Perceptions of prosthetic attention among lower limb prosthesis users: a focus group study.

Autor:	McDonald CL; Rehabilitation Medicine, University of WA, Seattle, WA, USA., Bhargava T; Department of Physical Therapy, VA Commonwealth University, Richmond, VA, USA., Halsne EG; Rehabilitation Medicine, University of WA, Seattle, WA, USA.; Center for Limb Loss and Mobility, Puget Sound Health Care System, Seattle, WA, USA., Van Der Veen SM; Department of Physical Therapy, VA Commonwealth University, Richmond, VA, USA., Hafner BJ; Rehabilitation Medicine, University of WA, Seattle, WA, USA., Darter BJ; Department of Physical Therapy, VA Commonwealth University, Richmond, VA, USA.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Sep; Vol. 46 (19), pp. 4553-4566. Date of Electronic Publication: 2023 Nov 19.
DOI:	10.1080/09638288.2023.2280066
Abstrakt:	Purpose: Use of a lower limb prosthesis generally requires increased cognitive effort to compensate for missing motor and sensory inputs. This study sought to examine how lower limb prosthesis users perceive paying attention to their prosthesis(es) in daily life. Materials and Methods: Focus groups with lower limb prosthesis users were conducted virtually using semi-structured questions. Verbatim transcripts were excerpted, coded, and reconciled. Inductive thematic analysis was undertaken to identify experiences shared by participants. Results: Five themes emerged from five focus groups conducted with thirty individuals: Paying attention to my prosthesis is just what I have to do; I pay attention to how my prosthetic socket fits and feels every day; I pay attention because I don't want to fall; I pay attention because I have to learn to do things in a new way; and If I can trust that my prosthesis will do what I want, I can pay less attention to it. Conclusions: Prosthetic attention, including both background and foreground attention, is a shared experience among lower limb prosthesis users. The amount and frequency of prosthetic attention fluctuates throughout the day and changes over time. Measuring attention could inform the evaluation and prescription of technology intended to reduce cognitive effort.
Databáze:	MEDLINE
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