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Related Experiment Video

Updated: Dec 3, 2025

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study.

Joseph B Webster1,2, Kevin N Hakimi1,2, Rhonda M Williams1,2

  • 1Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA.

Journal of Rehabilitation Research and Development
|October 29, 2020
PubMed
Summary

Most individuals achieve successful prosthetic fitting after lower-limb amputation. However, factors like depression, diabetes, and age impact prosthetic use and function, highlighting the need for comprehensive rehabilitation support.

Keywords:
ambulationamputationgaitprosthesisprosthetic fittingrehabilitationsatisfactiontransfemoral amputationtransmetatarsal amputationtranstibial amputation

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Amputee Care

Background:

  • Successful prosthetic fitting is crucial for rehabilitation outcomes after lower-limb amputation.
  • Understanding factors influencing prosthetic use and satisfaction is essential for improving patient care.

Purpose of the Study:

  • To determine the rate of successful prosthetic fitting within 12 months post-amputation.
  • To describe prosthetic utilization patterns after lower-limb amputation.
  • To identify factors associated with prosthetic fitting, function, and patient satisfaction.

Main Methods:

  • A multicenter prospective cohort study design was employed.
  • Participants included individuals undergoing their first major lower-limb amputation due to vascular disease and/or diabetes.
  • Data were collected over a 12-month period to assess prosthetic outcomes.

Main Results:

  • By 12 months, 92% of subjects achieved successful prosthetic fitting.
  • Unsuccessful fitting at 4 months was linked to depression, prior arterial reconstruction, diabetes, and residual limb pain.
  • Older age, major depressive episodes, and chronic obstructive pulmonary disease were associated with reduced prosthetic use and functional restriction.

Conclusions:

  • While prosthetic fitting is generally successful by one year, specific medical and psychosocial factors significantly influence outcomes.
  • Addressing depression, managing comorbidities, and considering patient age are vital for optimizing prosthetic use and function.
  • Further research is needed to develop targeted interventions for individuals facing challenges in prosthetic rehabilitation.