Issues of importance reported by persons with lower limb amputations and prostheses

Area of Science:

• Prosthetics and Orthotics
• Rehabilitation Medicine
• Biomedical Engineering

Background:

• Lower limb amputations (LLA) significantly impact daily life and require prosthetic solutions.
• Understanding patient-reported outcomes is crucial for improving prosthetic device effectiveness and user satisfaction.

Purpose of the Study:

• To identify and report prosthesis-related issues of importance from the perspective of individuals with lower limb amputations (LLA).
• To explore themes related to the fit, function, and adaptation to life with a prosthesis.

Main Methods:

• A diverse group of individuals with LLA were recruited from trauma and VA healthcare systems.
• Participants completed the Prosthesis Evaluation Questionnaire (PEQ) and the SF-36 health status measure.
• Open-ended questions explored themes of socket fit, mechanical function, non-mechanical qualities, and adaptation.

Main Results:

• Four key themes emerged: socket fit, mechanical functioning, non-mechanical qualities, and adaptation with social support.
• Socket fit with the residual limb was a significant concern for participants.
• Patient perceptions validated some assumptions while challenging others regarding prosthetic use.

Conclusions:

• Prosthesis design and support systems require refinement based on user experiences.
• Future research should focus on improving socket fit and implementing regular prosthetic check-ups.
• Addressing identified issues can reduce suffering and enhance the quality of life for individuals with LLA.