The Use of Preparatory/Evaluation/Training Prostheses in Developing Evidenced-Based Practice in Upper Limb Prosthetics

Abstract

ABSTRACT As an evidence-based practice criterion becomes more commonplace in the practice of prosthetics, upper limb prosthetics may find itself at a disadvantage in meeting the new standards. According to the most recent information, the number of upper limb amputations performed each year, at the wrist disarticulation level and higher, is about 2,000. Whereas, the number of lower limb amputations, at the Symes level and higher, number over 65,000 per year. This sets the ratio of upper limb prostheses to lower limb fittings at approximately 1 to 30. This article will present an alternative approach to meeting the need for objective clinical documentation by using case-specific methodology. This involves the routine use of temporary prostheses, which have historically been used to prepare, evaluate, and train amputees to develop successful functional outcomes. Several case studies are presented, which provide examples of the three types of preparatory/evaluation/training prostheses: body-powered, hybrid, and electronic.