Sex and gender differences in upper extremity prosthesis rejection: A review of literature

Eric Henderson ¹, Mayank Rehani , Jacqueline S Hebert

⁰Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Prosthetics and Orthotics International +

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April 5, 2024

View abstract on PubMed

Summary

Women with upper limb differences reject prostheses more often than men. Device design and goals may not meet women

Area Of Science

Rehabilitation Medicine
Prosthetics and Orthotics
Biomedical Engineering

Background

Prosthesis rejection is a major obstacle in upper limb difference rehabilitation.
Individual factors, including sex and gender, influence device rejection.
Understanding these differences is crucial for improving patient outcomes.

Purpose Of The Study

To review and synthesize existing literature on sex and gender differences in upper limb prosthesis rejection.
To identify specific factors contributing to higher rejection rates in certain populations.
To highlight gaps in current research regarding sex and gender considerations.

Main Methods

A narrative review of peer-reviewed studies involving adults with upper limb differences.
Literature search conducted in MEDLINE, Embase, and PsycInfo using specific keywords and filters.
Extracted data focused on reasons for rejection, disuse, or abandonment, emphasizing sex and gender differences.

Main Results

Women tend to reject upper extremity prostheses more frequently than men, both pre- and post-fitting.
Current prosthetic device characteristics (e.g., weight, cosmesis) may not be adequately designed for women.
The specific goals and needs of women with limb differences may not be sufficiently addressed.

Conclusions

There are notable sex and gender disparities in upper limb prosthesis rejection.
Inadequate reporting of sex and gender in research hinders a comprehensive understanding.
Future studies must address these factors to ensure equitable and effective prosthetic care for all individuals with limb loss.