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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.

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



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).


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.


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.


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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