@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2018;10(3):165-171
ISSN: 2008-2630 Iranian Journal of War & Public Health 2018;10(3):165-171
Satisfaction of Veterans with Trans-Radial Amputations from Myoelectric Prosthesis and Prosthetic Services Referring to Kowsar Orthotics and Prosthetics Center in Tehran
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Heidari J. (1)Aminian Gh.R. (1)
Bahramizadeh M. (1)
Faraji E. (*)
(*) Janbazan Medical & Engineering Research Center (JMERC), Tehran, Iran
(1) Orthosis & Prosthesis Department, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran
Correspondence
Address: Janbazan Medical & Engineering Research Center (JMERC), No. 17, Farokh Street, Moghadas Ardabili Street, Yaman Street, Shahid Chamran Highway, Tehran, IranPhone: +98 (21) 22172424
Fax: +98 (21) 22418180
faraji.elahe.92@gmail.com
Article History
Received: January 11, 2018Accepted: March 14, 2018
ePublished: August 29, 2018
ABSTRACT
Aims
The war leads to a lot of physical damage. The most common level of amputation is the upper limb, cutting off at the below elbow. The aim of this study was to investigate satisfaction of veterans with trans-radial amputations from myoelectric prosthesis and prosthetic services referring to Kowsar orthotics and prosthetics center in Tehran.
Instrument & Methods This descriptive study was carried out among 59 veterans with trans-radial amputations referring to Kowsar orthotics and prosthetics center between 2001-2016, who received myoelectric prosthesis or prosthetic services. Orthotics Prosthetics Users Survey (OPUS) was used to assess the satisfaction of prosthesis and prosthetic services. Data were analyzed using SPSS 20 software with one way ANOVA and Pearson correlation.
Findings Overall satisfaction was 66.66%, satisfaction with prosthesis was 44.48%, and satisfaction with services was 88.84%. The most satisfaction in the device section was related to the ease of wearing the prosthesis and the lowest, with the cost of purchasing and maintaining the prosthesis by the individual. In the service sector, the highest satisfaction was related to the politeness and respect of the staff and the lowest, related to the coordination of the clinic staff with the therapists and doctors. The age, side of the amputation and duration of use had no significant effect on overall satisfaction, satisfaction with the device and the services.
Conclusion Overall satisfaction level, satisfaction of prosthesis and received services of veterans with trans-radial amputations referring Kowsar orthotics and prosthetics center in Tehran from myoelectric prosthesis is desirable. The age, side of the amputation and duration of use of the prosthesis have no effect on satisfaction with the prosthesis and received services.
Instrument & Methods This descriptive study was carried out among 59 veterans with trans-radial amputations referring to Kowsar orthotics and prosthetics center between 2001-2016, who received myoelectric prosthesis or prosthetic services. Orthotics Prosthetics Users Survey (OPUS) was used to assess the satisfaction of prosthesis and prosthetic services. Data were analyzed using SPSS 20 software with one way ANOVA and Pearson correlation.
Findings Overall satisfaction was 66.66%, satisfaction with prosthesis was 44.48%, and satisfaction with services was 88.84%. The most satisfaction in the device section was related to the ease of wearing the prosthesis and the lowest, with the cost of purchasing and maintaining the prosthesis by the individual. In the service sector, the highest satisfaction was related to the politeness and respect of the staff and the lowest, related to the coordination of the clinic staff with the therapists and doctors. The age, side of the amputation and duration of use had no significant effect on overall satisfaction, satisfaction with the device and the services.
Conclusion Overall satisfaction level, satisfaction of prosthesis and received services of veterans with trans-radial amputations referring Kowsar orthotics and prosthetics center in Tehran from myoelectric prosthesis is desirable. The age, side of the amputation and duration of use of the prosthesis have no effect on satisfaction with the prosthesis and received services.
CITATION LINKS
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[2]Seyed Hoseini Davarani SH, Mousavi B, Karbalaeiesmaeili S, Soroush M, Masoumi M. Service satisfaction among war related bilateral lower limb amputation. Iran J War Public Health. 2010;3(1):49-54. [Persian]
[3]Cordella F, Ciancio AL, Sacchetti R, Davalli A, Cutti AG, Guglielmelli E, et al. Literature review on needs of upper limb prosthesis users. Front Neurosci. 2016;10:209.
[4]Dudkiewicz I, Gabrielov R, Seiv-Ner I, Zelig G, Heim M. Evaluation of prosthetic usage in upper limb amputees. Disabil Rehabil. 2004;26(1):60-3.
[5]Hagberg K, Brånemark R, Hägg O. Questionnaire for persons with a transfemoral amputation (Q-TFA): Initial validity and reliability of a new outcome measure. J Rehabil Res Dev. 2004;41(5):695-706.
[6] Nouraei MH, Javdan M, Nouraei F, Mohebbi Dehnavi A, Safdari F. Amputation stamp problems of lower limb in war casualties. Iran J Orthop Surg. 2014;12(2):47-52. [Persian]
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[9]Atkins DJ, Heard DCY, Donovan WH. Epidemiologic overview of individuals with upper-limb loss and their reported research priorities. J Prosthet Orthot. 1996;8(1):2-11.
[10]Dillingham TR, Pezzin LE, MacKenzie EJ. Racial differences in the incidence of limb loss secondary to peripheral vascular disease: A population-based study. Arch Phys Med Rehabil. 2002;83(9):1252-7.
[11]Frontera WR, Silver JK. Fondamenti di medicina fisica e riabilitativa. Roma: Verduci; 2004.
[12]Smith DG, Michael JW, Bowker JH, editors. Atlas of amputations and limb deficiencies: Surgical, prosthetic, and rehabilitation principles. 3rd Edition. Rosemont: American Academy of Orthopaedic Surgeons; 2004.
[13]Rahimi A, Masoumi M, Soroush M, Mousavi B. Orthopaedic complications in bilateral lower limb amputation. Iran J Orthop Surg. 2009;7(2):58-63. [Persian]
[14]Ebrahimzadeh MH, Fattahi AS, Nejad AB. Long-term follow-up of Iranian veteran upper extremity amputees from the Iran-Iraq war (1980–1988). J Trauma. 2006;61(4):886-8.
[15]Saied AR, Heydari E, Shamsodini M. Causes of amputations performed during a 9-year period in hospitals affiliated to Kerman university of medical sciences. J Kerman Univ Med Sci. 2012;19(3):260-7. [Persian]
[16]Drummey J. Enhancing the functional envelope: A review of upper-limb prosthetic treatment modalities. Acad Today. 2009;5(3):A-11-5.
[17]Millstein SG, Heger H, Hunter GA. Prosthetic use in adult upper limb amputees: A comparison of the body powered and electrically powered prostheses. Prosthet Orthot Int. 1986;10(1):27-34.
[18] Roeschlein RA, Domholdt E. Factors related to successful upper extremity prosthetic use. Prosthet Orthot Int. 1989;13(1):14-8.
[19]Ritchie S, Wiggins S, Sanford A. Perceptions of cosmesis and function in adults with upper limb prostheses: A systematic literature review. Prosthet Orthot Int. 2011;35(4):332-41.
[20]Biddiss E, Chau T. Upper-limb prosthetics: Critical factors in device abandonment. Am J Phys Med Rehabil. 2007;86(12):977-87.
[21]Gauthier-fiagnon C, Grise MC, Potvin D. Predisposing factors related to prosthetic use by people with a transtibial and transfemoral amputation. J Prosthet Orthot. 1998;10(4):99-109.
[22]Durance JP, O'Shea BJ. Upper limb amputees: A clinic profile. Int Disabil Stud. 1988;10(2):68-72.
[23]Davidson J. A survey of the satisfaction of upper limb amputees with their prostheses, their lifestyles, and their abilities. J Hand Ther. 2002;15(1):62-70
[24]Bowker JH. Amputee rehabilitation: Critical factors in outcome. J Ark Med Soc. 1981;78(5):181-3.
[25]Heinemann AW, Bode RK, O'Reilly C. Development and measurement properties of the Orthotics and Prosthetics Users’ Survey (OPUS): A comprehensive set of clinical outcome instruments. Prosthet Orthot Int. 2003;27(3):191-206.
[26] Jiang L, Gan C, Kao B, Zhang Y, Zhang H, Cai L. Consumer satisfaction with public health care in China. J Soc Sci. 2009;5(3):223-35.
[27]Geertzen JH, Gankema HG, Groothoff JW, Dijkstra PU. Consumer satisfaction in prosthetics and orthotics facilities. Prosthet Orthot Int. 2002;26(1):64-71.
[28]Hart DL. Orthotics and Prosthetics National Office Outcomes Tool (OPOT): Initial reliability and validity assessment for lower extremity prosthetics. J Prosthet Orthot. 1999;11(4):101-11.
[29]Routhier F, Vincent C, Morissette MJ, Desaulniers L. Clinical results of an investigation of paediatric upper limb myoelectric prosthesis fitting at the Quebec Rehabilitation Institute. Prosthet Orthot Int. 2001;25(2):119-31.
[30]Ghoseiri K, Bahramian H. User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disabil Rehabil. 2012;34(15):1328-32.
[31]Doyle BJ, Ware JE Jr. Physician conduct and other factors that affect consumer satisfaction with medical care. J Med Educ. 1977;52(10):793-801.
[32]Hadadi M, Ghoseiri K, Fardipour S, Kashani RV, Asadi F, Asghari A. The Persian version of satisfaction assessment module of Orthotics and Prosthetics Users' Survey. Disabil Health J. 2016;9(1):90-9.
[33]Magnusson L, Ahlström G, Ramstrand N, Fransson EI. Malawian prosthetic and orthotic users' mobility and satisfaction with their lower limb assistive device. J Rehabil Med. 2013;45(4):385-91.
[34]Jang CH, Yang HS, Yang HE, Lee SY, Kwon JW, Yun BD, et al. A survey on activities of daily living and occupations of upper extremity amputees. Ann Rehabil Med. 2011;35(6):907–21.
[35] Burger H, Marincek C. Upper limb prosthetic use in Slovenia. Prosthet Orthot Int. 1994;18(1):25-33.
[36]Gaine WJ, Smart C, Bransby-Zachary M. Upper limb traumatic amputees: Review of prosthetic use. J Hand Surg Br Eur Vol. 1997;22(1):73-6.
[2]Seyed Hoseini Davarani SH, Mousavi B, Karbalaeiesmaeili S, Soroush M, Masoumi M. Service satisfaction among war related bilateral lower limb amputation. Iran J War Public Health. 2010;3(1):49-54. [Persian]
[3]Cordella F, Ciancio AL, Sacchetti R, Davalli A, Cutti AG, Guglielmelli E, et al. Literature review on needs of upper limb prosthesis users. Front Neurosci. 2016;10:209.
[4]Dudkiewicz I, Gabrielov R, Seiv-Ner I, Zelig G, Heim M. Evaluation of prosthetic usage in upper limb amputees. Disabil Rehabil. 2004;26(1):60-3.
[5]Hagberg K, Brånemark R, Hägg O. Questionnaire for persons with a transfemoral amputation (Q-TFA): Initial validity and reliability of a new outcome measure. J Rehabil Res Dev. 2004;41(5):695-706.
[6] Nouraei MH, Javdan M, Nouraei F, Mohebbi Dehnavi A, Safdari F. Amputation stamp problems of lower limb in war casualties. Iran J Orthop Surg. 2014;12(2):47-52. [Persian]
[7]Esquenazi A. Upper limb amputee rehabilitation and prosthetic restoration. In: Braddom RL. Physical medicine & rehabilitation. 2nd Edition. Philadelphia: WB Saunders Company; 2000.
[8]Adams PF, Hendershot GE, Marano MA, Centers for Disease Control and Prevention/National Center for Health Statistics. Current estimates from the National Health Interview Survey, 1996. Vital Health Stat 10. 1999;(200):1-203.
[9]Atkins DJ, Heard DCY, Donovan WH. Epidemiologic overview of individuals with upper-limb loss and their reported research priorities. J Prosthet Orthot. 1996;8(1):2-11.
[10]Dillingham TR, Pezzin LE, MacKenzie EJ. Racial differences in the incidence of limb loss secondary to peripheral vascular disease: A population-based study. Arch Phys Med Rehabil. 2002;83(9):1252-7.
[11]Frontera WR, Silver JK. Fondamenti di medicina fisica e riabilitativa. Roma: Verduci; 2004.
[12]Smith DG, Michael JW, Bowker JH, editors. Atlas of amputations and limb deficiencies: Surgical, prosthetic, and rehabilitation principles. 3rd Edition. Rosemont: American Academy of Orthopaedic Surgeons; 2004.
[13]Rahimi A, Masoumi M, Soroush M, Mousavi B. Orthopaedic complications in bilateral lower limb amputation. Iran J Orthop Surg. 2009;7(2):58-63. [Persian]
[14]Ebrahimzadeh MH, Fattahi AS, Nejad AB. Long-term follow-up of Iranian veteran upper extremity amputees from the Iran-Iraq war (1980–1988). J Trauma. 2006;61(4):886-8.
[15]Saied AR, Heydari E, Shamsodini M. Causes of amputations performed during a 9-year period in hospitals affiliated to Kerman university of medical sciences. J Kerman Univ Med Sci. 2012;19(3):260-7. [Persian]
[16]Drummey J. Enhancing the functional envelope: A review of upper-limb prosthetic treatment modalities. Acad Today. 2009;5(3):A-11-5.
[17]Millstein SG, Heger H, Hunter GA. Prosthetic use in adult upper limb amputees: A comparison of the body powered and electrically powered prostheses. Prosthet Orthot Int. 1986;10(1):27-34.
[18] Roeschlein RA, Domholdt E. Factors related to successful upper extremity prosthetic use. Prosthet Orthot Int. 1989;13(1):14-8.
[19]Ritchie S, Wiggins S, Sanford A. Perceptions of cosmesis and function in adults with upper limb prostheses: A systematic literature review. Prosthet Orthot Int. 2011;35(4):332-41.
[20]Biddiss E, Chau T. Upper-limb prosthetics: Critical factors in device abandonment. Am J Phys Med Rehabil. 2007;86(12):977-87.
[21]Gauthier-fiagnon C, Grise MC, Potvin D. Predisposing factors related to prosthetic use by people with a transtibial and transfemoral amputation. J Prosthet Orthot. 1998;10(4):99-109.
[22]Durance JP, O'Shea BJ. Upper limb amputees: A clinic profile. Int Disabil Stud. 1988;10(2):68-72.
[23]Davidson J. A survey of the satisfaction of upper limb amputees with their prostheses, their lifestyles, and their abilities. J Hand Ther. 2002;15(1):62-70
[24]Bowker JH. Amputee rehabilitation: Critical factors in outcome. J Ark Med Soc. 1981;78(5):181-3.
[25]Heinemann AW, Bode RK, O'Reilly C. Development and measurement properties of the Orthotics and Prosthetics Users’ Survey (OPUS): A comprehensive set of clinical outcome instruments. Prosthet Orthot Int. 2003;27(3):191-206.
[26] Jiang L, Gan C, Kao B, Zhang Y, Zhang H, Cai L. Consumer satisfaction with public health care in China. J Soc Sci. 2009;5(3):223-35.
[27]Geertzen JH, Gankema HG, Groothoff JW, Dijkstra PU. Consumer satisfaction in prosthetics and orthotics facilities. Prosthet Orthot Int. 2002;26(1):64-71.
[28]Hart DL. Orthotics and Prosthetics National Office Outcomes Tool (OPOT): Initial reliability and validity assessment for lower extremity prosthetics. J Prosthet Orthot. 1999;11(4):101-11.
[29]Routhier F, Vincent C, Morissette MJ, Desaulniers L. Clinical results of an investigation of paediatric upper limb myoelectric prosthesis fitting at the Quebec Rehabilitation Institute. Prosthet Orthot Int. 2001;25(2):119-31.
[30]Ghoseiri K, Bahramian H. User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disabil Rehabil. 2012;34(15):1328-32.
[31]Doyle BJ, Ware JE Jr. Physician conduct and other factors that affect consumer satisfaction with medical care. J Med Educ. 1977;52(10):793-801.
[32]Hadadi M, Ghoseiri K, Fardipour S, Kashani RV, Asadi F, Asghari A. The Persian version of satisfaction assessment module of Orthotics and Prosthetics Users' Survey. Disabil Health J. 2016;9(1):90-9.
[33]Magnusson L, Ahlström G, Ramstrand N, Fransson EI. Malawian prosthetic and orthotic users' mobility and satisfaction with their lower limb assistive device. J Rehabil Med. 2013;45(4):385-91.
[34]Jang CH, Yang HS, Yang HE, Lee SY, Kwon JW, Yun BD, et al. A survey on activities of daily living and occupations of upper extremity amputees. Ann Rehabil Med. 2011;35(6):907–21.
[35] Burger H, Marincek C. Upper limb prosthetic use in Slovenia. Prosthet Orthot Int. 1994;18(1):25-33.
[36]Gaine WJ, Smart C, Bransby-Zachary M. Upper limb traumatic amputees: Review of prosthetic use. J Hand Surg Br Eur Vol. 1997;22(1):73-6.