Use of Powered Prosthesis for Children with Upper Limb Deficiency at Hyogo Rehabilitation Center |
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| Authors: | Mitsunori Toda Takaaki Chin Yaeko Shibata Futoshi Mizobe |
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| Institution: | 1. Department of Orthopaedic Surgery, Hyogo Rehabilitation Center, Kobe, Japan.; 2. Department of Physical Medicine and Rehabilitation, Hyogo Rehabilitation Center, Kobe, Japan.; 3. Department of Rehabilitation Science, Kobe University Graduate School of Medicine in Hyogo Rehabilitation Center, Kobe, Japan.; University of Sheffield, UNITED KINGDOM, |
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| Abstract: | BackgroundThere has been no research investigating the use of powered prosthetic for children in Japan.ObjectiveTo gain better insight into the state of powered prosthesis usage and identify a ratio of rejection among children.MethodsSubjects were 37 unilateral below elbow amputees between the ages of 0 and 16 at the time of their first experienced fitting with a powered prosthesis at our Center. The information was collected from medical records and through face-to-face interviews, and we examined rejection rate and the factors affecting the use of powered prosthesis.ResultsThe rate of discontinuation was 21.6% as 8 of the 37 children stopped using powered prosthesis. All of them were fitted their prosthesis after 2 years of age, and they rejected prosthesis between 5 to 19 years. We found that the level of amputation had no influence on the use of a powered prosthesis.ConclusionsChildren fitted before 2 years of age tend to accept their powered prosthesis than those fitted after 2 years. Multidisciprinary team approach, adequate rehabilitation, detailed follow-up and involvement of parents are quite important for introducing powered prosthesis for children. |
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