfully complete the study. I am also

    thankful to him for reading my reports, helping me understand and enrich my ideas.

    I would like to thank Dr. George Tharion, Professor and Head of the Department of

    PMR for his support and encouragement for this study. His insightful comments and

    constructive criticisms were deeply thought provoking.

    I wish to thank various people without whom this study would not have been possible

    – All who have been involved with the study from the department of Prosthetics and

    Orthotics, for their valuable suggestions, time and efforts. Particularly, I would like

    to acknowledge Mr. Vinoth Jacob, from P&O for his unstinted support and

    cooperation. Special thanks to Mr. Mansur Ali and Mr. Dinesh from P&O for their

    support in the completion of the thesis. The doctors in charge of the Amputee Clinic

    who helped me enroll my patients, my teachers and friends in the department who

    have played a part, I am grateful.

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    A special thanks to Mrs. Joyce the neutral assessor and gait analyst, who have helped

    me with the data acquisition.

    I would like to express my great appreciation to the patients who took part in the

    study without whom none of this would have been possible.

    Most importantly, none of this would have been possible without the love and

    patience of my family. I am deeply thankful to my 2 year old son Aadith, who

    without any complaints for the limited time I spent with him, has loved me and made

    my life meaningful. Special thanks to my loving husband and my ever caring parents,

    who have stood by me always.

    Last but not the least the God Almighty, who has given me the strength.

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    O R I G I N A L I T Y R E P O R T P D F

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    CONTENTS

    ORGINALITY REPORT PDF………………………………………………………………………………………………………….ix

    CONTENTS ................................................................................................................................................................................... x

    LIST OF FIGURES ................................................................................................................................................................... xv

    LIST OF TABLES ................................................................................................................................................................... xvii

    LIST OF EQUATIONS ........................................................................................................................................................ xviii

    ABSTRACT ................................................................................................................................................................................ xx

    1 INTRODUCTION .............................................................................................................................................................. 1

    2 AIMS & OBJECTIVES ..................................................................................................................................................... 3

    2.1 AIM ............................................................................................................................................................................. 3

    2.2 OBJECTIVE .............................................................................................................................................................. 3

    3 REVIEW OF LITERATURE .......................................................................................................................................... 3

    3.1 AMPUTATION ........................................................................................................................................................ 3

    3.1.1 STATISTICS ................................................................................................................................................... 4

    3.1.2 ETIOLOGY OF AMPUTATION ................................................................................................................. 4

    3.2 REHABILITATION OF PERSONS WITH TRANSFEMORAL AMPUTATION .................................... 5

    3.2.1 PRE-OPERATIVE PERIOD ........................................................................................................................ 6

    3.2.2 TRANSFEMORAL AMPUTATION .......................................................................................................... 6

    3.2.3 ACUTE POST SURGICAL MANAGEMENT .......................................................................................... 7

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    3.2.4 PRE-PROSTHETIC TRAINING ................................................................................................................ 8

    3.3 PROSTHESIS ........................................................................................................................................................... 9

    3.3.1 HISTORY ......................................................................................................................................................... 9

    3.3.2 BIOMECHANICAL PRINCIPLES OF TRANSFEMORAL PROSTHESIS .................................... 10

    3.4 COMPONENTS OF TRANSFEMORAL PROSTHESIS .............................................................................. 17

    3.5 SUSPENSION SYSTEMS .................................................................................................................................... 18