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Evaluation of prosthetic usage in upper limb amputees.
I Dudkiewicz1, R Gabrielov, I Seiv-Ner
1Department of Orthopedic Rehabilitation, The Chaim Sheba Medical Center, Tel Hashomer, Israel. dudke@netvision.net.il
Disability and Rehabilitation
|December 9, 2003
Summary
Successful prosthetic rehabilitation for upper limb amputees depends on factors like amputation level and prosthesis type. Above-elbow amputees with dominant hand loss using body-powered prostheses achieved the best functional outcomes.
Area of Science:
- Rehabilitation Medicine
- Prosthetics and Orthotics
- Biomedical Engineering
Background:
- Upper limb amputation leads to significant functional deficits and psychological distress.
- Successful prosthetic rehabilitation is crucial for restoring patient function and well-being.
- Identifying predictive parameters for successful prosthetic use is essential.
Purpose of the Study:
- To determine factors predicting successful prosthetic rehabilitation in upper limb amputees.
- To investigate the relationship between amputation level, pain, and prosthesis satisfaction.
- To evaluate functional outcomes based on prosthesis type and amputation characteristics.
Main Methods:
- Retrospective analysis of 45 upper limb amputee patient records.
- Evaluation using the Modified Upper Extremities Amputees' Questionnaire.
- Assessment of pain levels (Visual Analog Scale), pain type, and functional prosthetic use.
Main Results:
- 71.43% of patients experienced difficulties with prosthesis usage.
- 54.76% of patients were satisfied with their prosthesis (19 cosmetic, 4 body-powered).
- Trans-wrist amputations showed 100% prosthesis use; no significant difference in stump problems related to prosthesis type.
Conclusions:
- Above-elbow amputees with dominant hand amputation using body-powered prostheses reported the best functional outcomes.
- Amputation level, particularly trans-wrist, influences prosthesis use.
- Prosthesis type did not significantly correlate with stump problems.