Functional outcome of patients with proximal upper limb deficiency–acquired and congenital

Datta, D.; Selvarajah, K.; Davey, Nicola

doi:10.1191/0269215504cr716oa

Cited by 170 publications

(159 citation statements)

References 22 publications

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“…The largest incidence of upper extremity injuries is found in males in the 45-54 years age group. Amputations of the upper limb usually occur at a relatively young age and are mainly caused by trauma [6][7][8]. Therefore, individuals with an amputation of their upper limb are likely to live and work with the amputation for a long portion of their life [9].…”

Section: Introductionmentioning

confidence: 99%

“…In individuals with upper limb absence (ULA), congenital or acquired, the prevalence of musculoskeletal complaints (MSCs) of their residual limb, non-affected limb, neck, or back ranges from 20% to 64%, depending on the location of MSCs [1,6,[9][10][11][12]. A prevalence of MSCs in the preceding year in individuals with major ULA (wrist disarticulation or more proximal amputation levels) of 65%, versus a year prevalence of 34% in the control group, was found recently [13].…”

Section: Introductionmentioning

confidence: 99%

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Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Bouma

Postema

Bongers

et al. 2017

Disability and Rehabilitation

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Purpose: To compare the prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) with a control group and to explore the effect and predictors of MSCs in individuals with FPHAs. Method: A questionnaire-based cross-sectional study was conducted. The primary outcome measures were: prevalence of MSCs, health status, pain-related disability, physical work demands, work productivity, and hand function. Results: The response rate was 61%. A comparable proportion of individuals with FPHAs (n ¼ 99) and controls (n ¼ 102) reported MSCs in the preceding 4 weeks (33% vs. 28%, respectively) or in the preceding year (37% vs. 33%, respectively). Individuals with FPHAs with MSCs experienced more pain than controls with MSCs. Regular occurrence of stump sensations and self-reported limited range of motion (ROM) of the wrist of the affected limb were predictors for MSCs in individuals with FPHAs. Conclusions: The prevalence of MSCs was comparable in individuals with FPHAs and controls. However, clinicians should pay special attention to the risk of developing MSCs in patients with stump sensations and limited ROM of the wrist of the affected limb. Future research should focus on the role of wrist movements and compensatory movements in the development of MSCs in individuals with FPHAs. ä IMPLICATIONS FOR REHABILITATIONThe prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) and control subjects was similar. Regular occurrence of stump sensations and limited range of motion of the wrist of the affected limb were predictors of developing MSCs in individuals with FPHAs. Clinicians should pay special attention to individuals with FPHAs with the presence of these predictors of developing MSCs. For a better understanding of the development of and treatment options for MSCs, future research focusing on the role of wrist function in the development of MSCs in individuals with FPHAs is necessary. ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Bouma

Postema

Bongers

et al. 2017

Disability and Rehabilitation

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“…As such, they can potentially address both functional [3] and cosmetic [4] user needs and have positive psychosocial implications [5][6][7][8][9]. However, the actual impact of these technologies on patients' lives has been documented in only two case reports [10][11].…”

Section: Introductionmentioning

confidence: 99%

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

et al. 2015

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Abstract-This work explores the functional and psychosocial impact of the multigrip Michelangelo (M) prosthetic hand. Transradial myoelectric prosthesis users (6 men, median age: 47 y) participated in a crossover longitudinal study. A multifactorial assessment protocol was applied before the application of M and after 3 mo (functional assessment) and 6 mo (psychosocial assessment) of home use. Functional assessment included both practical tests (i.e., Southampton Hand Assessment Procedure [SHAP], Box and Blocks Test [BBT], and Minnesota Manual Dexterity Test [MMDT]) and self-report functional scales. Psychosocial assessment consisted of a clinical interview and a battery of self-report questionnaires concerning current anxious-depressive symptoms and healthrelated quality of life, body image concerns, adjustment and satisfaction with prosthesis, social support, coping style, and personality. Increased manual dexterity was observed after 3 mo based on improvements in the SHAP, BBT, and MMDT. Two important themes emerged from the clinical interviews at the 6 mo follow-up: (1) the enhanced functionality and (2) the "like a real hand" aspect of the M, which further increased prosthesis integration to the Self. A few patients expressed concerns about M dimension, noise, and weight. The M appeared to restore hand function and natural appearance. The present findings provide preliminary evidence, and additional studies are needed.

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“…[1][2][3] Furthermore, lower limb amputees tend to be more satisfied with their occupational status than controls. 2 After an upper limb amputation, job reintegration is high, 4,5 but nothing has yet been revealed on job satisfaction after an upper limb amputation.…”

Section: Introductionmentioning

confidence: 99%

Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees

Sluis¹,

Hartman²,

Schoppen³

et al. 2009

Prosthetics &Amp; Orthotics International

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Objectives: To explore job adjustments, job satisfaction, and health experience among employees with an upper limb amputation and to compare the results with those of lower limb amputees and control subjects. Methods: Amputees were recruited from data files of a large European University Medical Centre and orthopaedic workshops. Controls were matched colleagues of the lower limb amputees. All participants filled out the VAG questionnaire (Vragenlijst Arbeid en Gezondheid), assessing job satisfaction and job adjustments, and the RAND-36. Results: 28 upper limb amputees were compared to 144 lower limb amputees and 144 controls. Job adjustments were necessary in 38% and 28% of upper and lower limb amputees, respectively. All three groups were equally satisfied with their jobs (p ¼ 0.90). Vocational rehabilitation was applied to 26% and 8% of upper and lower limb amputees, respectively. Upper limb amputees rated their general health worse (18 points, 95% CI: 12-25) compared to lower limb amputees, corrected for effects of confounders (age and co-morbidity). Conclusions: Upper and lower limb amputees have high job satisfaction and a minority need job adjustments. In upper limb amputees, the causes of the worrisome general health experience need further investigation. In upper and lower limb amputees, vocational rehabilitation deserves additional attention.

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Functional outcome of patients with proximal upper limb deficiency–acquired and congenital

Cited by 170 publications

References 22 publications

Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study

Impact of Michelangelo prosthetic hand: Findings from a crossover longitudinal study

Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees

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