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Water activity limbs.

R S Hanspal1, R Nieveen

  • 1Stanmore Disablement Services Centre, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, UK.

Prosthetics and Orthotics International
|February 4, 2003
PubMed
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This study establishes national consensus on Water Activity Limbs (WALs) for amputees. Occupation and specific water sports are key indications, while social leisure is not recommended.

Area of Science:

  • Prosthetics and Orthotics
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Increasing availability of Water Activity Limbs (WALs) due to technological advances.
  • Growing demand for WALs necessitates standardized guidelines.
  • Lack of published evidence for best practices in WAL prescription.

Purpose of the Study:

  • To establish a national consensus on indications for Water Activity Limbs (WALs).
  • To define recommended best practices and procedures for WAL provision.
  • To provide evidence-based guidelines for healthcare professionals.

Main Methods:

  • Two-round Delphi method questionnaires distributed to doctors, prosthetists, and therapists.
  • First round: rating of potential indications for WALs.

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  • Second round: consensus building on proposed indications, guidelines, and procedures.

    • Main Results:

    • Occupation identified as an absolute indication by over 50% of respondents.
    • Specific water sports were considered indications; occasional swimming and beach activities were possible indications.
    • Showering was not considered an indication; social reasons for leisure were largely disagreed upon.

    Conclusions:

    • Developed recommendations for WAL prescription based on national peer consensus.
    • Highlighted the need for a structured process to generate further evidence in this specialty.
    • Provided a framework for consistent and appropriate provision of Water Activity Limbs.