Priorities for the design and control of upper limb prostheses: A focus group study

Zheng, Jasmine; Kalpakjian, Claire Z.; Larrága-Martínez, María; Chestek, Cynthia A.; Gates, Deanna H.

doi:10.1016/j.dhjo.2019.03.009

Cited by 13 publications

(22 citation statements)

References 18 publications

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“…Four studies only included men [19,23,42,47], and two only women [11,20]. In eight studies participants who did not fit the target population were included and not separately analyzed: three studies included participants younger than 18 years [12,40,44]; five studies included participants with bilateral upper limb loss [22,24,42,43,45]; two studies included participants with upper limb loss distal from the wrist [22,43]. In all of these studies, this involved less than 25% of the included participants.…”

Section: Partmentioning

confidence: 99%

“…CASP criteria are presented if they were unmet, which was the case when a question was answered with 'no'. Two of the included studies did not have any unmet CASP criteria [22,44], seven studies had one unmet criterion [9,[41][42][43][47][48][49], one study had two unmet criteria [13] and seven studies had three or more unmet criteria [11,12,21,23,24,40,45]. Two studies could not be assessed with the CASP, since one was a case report and the other a commentary [19,20].…”

Section: Plos Onementioning

confidence: 99%

“…The theme mental included all subthemes that were related to someone's thinking or feelings. 'Coping' strategies varied across people and could influence prosthesis choice and usage in both a positive and negative way [11,13,[20][21][22][23][24]43,47,48]. For example, one participant said she felt miserable when the socket got sweaty, while another was not bothered by sweatiness, illustrating different types of coping styles [48].…”

Section: Plos Onementioning

confidence: 99%

“…The theme 'social' included all subthemes that relate to someone's social relations and functioning in society. 'Fitting in' appeared to be a dominant subtheme [9,11,49,13,20,22,23,40,44,47,48]. People often had the desire to fit in and feel like everybody else.…”

Section: Plos Onementioning

confidence: 99%

“…However, the literature on important prosthesis-related factors from a user's perspective is diverse and fragmented. With 'diverse' we refer to the many different methods that are used in the current qualitative literature, like focus groups, interviews, open-ended questions in questionnaires, narratives, case-reports and commentaries [9,11,[19][20][21][22]. By 'fragmented' we mean that various terms and constructs are used.…”

Section: Introductionmentioning

confidence: 99%

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User-relevant factors determining prosthesis choice in persons with major unilateral upper limb defects: A meta-synthesis of qualitative literature and focus group results

et al. 2020

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Considering the high rejection rates of upper limb prostheses, it is important to determine which prosthesis fits best the needs of each user. The introduction of the multi-grip prostheses hands (MHP), which have functional advantages but are also more expensive, has made prosthesis selection even harder. Therefore, we aimed to identify user opinions on factors determining prosthesis choice of persons with major unilateral upper limb defects in order to facilitate a more optimal fit between user and prosthesis. Methods A qualitative meta-synthesis using a 'best-fit framework' approach was performed by searching five databases (PROSPERO registration number: CRD42019126973). Studies were considered eligible if they contained qualitative content about adults with major unilateral upper limb defects experienced in using commercially available upper limb prostheses and focused on upper limb prosthesis users' opinions. Results of the meta-synthesis were validated with end-users (n = 11) in a focus group. Results Out of 6247 articles, 19 studies were included. An overview of six main themes ('physical', 'activities and participation', 'mental', 'social', 'rehabilitation, cost and prosthetist services' and 'prosthesis related factors') containing 86 subthemes that could affect prosthesis choice was created. Of these subthemes, 19 were added by the focus group. Important subthemes were 'work/school', 'functionality' and 'reactions from public'. Opinions of MHP-users were scarce. MHPs were experienced as more dexterous and lifelike but also as less robust and difficult to control.

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