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Prosthesis donning and doffing questionnaire: Development and validation.

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A new questionnaire effectively assesses how easily trans-tibial amputees don and doff their prosthesis. This tool shows good reliability and can help improve prosthetic device design and patient care.

Keywords:
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Area of Science:

  • Prosthetics and Orthotics
  • Rehabilitation Engineering
  • Biomedical Engineering

Background:

  • Donning and doffing prosthetic limbs is a critical daily activity for individuals with trans-tibial amputations.
  • Quantifying the ease of these tasks is essential for patient well-being and prosthetic device evaluation.

Purpose of the Study:

  • To develop and validate a questionnaire specifically designed to evaluate the ability of trans-tibial amputees to don and doff their prosthesis.
  • To investigate the psychometric properties, including reliability and repeatability, of the newly developed questionnaire.

Main Methods:

  • A cross-sectional study design was employed.
  • A questionnaire was developed and refined by expert consensus.
  • The final questionnaire was administered to 50 individuals with trans-tibial amputations, with test-retest reliability assessed in 20 participants.

Main Results:

  • The developed prosthesis donning and doffing questionnaire demonstrated good reliability and repeatability, with Kappa index correlation coefficients greater than 0.7.
  • Most participants (80%) exhibited good hand dexterity.
  • Mean satisfaction scores for donning and doffing were 69.9 and 81.4, respectively, with participants donning/doffing 3.44 times daily.

Conclusions:

  • The prosthesis donning and doffing questionnaire exhibits favorable psychometric properties for evaluating trans-tibial amputees.
  • The questionnaire can aid manufacturers, clinicians, and researchers in assessing and enhancing prosthetic limb donning and doffing.
  • Further international multicenter evaluation is recommended to assess responsiveness and refine scoring for diverse suspension types.