Assignment presentation

on
Icecast technology
Harashdeep Grover 5718037
Chatchawal klinmai 5818030
Rizan Yunihanawati 5918036
CONTENT

Original ideas Indications and

Contraindications

Biomechanics Pros and cons

Supported Feedback from

research patients and CPOs.
 Original ideas

Icecast technology

Icecast Anatomy Icecast Compact

Original ideas

Icecast Compact
✓ Provides a simple and effective way of
total contact fit.
✓ Simpler and more durable due to lack of
contour cell technology.
✓ Socket fabrication is therefore simpler.
✓ Modifications of anatomical shape are
minimal, without affecting user comfort.
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas

Icecast Anatomy

✓ Further developed.
✓ Contour cell technology – creates
anatomical shape.
✓ Increased control over the socket
✓ User comfort , stability and rotation
control.
✓ You can eliminate modification.
Biomechanics

Hands on casting (PTB)

More pressure at Patella tendon bearing
• Popliteal
• Medial tibial flare
• Anterior compartment
• Supracondylar and suprapatellar
(suspension area)
Biomechanics Hands off casting (Icecast)

• The pressure evenly distribute of the stump

• Follow the anatomical shape of the stump
• Suspend by pin lock mechanism
 Research

Objective : to compare the consistency pressure between 2 types

method of casting hands on PTB and hands off Icecast.
 Research
METHOD

Manikin stump model

take a cast by hands on PTB

and hands off casting 5 casts
per each

The cast embedded adapter

adapter was placed in transfer
rig & hexagonal pole

data acquisition
Research
Result

• There was a significant difference

between hands on and hand off
• Hands off relatively constant
• Hands on similar pattern but with
maximum variation peak
• On the graph 2 and 3 are
circumferential variation where
highest peak on the posterior
side (hands on) and lateral side
(hands off)

Conclusion : this study showed that hands

off method produced consistency result
 Research

Objective : to compare the dynamic interface pressure distribution of

hands-off and hands-on trans-tibial prosthetic systems.
 Research

Methods
• half (n = 24) had been wearing pressure-cast prostheses (IceCast Compact) and the
other half (n = 24) had been wearing hand-cast sockets of the patellar tendon bearing
design.
• We compared the interface pressure between socket concepts by using transducer scan.
Results
Despite the differences in interface pressure, the level of satisfaction with the sockets was
similar between subject groups. The sockets instrumented for this study had been in daily use
for at least 6 months, with no residual-limb health problems.
 Research

Effectiveness of a Modified Icex® Casting Technique Based on

Circumferential Change in Residual Limb Volume
Hypothesis
The modified Icex casting technique would achieve sufficient volume reduction to
validate the efficacy of using the technique.
Methods
Retrospective chart review approved by the University of Oklahoma Health Sciences
Center.
From January 2001 through December 2008
Results
The mean volume reduction produced by the pressurized casting technique was
Statistically significant (p < 0.001) at all three levels.
 Indications and
Advantages

Pros Indications

• Superior comfort and fit • Active amputees

• Consistency in fitting • Good stump condition
• Direct user involvement
• Apply contour shape
• Saving the time
• Improve physiological
function
 Contraindications
and disadvantages
Cons
• Expensive
• Difficult for the new CPO
trainees to adjust the
tools
Contraindications
• Sensitive residual limbs
• Bulbous residual limbs
• not suitable for amputees
with volume changes
• Amputees with bony
spurs
• Short stump
Feedback from
CPOs.

Feedback from
CPOs.

Pros Cons

• Easy to cast • Need to adjust the socket

• Capturing the stump if volume changes
shape • Easy to damage the
• Get correct weight bladder
bearing • Difficult to observe
• Close fit alignment of stump
• Improve manufacturing position.
time •
 Feedback from
patient.

Feedback from
patient.

Pros Cons

• More comfort • Need to adjust the socket

• More stable if volume changes.
• Good proprioception
 References

• www.ossur.com
• www.oandp.com
• A. W. P. Buis, A. Blair, P. Convery, S. Sockalingam, B. McHugh. Pilot study: data-
capturing consistency of two trans-tibial casting concepts, using a manikin stump
model: a comparison between the hands-on PTB and hands-off ICECAST compact
concepts. Prosthet Orthot Int. 2003 Aug; 27(2): 100–106.
https://doi.org/10.1080/03093640308726665
• Aspire TM Plaster casting and MSS direct lamination guide
• Kim WD, Lim D, Hong KS. An evaluation of the effectiveness of the patellar tendon
bearing bar in the trans-tibial patellar-tendon-bearing prosthesis socket. Prosthet
Orthot Int. 2003;27(1):23-35. [PMID: 12812325]
• Dynamic interface pressure distributions of two transtibial prosthetic socket concepts
• Tim Dumbleton, BSc;1 Arjan W. P. Buis, PhD;1 Angus McFadyen, PhD;2 Brendan F.
McHugh, PhD;1* Geoff McKay, PhD;3 Kevin D. Murray, PhD;1 Sandra Sexton, BSc1
Any Questions?