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Assignment presentation on
Assignment presentation
on

Icecast technology

Harashdeep Grover

5718037

Chatchawal klinmai

5818030

Rizan Yunihanawati

5918036

CONTENT

Original ideas Biomechanics
Original ideas
Biomechanics
Supported research
Supported
research
CONTENT Original ideas Biomechanics Supported research Indications and Contraindications Pros and cons Feedback from
Indications and Contraindications
Indications and
Contraindications
Pros and cons Feedback from patients and CPOs.
Pros and cons
Feedback from
patients and CPOs.
Original ideas Icecast technology
Original ideas
Icecast technology
Icecast Anatomy
Icecast Anatomy
Icecast Compact
Icecast Compact
Original ideas
Original ideas
Original ideas Icecast Compact ✓ ✓ Provides a simple and effective way of total contact fit.
Icecast Compact
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.

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
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Original ideas
Icecast Anatomy
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.

Increased control over the socket ✓ User comfort , stability and rotation control. ✓ You can
Biomechanics
Biomechanics
Hands on casting (PTB) • Popliteal • Medial tibial flare • Anterior compartment • Supracondylar
Hands on casting (PTB)
• Popliteal
• Medial tibial flare
• Anterior compartment
• Supracondylar and suprapatellar
(suspension area)

More pressure at Patella tendon bearing

• Anterior compartment • Supracondylar and suprapatellar (suspension area) More pressure at Patella tendon bearing
• Anterior compartment • Supracondylar and suprapatellar (suspension area) More pressure at Patella tendon bearing
Biomechanics
Biomechanics
Hands off casting (Icecast)
Hands off casting (Icecast)
Biomechanics Hands off casting (Icecast) • The pressure evenly distribute of the stump • Follow the

The pressure evenly distribute of the stump

Follow the anatomical shape of the stump

Suspend by pin lock mechanism

evenly distribute of the stump • Follow the anatomical shape of the stump • Suspend by
evenly distribute of the stump • Follow the anatomical shape of the stump • Suspend by
Research
Research
Research Objective : to compare the consistency pressure between 2 types method of casting hands on

Objective : to compare the consistency pressure between 2 types method of casting hands on PTB and hands off Icecast.

Research
Research

Manikin stump model

Research Manikin stump model take a cast by hands on PTB and hands off casting 5

take a cast by hands on PTB and hands off casting 5 casts per each

cast by hands on PTB and hands off casting 5 casts per each The cast embedded

The cast embedded adapter adapter was placed in transfer rig & hexagonal pole

5 casts per each The cast embedded adapter adapter was placed in transfer rig & hexagonal

data acquisition

METHOD

5 casts per each The cast embedded adapter adapter was placed in transfer rig & hexagonal
5 casts per each The cast embedded adapter adapter was placed in transfer rig & hexagonal
5 casts per each The cast embedded adapter adapter was placed in transfer rig & hexagonal
Research
Research
Research Result • There was a significant difference between hands on and hand off • Hands

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
Research
Research Objective : to compare t he dynamic interface pressure distribution of hands-off and hands-on trans-tibial

Objective : to compare the dynamic interface pressure distribution of hands-off and hands-on trans-tibial prosthetic systems.

Research
Research
Research Methods • half ( n = 24) had been wearing pressure-cast prostheses ( IceCast Compact

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
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
Indications and
Advantages

Pros

Superior comfort and fit

Consistency in fitting

Direct user involvement

Apply contour shape

Saving the time

Improve physiological

function

Indications

Active amputees

Good stump condition

Contraindications and disadvantages
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
Feedback from
CPOs.
Feedback from
CPOs.
Pros
Cons

Easy to cast

Capturing the stump shape

Get correct weight bearing

Close fit

Improve manufacturing time

Need to adjust the socket

if volume changes

Easy to damage the bladder

Difficult to observe alignment of stump position.

Easy

Feedback from patient.
Feedback from
patient.

Feedback from patient.

Feedback from patient. Feedback from patient . Pros Cons • More comfort • More stable •
Feedback from patient. Feedback from patient . Pros Cons • More comfort • More stable •

Pros

Cons

More comfort

More stable

Good proprioception

Need to adjust the socket

if volume changes.

. Pros Cons • More comfort • More stable • Good proprioception • Need to adjust
References
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): 100106.

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, BSc 1

Any Questions?
Any Questions?