Summary 4 of 4: Excess Perspiration in Liners

Custom Prosthetic Services Ltd

Description

Title:

Summary 4 of 4: Excess Perspiration in Liners

Creator:

Custom Prosthetic Services Ltd

Date:

10/29/2009

Text:

Responses:

Have you tried tightening up the socket by adding one or more fitting socks over the fabric portion of the liner? If the socket it at all loose either in an area or globally, it will draw perspiration. There are some people that will still perspire, but on many this is the solution.

Also check out the Elevated Vacuum Blog: <URL Redacted>
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My patient normally found a liner/liner silver sock between their skin and the liner solved the problem. The liner sock should be 3 1/2 inches below the top of the gel liner to keep suction. I also may have heard about a under liner sock that has some silicone on it to preserve anti rotation benefits.
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I am in Las Vegas so needless to say it gets a wee bit warm here in the summers so I have been getting more and more of my liner pt's to start wearing liner liners from knit rite. They have made a big difference.
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We have had a similar experience with both perspiration and bunching of the gel liner behind the knee. I do not know if these situations are related, as we have seen each problem independently as well as together. Several patients presented with what I would call profuse sweating in the liner. One patient was so exasperated that he dumped out approximately 1/3 cup of perspiration onto the floor in the exam room so that I fully grasped his problem. I discussed the problem with some very helpful people at Otto Bock (patient was wearing the Harmony system with a custom Harmony liner) and we decided to experiment by placing a slit with a very sharp scalpel in the distal end of the Harmony liner. The length of the slit was maybe 1/2. This significantly reduced the accumulation of perspiration. His skin was still damp, but the liner did not accumulate perspiration as before. I do not know how my patients are managing the bunching of the liner, other than to occasionally reach down and pull the sealing knee sleeve more proximally. This seems to be a problem that they are managing as I do not continue to receive complaints. Hope this helps.
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I have 2 clients that have used the Alps PSI liners in conjunction with suction AND have cut small holes distally. 1 poked holes with a needle, then ran thread through the holes...like a wick. He used 6 holes. Tied 2 holes very loosely together with 3 strings. Seems to work very well at removing moisture.



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Citation

Custom Prosthetic Services Ltd, “Summary 4 of 4: Excess Perspiration in Liners,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 15, 2024, https://library.drfop.org/items/show/230874.