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Updated: Apr 19, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Individualizing goals for users of externally powered partial hand prostheses.

Lynsay Whelan1, Sharon Flinn, Nathan Wagner

  • 1Occupational Therapy, Touch Bionics, Hilliard, OH;

Journal of Rehabilitation Research and Development
|December 6, 2014
PubMed
Summary

Research is needed to improve prosthetic acceptance for individuals with partial hand loss. Understanding difficult and important tasks can guide prosthetic design and training for better outcomes.

Keywords:
adaptive equipmentfunctional traininggoal settinglimb deficiencylimb lossmulti-articulating prosthetic handpartial hand deficiencyprosthesisprosthesis overuseprosthetic technology

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Area of Science:

  • Rehabilitation Engineering
  • Prosthetics and Orthotics
  • Occupational Therapy

Background:

  • Recent advances in prosthetic technology offer new possibilities for individuals with partial hand loss.
  • This population faces increased risks of overuse syndromes, highlighting the need for effective prosthetic solutions.
  • Improved prosthetic devices can enable clients to perform more complex activities with reduced compensatory movements.

Purpose of the Study:

  • To identify tasks that are both difficult and important to individuals with partial hand loss.
  • To provide recommendations for aligning user goals with prosthetic design, training, and equipment.

Main Methods:

  • Qualitative study involving individuals with partial hand loss.
  • Task analysis to identify activities of daily living and instrumental activities of daily living.
  • Semi-structured interviews to gather user perspectives on task difficulty and importance.

Main Results:

  • Key tasks were identified as crucial for daily functioning and personal goals.
  • Users expressed a need for prosthetics that facilitate participation in meaningful activities.
  • Specific challenges related to dexterity, grip, and sensory feedback were highlighted.

Conclusions:

  • Understanding individual task priorities is essential for successful prosthetic adoption.
  • Recommendations focus on user-centered design, tailored functional training, and appropriate adaptive equipment.
  • Future research should explore long-term outcomes and the impact of technology on quality of life.