A review of upper limb pediatric prostheses and perspectives on future advancements

A review of upper limb pediatric prostheses and perspectives on future advancements
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儿科上肢假肢回顾及未来发展展望

DOI:
10.1097/pxr.0000000000000094
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发表时间:
2022
影响因子:
1.5
通讯作者:
Schofield, Jonathon S.
Schofield, Jonathon S.
中科院分区:
医学4区
文献类型:
--
作者:
Battraw, Marcus A.;Fitzgerald, Justin;Joiner, Wilsaan M.;James, Michelle A.;Bagley, Anita M.;Schofield, Jonathon S.

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许多复杂的因素影响先天性上肢缺陷的孩子是否佩戴假肢。最终,对于孩子佩戴和使用假肢来说,它必须有助于有效执行日常任务并促进健康的社交互动。尽管有许多儿科设备可供使用,但大多数都提供单一的开闭抓握(如果有抓握功能),并且通常提供非拟人化的外观,无法满足这些标准。在这篇叙述性评论中,我们对儿童上肢假肢的状况进行了严格的评估。我们总结了使用生活质量衡量标准的文献,并将影响假肢使用的驱动因素分为两大类:心理社会功能和身体功能。我们将心理社会功能定义为与社会包容/排斥、情感功能、独立性和学校功能相关的因素。身体功能被定义为与假肢的物理使用相关的因素。文献综述表明,生活质量的社会心理领域可能会受到先天性肢体缺陷的影响,而目前可用的假肢在身体功能领域几乎没有什么好处。最后,我们讨论了尚未用于儿科设备的成人假肢的技术进步,包括描述最近开发的成人电动手,它可以通过多种抓握配置来改善身体功能,并提供更像手的美容效果。我们概述了为儿童转化类似技术所需采取的行动,并讨论了开始消除儿科设备采用障碍的进一步策略。
Many complex factors affect whether a child with a congenital upper limb deficiency will wear a prosthetic limb. Ultimately, for a child to wear and use their prosthesis, it must facilitate the effective performance of daily tasks and promote healthy social interactions. Although numerous pediatric devices are available, most provide a single open-close grasp (if a grasping function is available at all) and often offer nonanthropomorphic appearances, falling short of meeting these criteria. In this narrative review, we provide a critical assessment of the state of upper limb prostheses for children. We summarize literature using quality of life measures and categorize driving factors affecting prosthesis use into two main groupings: psychosocial and physical functioning. We define psychosocial functioning as factors related to social inclusion/exclusion, emotional function, independence, and school functioning. Physical functioning is defined as factors associated with the physical use of a prosthesis. The reviewed literature suggests that psychosocial domains of quality of life may be influenced by a congenital limb deficiency, and currently available prostheses provide little benefit in the physical functioning domains. Finally, we discuss technological advancements in adult prostheses that have yet to be leveraged for pediatric devices, including describing recently developed adult electric hands that may improve physical functioning through multiple grasping configurations and provide more hand-like cosmesis. We outline actions necessary to translate similar technologies for children and discuss further strategies to begin removing barriers to pediatric device adoption.
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发表时间: 2012-10-01
影响因子: 3.5
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影响因子: 4.3
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