PROSTHESIS RECEIPT IS ASSOCIATED WITH IMPROVED PARTICIPATION AND DECREASED PAIN FOLLOWING UPPER LIMB AMPUTATION

Authors

  • Phillip Stevens
  • Dwiesha England
  • Bretta Fylstra
  • Todd Castleberry
  • Shane Wurdeman

DOI:

https://doi.org/10.57922/mec.2473

Abstract

Resuming activities of daily living and lifestyle participation are primary goals for patients following upper limb amputation. In many cases, an appropriately designed and fitted prosthesis can contribute to achieving these goals by increasing physical function and overall well-being. Pain interference constitutes another pervasive challenge experienced by this population. The objective of this study was to investigate the impact of first prosthesis receipt upon two health domains - Ability to Participate in Social Roles and Activities (APSRA) and Pain Interference (PI) as measured using the PROMIS suite of patient-reported outcomes. Univariate model results demonstrated a significant improvement in APSRA T-scores after first prosthesis receipt (Baseline: 41.6±7.82 and Follow-up: 47.2±9.70, p=<0.001). Additionally, there was a significant reduction in PI T-scores following receipt of first prosthesis (Baseline: 59.8±8.46 and Follow-up: 55.7±9.56, p= <0.001). Importantly, these significant differences persisted even after controlling for potential confounding effects of age, hours worn, sex, amputation level, time since amputation, and time from first prosthesis delivery to follow-up. APSRA and PI have previously been identified as being closely correlated with well-being in this population. The increased APSRA and decreased PI associated with first prosthesis receipt in this population appears to contribute to the larger goal of enhanced well-being following upper limb amputation.

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Published

2024-08-15

How to Cite

[1]
P. Stevens, D. England, B. Fylstra, T. Castleberry, and S. Wurdeman, “PROSTHESIS RECEIPT IS ASSOCIATED WITH IMPROVED PARTICIPATION AND DECREASED PAIN FOLLOWING UPPER LIMB AMPUTATION”, MEC Symposium, Aug. 2024.

Conference Proceedings Volume

Section

User Experience