Priorities in lower limb prosthetic service delivery based on an international survey of prosthetists in low- and high-income countries

Prosthetics and Orthotics International
Dominik WyssJan Andrysek

Abstract

Prosthetic services, including the provision of an appropriate prosthesis, are a crucial part of the rehabilitation process for individuals with lower limb amputations. However, globally there exist unique challenges in the delivery of prosthetic services that are limiting rehabilitation outcomes and consequently the well-being and socio-economic status of individuals with lower limb amputations. The objective of this work was to explore the issues related to the provision of appropriate prosthetic technologies and to compare these across different economies of the world. Cross-sectional survey. An online survey was developed and distributed to prosthetic practitioners providing services in countries around the world. An open-coding thematic content analysis procedure was applied to extract key themes from the data. The response codes defined three overall themes of lower limb prosthetic delivery, and several key differences between higher and lower income countries emerged. Namely, a higher emphasis on part/material availability, practitioner training and durability in lower income countries was found. High costs were an issue raised by practitioners in all countries. Practitioners around the world share many of the same conce...Continue Reading

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Citations

Aug 18, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Juan Sebastian CuellarPaul Breedveld
Feb 8, 2019·Prosthetics and Orthotics International·Elzbeth Pienaar, Surona Visagie
Aug 20, 2019·Journal of Pediatric Orthopedics·Patrick F CurranColeen S Sabatini
Mar 3, 2018·Sensors·Srinivas PanditDinesh Kalyanasundaram
Oct 11, 2019·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Juan Sebastian CuellarDick Plettenburg
Aug 28, 2020·Prosthetics and Orthotics International·Trevor BinedellKarupppasamy Subburaj
Jul 22, 2017·African Journal of Disability·Lina MagnussonGerd Ahlström
Dec 5, 2020·Prosthetics and Orthotics International·Cody L McDonaldDeborah Kartin
Apr 10, 2021·Prosthetics and Orthotics International·Trevor BinedellKarupppasamy Subburaj
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·S Craig MorrisLee M Zuckerman
Jul 27, 2021·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Nur Afiqah HamzahHossein Gholizadeh

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Methods Mentioned

BETA
amputations

Software Mentioned

FluidSurveys

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