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Prosthesis Usage and Functional Status in Upper Limb Amputees: A Prospective Cross-Sectional Study.

Aravind P Rajan1, Asem R Chanu1, Srikumar Venkataraman1

  • 1Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, IND.

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|August 29, 2024
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Summary

Comfort and prosthesis weight significantly impact upper limb prosthesis success in India. Tailored rehabilitation is crucial for amputees to improve functional outcomes and autonomy.

Keywords:
functionality of prosthesis usagemanipal prsopus uefsprosthesis usagesuccess of prosthesis usageupper limb amputees

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Area of Science:

  • Rehabilitation Medicine
  • Biomedical Engineering
  • Disability Studies

Background:

  • Amputation presents multifaceted challenges including psychological, physical, and socio-economic impacts.
  • Locomotor disabilities are prevalent in India, with amputees constituting a significant group.
  • Prosthetic rehabilitation is vital for restoring autonomy and mitigating limb loss consequences.

Purpose of the Study:

  • To investigate factors influencing upper limb prosthesis usage success in India.
  • To assess the impact of comfort, occupation, and prosthesis characteristics on functional outcomes.
  • To identify areas for improvement in prosthetic care within the Indian context.

Main Methods:

  • A prospective, cross-sectional observational study involving 33 unilateral upper limb amputees (ULAs) over 18 months.
  • Utilized Manipal Prosthetic Rehabilitation Success (PRS) score and OPUS UEFS score for assessment.
  • Employed descriptive statistics, Chi-square, Mann-Whitney U, Kruskal-Wallis, and logistic regression analyses.

Main Results:

  • Comfort level (p=0.002), occupation type (p=0.012), non-dominant limb amputation (p=0.033), and prosthesis weight (p=0.029) significantly influenced usage success.
  • Comfort was the primary predictor of successful prosthesis use.
  • OPUS UEFS scores showed higher satisfaction with comfortable prostheses (p=0.020).

Conclusions:

  • Upper limb prosthesis usage success in India is influenced by comfort, occupation, side of amputation, and weight.
  • Tailored interventions considering individual needs and cultural context are essential.
  • Enhancing prosthetic care requires refining assessment tools and addressing cultural nuances for the Indian population.