The use of a direct manufacturing prosthetic socket system in a rural community in South Africa: a pilot study and lessons for future research

Background:Challenges exist with the provision of appropriate mobility assistive devices in rural areas. The use of the direct manufacturing prosthetic socket system is a possible solution to these challenges.Objectives:The objective of this study was to test and explore the clients’ perspectives with the application of this device.Study design:Within a mixed-methods approach, a longitudinal sequential explanatory design was applied.Methods:The Orthotic and Prosthetic User’s Survey was administered to explore the use of the direct manufacturing prosthetic socket system in terms of function, health-related quality of life and client satisfaction. A conveniently selected sample of 21 individuals who suffered a unilateral trans-tibial amputation was included. Data were collected at 1, 3 and 6 months post fitting, and two focus group discussions were also administered.Results:Of the 21 participants recruited, 11 returned for follow up. Although participants reported favourably about the prosthesis, their scor...