Baars Erwin C, Geertzen Jan H, Dijkstra Pieter U
De Vogellanden, Centre for Rehabilitation, Zwolle, University of Groningen, Groningen, The Netherlands.
University Groningen, University Medical Centre Groningen Department of Rehabilitation Medicine, University of Groningen, Groningen, The Netherlands.
J Rehabil Med Clin Commun. 2021 Apr 29;4:1000057. doi: 10.2340/20030711-1000057. eCollection 2021.
To assess satisfaction of prosthesis users with their prostheses, and the problems they experience with the residual limb, using a checklist, in order to evaluate potential benefits of checklist use and to summarize issues and problems with the prosthesis and/or residual limb presented by prosthesis users.
Cross-sectional study.
Participants were adult trans-tibial prosthesis users ( = 82) and certified prosthetist orthotist ( = 19) experienced in fitting lower-limb prostheses.
Prosthesis users reported their reasons for consultation and factors concerning prosthesis (dis)satisfaction and residual limb problems, using a checklist. Checklist use was evaluated by certified prosthetist orthotists and prosthesis users and the significance of evaluation scores was determined.
Checklist use identified 126 issues/problems, most of which concerned prosthesis fit (33%) and pressure points on the residual limb skin (26%). Evaluation scores were significantly higher than neutral regarding the checklist helping the certified prosthetist orthotist to gather more information and to make clear with which issues the prosthesis user was dissatisfied. Prosthesis users reported that checklist use made them feel more understood by the certified prosthetist orthotist.
Checklist use in the assessment of trans-tibial prostheses is beneficial in identifying factors related to dissatisfaction, and improves the quality of certified prosthetist orthotists' consultation. The implementation of checklist use is, however, challenging.
使用一份检查表评估假肢使用者对其假肢的满意度以及他们在残肢方面遇到的问题，以评估使用检查表的潜在益处，并总结假肢使用者提出的与假肢和/或残肢相关的问题。
横断面研究。
参与者为成年经胫假肢使用者（n = 82）以及有下肢假肢装配经验的认证假肢矫形师（n = 19）。
假肢使用者使用一份检查表报告他们咨询的原因以及与假肢（不）满意和残肢问题相关的因素。认证假肢矫形师和假肢使用者对检查表的使用进行评估，并确定评估分数的意义。
检查表的使用识别出126个问题，其中大多数涉及假肢适配（33%）和残肢皮肤的压痛点（26%）。在检查表帮助认证假肢矫形师收集更多信息以及明确假肢使用者对哪些问题不满意方面，评估分数显著高于中性分数。假肢使用者报告称，使用检查表让他们感觉认证假肢矫形师更能理解他们。
在经胫假肢评估中使用检查表有助于识别与不满意相关的因素，并提高认证假肢矫形师咨询的质量。然而，检查表的实施具有挑战性。
