Adjustment and Satisfaction with Prosthesis Among People after Upper Limb Amputation in Slovenia.

Abstract

There is a lack of studies on adjustment to upper limb prosthesis with large representative samples that would compare different prosthesis types and use standardised outcome measures. Hence, we wanted to assess satisfaction with, and level of adjustment to, an upper-limb prosthesis among people after an upper limb amputation in our country. We conducted a cross-sectional descriptive study. The TAPES-R questionnaire was mailed to 431 patients identified from electronic health records at national specialist outpatient clinics for rehabilitation of people after upper limb amputation. 191 patients (44%) responded and were subsequently ascertained to be a representative sample of the population of upper limb amputees in our country. Univariate analyses and multiple regression models indicated that, on average, overall satisfaction is lower among those who have received their current prosthesis more recently, women might be more satisfied with prosthesis than men, above-elbow amputees experience more activity restrictions than those with amputation at a lower level, patients with amputated fingers or palm are more satisfied with the prosthesis than others, and so are those who had amputation following an accident as compared to other reasons. We reliably identified some systematic factors, but it is individual factors and experience that largely determine adjustment to and satisfaction with a prosthesis following an upper limb amputation.