A survey of the satisfaction of upper limb amputees with their prostheses, their lifestyles, and their abilities

Davidson, Judith

doi:10.1053/hanthe.2002.v15.01562

Cited by 159 publications

(85 citation statements)

References 15 publications

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“…While there was a significant difference in prevalence of limb loss due to trauma ( p = 0.02), trauma was the most commonly reported cause of limb loss for both studies. Similarly, other survey studies have reported trauma as the most common cause of limb loss [29–31]. …”

Section: Discussionmentioning

confidence: 67%

Surveying the interest of individuals with upper limb loss in novel prosthetic control techniques

Engdahl

Christie

Kelly

et al. 2015

J NeuroEngineering Rehabil

142

104

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BackgroundNovel techniques for the control of upper limb prostheses may allow users to operate more complex prostheses than those that are currently available. Because many of these techniques are surgically invasive, it is important to understand whether individuals with upper limb loss would accept the associated risks in order to use a prosthesis.MethodsAn online survey of individuals with upper limb loss was conducted. Participants read descriptions of four prosthetic control techniques. One technique was noninvasive (myoelectric) and three were invasive (targeted muscle reinnervation, peripheral nerve interfaces, cortical interfaces). Participants rated how likely they were to try each technique if it offered each of six different functional features. They also rated their general interest in each of the six features. A two-way repeated measures analysis of variance with Greenhouse-Geisser corrections was used to examine the effect of the technique type and feature on participants’ interest in each technique.ResultsResponses from 104 individuals were analyzed. Many participants were interested in trying the techniques – 83 % responded positively toward myoelectric control, 63 % toward targeted muscle reinnervation, 68 % toward peripheral nerve interfaces, and 39 % toward cortical interfaces. Common concerns about myoelectric control were weight, cost, durability, and difficulty of use, while the most common concern about the invasive techniques was surgical risk. Participants expressed greatest interest in basic prosthesis features (e.g., opening and closing the hand slowly), as opposed to advanced features like fine motor control and touch sensation.ConclusionsThe results of these investigations may be used to inform the development of future prosthetic technologies that are appealing to individuals with upper limb loss.Electronic supplementary materialThe online version of this article (doi:10.1186/s12984-015-0044-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 67%

Surveying the interest of individuals with upper limb loss in novel prosthetic control techniques

Engdahl

Christie

Kelly

et al. 2015

J NeuroEngineering Rehabil

142

104

View full text Add to dashboard Cite

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“…Prior reports have noted sweating to be a significant problem for people with amputation [8,10,[24][25]. This project sought to further explore the burden of sweating Perceived effectiveness of strategies to control sweating, all subjects.…”

Section: Discussionmentioning

confidence: 99%

Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

et al. 2015

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Abstract-To assess the incidence and severity of selfreported hyperhidrosis in patients with amputation and understand its effects on prosthetic fit or function, a cross-sectional survey of patients at two amputee clinics was performed.Responses from 121 subjects with lower-limb amputation were analyzed. Of these subjects, 66% reported sweating to a degree that it interfered with daily activities, as measured by the Hyperhidrosis Disease Severity Scale. There was a significant association between sweating and interference with prosthetic fit and function. Sweating was more severe in cases of transtibial amputations, patients under the age of 60 yr, warm weather, and vigorous activity. There was no relationship between severity of sweating and time since amputation, etiology of amputation, duration of daily prosthetic use, or reported ability to perform functional tasks. Subjects reported trying multiple interventions, but the self-reported effectiveness of these treatments was low. Hyperhidrosis, a common problem associated with prosthetic usage, varies in severity and often interferes with daily activities. Sweating severity is associated with poor prosthetic fit and function. Risk factors include younger age and transtibial amputation status. Treatment strategies generally lack efficacy. The results of this study may provide guidance for future interventions and treatment options.

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“…Prosthetic-device use has been measured with both continuous scales (counting days/week and hours/day the prosthesis is worn) and categorical scales (regularly, a lot of the time, all the time, occasionally, not at all, never) [12,42,[51][52]. In our study, we collected both the number of each type of upper-limb prosthesis used and the frequency used (daily, weekly, monthly, yearly).…”

Section: Discussionmentioning

confidence: 99%

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

McFarland¹,

Winkler²,

Heinemann³

et al. 2010

JRRD

194

136

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Abstract-Prosthetic use and satisfaction in wounded servicemembers and veterans with unilateral upper-limb loss has not been thoroughly explored. Through a national survey, we enrolled 47 participants from the Vietnam conflict and 50 from Operation Iraqi Freedom/Operation Enduring Freedom (OIF/ OEF) with combat-associated major unilateral upper-limb loss. Upper-limb prosthetic devices were used by 70% of the Vietnam group and 76% of the OIF/OEF group. Mechanical/bodypowered upper-limb devices were favored by the Vietnam group, while a combination of myoelectric/hybrid and mechanical/body-powered devices were favored by the OIF/OEF group. Upper-limb devices were completely abandoned in 30% of the Vietnam and 22% of the OIF/OEF groups. Abandonment was more frequent for transhumeral and more proximal levels (42% of Vietnam and 40% of OIF/OEF) than more distal limb-loss levels. Upper-limb prostheses were rejected because of dissatisfaction with the device by significantly fewer (23%) members of the Vietnam group than the OIF/OEF group (45%) (p < 0.001). Most common reasons for rejection included pain, poor comfort, and lack of functionality. A significant paradigm shift has been noted in the OIF/OEF group, who use a greater number and diversity of upper-limb prostheses than the Vietnam group.

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A survey of the satisfaction of upper limb amputees with their prostheses, their lifestyles, and their abilities

Cited by 159 publications

References 15 publications

Surveying the interest of individuals with upper limb loss in novel prosthetic control techniques

Surveying the interest of individuals with upper limb loss in novel prosthetic control techniques

Incidence, severity, and impact of hyperhidrosis in people with lower-limb amputation

Unilateral upper-limb loss: Satisfaction and prosthetic-device use in veterans and servicemembers from Vietnam and OIF/OEF conflicts

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