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Effects of lower limb prosthesis on activity, participation, and quality of life: a systematic review
Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Sinnescentrum, Department of Rehabilitation Medicine.
National Institute for Health and Welfare, Helsinki, Finland .
Social Insurance Institution, Helsinki, Finland .
Danish Centre for Assistive Technology, Aarhus C, Denmark .
2012 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, Vol. 36, no 2, 145-158 p.Article, review/survey (Refereed) Published
Abstract [en]

Background: Effects presented on the use of assistive devices such as prosthesis are often based on laboratory findings (i.e. efficacy). Objectives: To summarise and evaluate findings from studies on effectiveness of lower limb prostheses for adults in real life contexts, primarily in terms of activity, participation, and quality of life (QoL) and secondarily in terms of user satisfaction, use/non-use, and/or cost-effectiveness. Study Design: Systematic review. Methods: We included controlled studies and non-controlled follow-up studies including both baseline and follow-up data. Using 14 different databases supplemented with manual searches, we searched for studies published from 1998 until June 2009. Results: Out of an initial 818 identified publications, eight met the inclusion criteria. Four studies reported on the effectiveness of a microprocessor-controlled knee (MP-knee) compared to a non-microprocessor-controlled knee (NMP-knee). Results were inconsistent except for quality of life and use/non-use, where the authors reported an improvement with the MP-knee compared to the NMP-knee. The remaining four studies included a diversity of prosthetic intervention measures and types of endpoints. Conclusions: Overall, there was an inconsistency in results and study quality. This review highlights the need for high-quality research studies that reflect the effectiveness of different prosthesis interventions in terms of users daily living and QoL.

Place, publisher, year, edition, pages
Informa Healthcare / SAGE Publications (UK and US) , 2012. Vol. 36, no 2, 145-158 p.
Keyword [en]
Amputees; daily living; evidence
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-79816DOI: 10.1177/0309364611432794ISI: 000305568900001OAI: diva2:544964
Available from: 2012-08-17 Created: 2012-08-14 Last updated: 2012-08-23

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Samuelsson, Kersti
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Rehabilitation MedicineFaculty of Health SciencesDepartment of Rehabilitation Medicine
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