Upper limb amputation; Care needs for reintegration to life: An integrative review

Shahsavari, Hooman; Matourypour, Pegah; Ghiyasvandian, Shahrzad; Ghorbani, Azam; Bakhshi, Fatemeh; Mahmoudi, Mohammad Jafar; Golestannejad, MohammadReza

doi:10.1016/j.ijotn.2020.100773

Cited by 22 publications

(20 citation statements)

References 23 publications

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“…Upper limb loss has profound and lasting effects on the quality of life of those affected ( Shahsavari et al, 2020 ). Amputees face significant challenges regarding the execution of daily tasks ( Antfolk et al, 2013 ), returning to the workplace after their injury ( Pomares et al, 2020 ; Shahsavari et al, 2020 ) and participating in social activities ( Kristjansdottir et al, 2020 ; Shahsavari et al, 2020 ), while also potentially suffering from phantom limb pain ( Esquenazi, 2002 ).…”

Section: Introductionmentioning

confidence: 99%

EMG feedback outperforms force feedback in the presence of prosthesis control disturbance

2022

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Closing the prosthesis control loop by providing artificial somatosensory feedback can improve utility and user experience. Additionally, closed-loop control should be more robust with respect to disturbance, but this might depend on the type of feedback provided. Thus, the present study investigates and compares the performance of EMG and force feedback in the presence of control disturbances. Twenty able-bodied subjects and one transradial amputee performed delicate and power grasps with a prosthesis in a functional task, while the control signal gain was temporarily increased (high-gain disturbance) or decreased (low-gain disturbance) without their knowledge. Three outcome measures were considered: the percentage of trials successful in the first attempt (reaction to disturbance), the average number of attempts in trials where the wrong force was initially applied (adaptation to disturbance), and the average completion time of the last attempt in every trial. EMG feedback was shown to offer significantly better performance compared to force feedback during power grasping in terms of reaction to disturbance and completion time. During power grasping with high-gain disturbance, the median first-attempt success rate was significantly higher with EMG feedback (73.3%) compared to that achieved with force feedback (60%). Moreover, the median completion time for power grasps with low-gain disturbance was significantly longer with force feedback than with EMG feedback (3.64 against 2.48 s, an increase of 32%). Contrary to our expectations, there was no significant difference between feedback types with regards to adaptation to disturbances and the two feedback types performed similarly in delicate grasps. The results indicated that EMG feedback displayed better performance than force feedback in the presence of control disturbances, further demonstrating the potential of this approach to provide a reliable prosthesis-user interaction.

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Section: Introductionmentioning

confidence: 99%

EMG feedback outperforms force feedback in the presence of prosthesis control disturbance

2022

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“…Furthermore, most agriculture in Uganda is non-mechanised and thus a majority use hand-held tools to tend gardens and farms. Studies in other settings have shown that, with partial or full loss of one hand or both hands, PWULA in Uganda have difficulty performing daily life activities and thus their quality of life diminishes and their reintegration in society becomes challenging (Shahsavari et al, 2020 ). Additional challenges are pain (Davidson, Khor & Jones 2010 ; Desmond & Maclachlan 2010 ), infections (Ajibade, Akinniyi, & Okoye 2013 ), muscle contractures (Baker & Clouse 2016 ), social and economic discrimination (Beisland & Mersland 2014 ; Murphy 2005 ; Sood et al 2020 ) and psychological issues such as post-traumatic stress disorder and depression (with women being more affected) (Armstrong et al 2019 ).…”

Section: Introductionmentioning

confidence: 99%

The lived experience of people with upper limb absence living in Uganda: A qualitative study

Ramírez

Nakandi

Ssekitoleko

et al. 2022

African Journal of Disability

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Background: The impact of upper limb absence on people’s lived experiences is understudied, particularly in African countries, with implications for policy and service design.Objectives: The objective of this study was to explore the lived experiences of people with upper limb absence (PWULA) living in Uganda.Method: Informed by preliminary work, we designed a qualitative study employing semi-structured interviews to understand the experience of living with upper limb absence in Uganda. Seventeen adults with upper limb absence were individually interviewed and their interviews were analysed utilising thematic analysis.Results: Seven themes illustrating the impact on the individual’s life after amputation were identified and categorised into (1) living and adapting to life, (2) productivity and participation and (3) living within the wider environment. This study presents three main findings: (1) PWULA need psychological and occupational support services which are not available in Uganda, (2) PWULA want to work, but face multiple barriers to employment and has limited support, combined with the complex parenting and caring responsibilities, (3) the local Ugandan culture and social structures affect the everyday life of PWULA, both in positive and negative ways.Conclusion: This study provides information on the lived experiences of PWULA in Uganda which are lacking in the literature. People with upper limb absence face ableism and hardship underpinned by a lack of formal support structures and policies, which may in turn exacerbate the impact of upper limb absence on multiple facets of life.

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“…The DPM also posits that all human beings can manage their disability in different ways (e.g., social, medical, and financial support, lifestyle changes, psychosocial attributes, and coping skills; Verbrugge, 2020; Verbrugge & Jette, 1994). According to the DPM, individuals with LLA face many challenges (e.g., depression, anxiety, and worry; Shahsavari et al, 2020; Verbrugge, 2020; Verbrugge & Jette, 1994). These challenges often involve undesirable experiences after amputation, such as phantom pain, altered body image, anxiety, self-blame, social discomfort, and negative future perceptions (Christensen et al, 2016; Ward Khan et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“I Wish I Could Have My Leg”: A Qualitative Study on the Experiences of Individuals With Lower Limb Amputation

Seyman

Özçetin

2021

Clin Nurs Res

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Amputation is commonly regarded as a lifesaving procedure. However, the loss of a body part can lead to permanent disability that can impact patients physically, psychologically, and socially. The aim of this study was to describe and understand the perspectives of patients with lower limb amputation (LLA) about their condition. The study uses a descriptive phenomenological design. Data were collected from 12 patients. The researchers conducted interviews using semi-structured questions. MAXQDA was used for qualitative software support in managing the interview data. Data were transcribed. The participants were aged 61.3 ± 10.8 years. Three themes emerged from the qualitative data: (i) losing control over one’s own life, (ii) dreams versus the realities of life, and (iii) future perceptions. Most of the participants emphasized that they face undesirable experiences in their post-amputation lives. The findings of the present study provide novel insight into how individuals subjectively experience life after LLA.

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Upper limb amputation; Care needs for reintegration to life: An integrative review

Cited by 22 publications

References 23 publications

EMG feedback outperforms force feedback in the presence of prosthesis control disturbance

EMG feedback outperforms force feedback in the presence of prosthesis control disturbance

The lived experience of people with upper limb absence living in Uganda: A qualitative study

“I Wish I Could Have My Leg”: A Qualitative Study on the Experiences of Individuals With Lower Limb Amputation

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