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Am J Phys Med Rehabil. 2018 Aug 27. doi: 10.1097/PHM.0000000000001031. [Epub ahead of print]

Functional Outcome Scores With Standard Myoelectric Prostheses In Below-Elbow Amputees.

Author information

1
Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, Austria.
2
Christian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, Austria.
3
Department of Bioengineering, Imperial College London, Kensington, SW7 2AZ, UK.
4
Clinic for Trauma Surgery, Orthopedic Surgery and Plastic Surgery, Research for Neurorehabilitation Systems, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075 Goettingen, Germany.
5
Master Degree Program "Health Assisting Engineering", University of Applied Sciences FH Campus Wien, Favoritenstraße 226, 1100 Vienna, Austria.
6
Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Waehringer Guertel 18-20, Vienna, Austria.
7
Department of Plastic Surgery, Southmead Hospital, North Bristol NHS Trust, Southmead Road, Westbury-on-Trym, Bristol UK.

Abstract

OBJECTIVE:

To report normative outcome data of prosthetic hand function in below elbow amputees using four different objective measurements closely related to activities of daily living (ADL).

DESIGN:

Seventeen patients who underwent prosthetic fitting after unilateral below-elbow amputation were enrolled in this study. Global upper extremity function was evaluated using the Action Research Arm Test (ARAT), Southampton Hand Assessment Procedure (SHAP), the Clothespin-Relocation Test (CPRT) and the Box and Block Test (BBT), which monitor hand and extremity function.

RESULTS:

The patients achieved a mean ARAT score of 35.06 ± 4.42 of 57. The average SHAP score was 65.12 ± 13.95 points. The mean time for the CPRT was 22.57 ± 7.50 seconds and the mean score in the BBT was 20.90 ± 5.74.

CONCLUSIONS:

In the current economic situation of health care systems, demonstrating the effectiveness and necessity of rehabilitation interventions is of major importance. This study reports outcome data of below-elbow amputees and provides a useful guide for expected prosthetic user performance.

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