An Immediate Fit, Adjustable, Modular Prosthetic System for Addressing World-Wide Limb Loss Disability.
Jessica Kenia, Bethany Wolf, Jim Marschalek and 1 others
PMID 34179756WHAT IT FOUND
Six Jamaican patients with transtibial limb loss received an adjustable prosthesis with fitting, alignment, gait training, additional pads, and adjustment instruction in a single session; all were reported to walk independently without crutches, and one was lost to follow-up.
Key findings
01Six patients with transtibial limb loss received fitting, alignment, gait training, and adjustment instruction for an adjustable prosthesis during a single session.
02All patients achieved safe, independent ambulation without crutches during the first session after fitting.
03The table lists satisfaction ratings of 66, 51, 61, 59, and 64 out of 70, and one patient was lost to follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
This is a case series of six people, so it describes what happened to them rather than proving the prosthesis works. The paper reports no comparison group, random assignment, or usual-care control. The patients received several things together: the prosthesis, fitting and alignment by a trained physical therapist, gait training, additional pads, and instruction in buckle adjustment; the contribution of any single component cannot be separated. One patient did not return for follow-up, and the paper does not report outcomes for that patient. The paper says all patients were followed for periods ranging from 7 months to 2 years, but also says one patient did not return for follow-up; this inconsistency is not explained. The devices were donated by iFIT Prosthetics, LLC, and the fitting physical therapist was trained by the principal investigator. Participants were selected for a well healed limb, weight under 260 pounds, and no stroke or brain injury affecting safe walking, so the report may not apply to more complex patients.
Declared interests
The prosthetics were donated by iFIT Prosthetics, LLC, which is also named as the supplier of the TT200 transtibial prosthesis. The supplied text does not state other funding or author conflicts.
The easy way to misread this
Do not read this as proof that the iFIT prosthesis improves walking, comfort, or durability. It is a case series of six people, the paper reports no comparison group, one patient was lost to follow-up, and the fitting also included gait training, alignment, additional pads, and adjustment instruction, so the prosthesis alone cannot be credited.