Residual limb volume fluctuations in transfemoral amputees

This study constitutes the first attempt to systematically quantify residual limb volume fluctuations in transfemoral amputees. The study was carried out on 24 amputees to investigate variations due to prosthesis doffing, physical activity, and testing time. A proper experimental set-up was designed, including a 3D optical scanner to improve precision and acceptability by amputees. The first test session aimed at measuring residual limb volume at 7 time-points, with 10 min intervals, after prosthesis doffing. This allowed for evaluating the time required for volume stabilization after prosthesis removal, for each amputee. In subsequent sessions, 16 residual limb scans in a day for each amputee were captured to evaluate volume fluctuations due to prosthesis removal and physical activity, in two times per day (morning and afternoon). These measurements were repeated in three different days, a week apart from each other, for a total of 48 scans for each amputee. Volume fluctuations over time after prosthesis doffing showed a two-term decay exponential trend (R2 = 0.97), with the highest variation in the initial 10 min and an average stabilization time of 30 min. A statistically significant increase in residual limb volume following both prosthesis removal and physical activity was verified. No differences were observed between measures collected in the morning and in the afternoon.Clinical Trials.gov ID: NCT04709367.

Investigation of Orthopedic Prosthesis Socket Management after Transfemoral Amputation by Expert Survey

Prosthesis treatment requires the close interaction of different actors. In fitting prostheses to patients, special attention is given to the manufacturing of the socket. The continuous development of the technologies involved in the fitting and optimization of prostheses is shown in the literature. The assessment of orthopedic technicians and their influence in the process is thus far largely unexplored. Ten orthopedic technicians were interviewed about the socket fitting process after transfemoral amputation. The research goal was to clarify the socket treatment process with regards to the German context. The results showed that the orthopedic technicians focussing on the patient during the fitting process. This study underlines the importance of interaction and empathy. Volume fluctuations are decisive within the treatment process and are interactively influenced by various factors. Furthermore, the research emphasizes the need for appropriate assistive technologies and the potential for the further development of existing systems.

Volumetric Analysis of Reservoirs in Drought-Prone Areas Using Remote Sensing Products

Globally, the number of dams increased dramatically during the 20th century. As a result, monitoring water levels and storage volume of dam-reservoirs has become essential in order to understand water resource availability amid changing climate and drought patterns. Recent advancements in remote sensing data show great potential for studies pertaining to long-term monitoring of reservoir water volume variations. In this study, we used freely available remote sensing products to assess volume variations for Lake Mead, Lake Powell and reservoirs in California between 1984 and 2015. Additionally, we provided insights on reservoir water volume fluctuations and hydrological drought patterns in the region. We based our volumetric estimations on the area–elevation hypsometry relationship, by combining water areas from the Global Surface Water (GSW) monthly water history (MWH) product with corresponding water surface median elevation values from three different digital elevation models (DEM) into a regression analysis. Using Lake Mead and Lake Powell as our validation reservoirs, we calculated a volumetric time series for the GSWMWH–DEMmedian elevation combinations that showed a strong linear ‘area (WA) – elevation (WH)’ (R2 > 0.75) hypsometry. Based on ‘WA-WH’ linearity and correlation analysis between the estimated and in situ volumetric time series, the methodology was expanded to reservoirs in California. Our volumetric results detected four distinct periods of water volume declines: 1987–1992, 2000–2004, 2007–2009 and 2012–2015 for Lake Mead, Lake Powell and in 40 reservoirs in California. We also used multiscalar Standardized Precipitation Evapotranspiration Index (SPEI) for San Joaquin drainage in California to assess regional links between the drought indicators and reservoir volume fluctuations. We found highest correlations between reservoir volume variations and the SPEI at medium time scales (12–18–24–36 months). Our work demonstrates the potential of processed, open source remote sensing products for reservoir water volume variations and provides insights on usability of these variations in hydrological drought monitoring. Furthermore, the spatial coverage and long-term temporal availability of our data presents an opportunity to transfer these methods for volumetric analyses on a global scale.