Upper limb prosthesis use and abandonment: A survey of the last 25 years
Upper limb prosthesis use and abandonment: A survey of the last 25 years
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DOI：
10.1080/03093640600994581
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发表时间：
2007-09-01
影响因子：
1.5
通讯作者：
Chau, Tom T.
中科院分区：
文献类型：
--
作者：
Biddiss, Elaine A.;Chau, Tom T.
本文综述了过去25年来上肢假肢接受和放弃的分析和比较调查，详细介绍了消费者不满的领域和正在进行的技术进步。通过检索奥维德、PubMed和ISI Web of Science（1980年至2006年2月）中的关键词上肢和假体，识别出英语文章。文章集中在上肢假体和解决：（i）与放弃相关的因素-，（ii）拒绝率;（iii）功能分析和磨损模式;（iv）消费者满意度，排除那些详细的工具，结果测量，案例研究和医疗程序提取。大约200篇文章被纳入综述过程，其中40篇提供了假体排斥率。从每篇文章中提取人群特征、研究方法和使用中的假体的定量测量。在文献中观察到，在儿科人群中，身体动力和电动假体的平均排斥率分别为45%和35%。在成人人群中观察到身体供电（26%）和电动（23%）器械的排斥率显著较低，而儿童（16%）和成人（20%）人群的平均无磨损发生率相似。记录的拒绝率显示出广泛的差异，可能是由于所涉及的异质性样本和研究之间的方法学差异。未来的研究应包括采用标准化结果测量的对照、多因素研究，以促进对影响假体使用和放弃的因素的全面了解。需要加强对这些因素的理解，以优化处方实践，指导设计工作，并满足对循证干预措施的需求。
This review presents an analytical and comparative survey of upper limb prosthesis acceptance and abandonment as documented over the past 25 years, detailing areas of consumer dissatisfaction and ongoing technological advancements. English-language articles were identified in a search of Ovid, PubMed, and ISI Web of Science (1980 until February 2006) for key words upper limb and prosthesis. Articles focused on upper limb prostheses and addressing: (i) Factors associated with abandonment-, (ii) Rejection rates; (iii) Functional analyses and patterns of wear; and (iv) Consumer satisfaction, were extracted with the exclusion of those detailing tools for outcome measurement, case studies, and medical procedures. Approximately 200 articles were included in the review process with 40 providing rates of prosthesis rejection. Quantitative measures of population characteristics, study methodology, and prostheses in use were extracted from each article. Mean rejection rates of 45% and 35% were observed in the literature for body-powered and electric prostheses respectively in pediatric populations. Significantly lower rates of rejection for both body-powered (26%) and electric (23%) devices were observed in adult populations while the average incidence of non-wear was similar for pediatric (16%) and adult (20%) populations. Documented rates of rejection exhibit a wide range of variance, possibly due to the heterogeneous samples involved and methodological differences between studies. Future research should comprise of controlled, multifactor studies adopting standardized outcome measures in order to promote comprehensive understanding of the factors affecting prosthesis use and abandonment. An enhanced understanding of these factors is needed to optimize prescription practices, guide design efforts, and satiate demand for evidence-based measures of intervention.