Concarneau

This research aims to assess how a prosthetic foot with an adjustable heel height affects physical appearance and social participation in adults with major lower limb amputations. The study addresses the challenge that most prosthetic feet have a fixed heel height, which limits users to wearing shoes with the same heel height. Being able to choose different shoes freely is important for coping with physical disability and maintaining lifestyle preferences. Participants will use two types of prosthetic feet in a randomized order. One device is the Taleo Adjust foot, which features a hydraulic ankle allowing adjustable heel heights from 0 to 7 cm to match different shoe types without compromising walking quality. The other is the participants usual energy storage and return ESR foot with a fixed heel height. Each foot will be worn for 30 days, with participants either starting with the Taleo Adjust foot then switching to their usual foot, or vice versa. During the study, participants will be assessed using questionnaires and scales that measure appearance satisfaction, functional ability, psychosocial impact, device satisfaction, quality of life, mobility, and socket comfort. The primary outcome is the Prosthetic Evaluation Questionnaire - Appearance scale after 30 days of use for each foot. The study includes monitoring participant experiences and measuring how the adjustable heel foot influences daily activities and social participation over the two 30-day periods.