Abstract:The findings offer a greater psychological insight into adjustment from an upper limb amputation and the role of prostheses. These findings have implications for both the clinical rehabilitation of patients who undergo upper limb amputations, as well as for future research into the use and value of prostheses in facilitating the adjustment to this experience.
“…Third, as highlighted in previous studies, having a prosthesis appears to reduce the distance between current and former selves and to minimize the perceived difference from others [9,41]. In particular, with its normal appearance, the M seemed to facilitate social interactions.…”
Section: Discussionmentioning
confidence: 97%
“…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].…”
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.
“…Third, as highlighted in previous studies, having a prosthesis appears to reduce the distance between current and former selves and to minimize the perceived difference from others [9,41]. In particular, with its normal appearance, the M seemed to facilitate social interactions.…”
Section: Discussionmentioning
confidence: 97%
“…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].…”
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.
“…For example, all but one of the men with an upper limb prosthesis in Saradjian et al's [19] study were married or co-habiting. It seems that the experiences of young, single women have still received very little consideration.…”
mentioning
confidence: 99%
“…Yet the impact of amputation is much broader than physical functioning (for example, effects on body image and psychosocial adjustment [13][14][15]. Furthermore, Nauert [16] notes that much of the limited research into experiences of living with an amputation has focused on male participants, reflecting the higher incidence of amputation amongst men than women [17][18][19]. Women with disabilities, such as those with amputations, often report feeling stigmatized and consistently under pressure to conform to society's idea of the conventional woman, and stereotypical notions of female physique and beauty [9,20].…”
“…While a full description of each of the study types and designs is beyond the scope of this article, representative goals of each of these types of studies are shown in the Table. User studies to understand the needs and preferences of prosthetic users or predictors of prosthetic use and abandonment are typically observational studies that involve surveys of users [41][42][43][44][45][46][47] and providers [48], medical record abstraction [47,49], focus groups [10], or in-person interviews [50]. User studies are typically recommended as the first step in product development research [10].…”
Section: Other Types Of Prosthetics Researchmentioning
Abstract-The purposes of this article are to describe usability testing and introduce designs and methods of usability testing research as it relates to upper-limb prosthetics. This article defines usability, describes usability research, discusses research approaches to and designs for usability testing, and highlights a variety of methodological considerations, including sampling, sample size requirements, and usability metrics. Usability testing is compared with other types of study designs used in prosthetic research.
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