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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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Prosthesis use in persons with lower- and upper-limb amputation.

Katherine A Raichle1, Marisol A Hanley, Ivan Molton

  • 1Department of Psychology, Seattle University, Seattle, WA 98122, USA. raichlek@seattleu.edu

Journal of Rehabilitation Research and Development
|January 24, 2009
PubMed
Summary
This summary is machine-generated.

Prosthesis use in upper- and lower-limb amputations varies based on factors like age, employment, pain, and amputation site. Understanding these elements is crucial for improving prosthetic device adoption and patient outcomes.

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Area of Science:

  • Rehabilitation Medicine
  • Clinical Psychology
  • Biomedical Engineering

Background:

  • Prosthesis use is a critical component of rehabilitation for individuals with limb amputations.
  • Factors influencing prosthesis use, including pain and demographic variables, require further investigation.
  • Understanding these factors is essential for optimizing prosthetic outcomes and patient quality of life.

Purpose of the Study:

  • To identify clinical and demographic factors associated with prosthesis use in upper- and lower-limb amputations (ULA and LLA).
  • To examine the impact of phantom limb pain (PLP) and residual limb pain (RLP) on prosthesis usage patterns.
  • To explore the differential effects of these variables based on amputation etiology and location.

Main Methods:

  • A survey was administered to 752 individuals with LLA and 107 individuals with ULA.
  • Data collected included demographic information, amputation characteristics, and experiences with PLP and RLP.
  • Statistical analysis was performed to identify factors correlated with prosthesis use duration (hours/day, days/month).

Main Results:

  • For LLA, greater prosthesis use was linked to younger age, employment, marriage, distal amputation, traumatic etiology, and absence of PLP.
  • For ULA, proximal amputation and lower PLP were associated with greater daily use, while distal amputation and marriage correlated with monthly use.
  • Prosthesis use was significantly more common in individuals with LLA compared to ULA.

Conclusions:

  • Clinical and demographic factors significantly influence prosthesis use in individuals with ULA and LLA.
  • The presence and management of PLP and RLP are key considerations for improving prosthesis adoption.
  • Tailoring interventions based on amputation type, location, and individual patient factors is vital for successful prosthetic rehabilitation.