Prosthetists’ Perceptions of Information Obtained From a Lower-Limb Prosthesis Monitoring System: A Pilot Study
Autor: | Geoffrey S. Balkman, Andrew C. Vamos, Brian G. Larsen, Brian J. Hafner, Joan E. Sanders |
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Rok vydání: | 2019 |
Předmět: |
Prosthetist
medicine.medical_specialty Lower limb prosthesis Prosthesis use business.industry medicine.medical_treatment Rehabilitation Biomedical Engineering Survey result Monitoring system fictional_universe.character_occupation fictional_universe Prosthesis Article Physical medicine and rehabilitation Amputation Transtibial amputation Medicine Orthopedics and Sports Medicine business |
Zdroj: | JPO Journal of Prosthetics and Orthotics. 31:112-120 |
ISSN: | 1040-8800 |
DOI: | 10.1097/jpo.0000000000000203 |
Popis: | Introduction Prosthetists have limited knowledge of their patients' use of a prosthesis outside of the clinical environment. Prosthesis-mounted monitors can be used to directly measure patients' prosthesis use and activity. Prosthetists' opinions regarding potential clinical applications for sensor-based information may inform further development of this technology. A pilot study was conducted to assess prosthetists' perceptions of prosthesis use and activity information obtained by a monitoring system. Materials and methods Three local prosthetists were recruited to participate in the study. One patient with transtibial amputation from each prosthetist volunteered to wear limb presence and activity monitors for two weeks. Collected data were used to determine prosthesis use and activity. Each prosthetist completed a survey, examined clinical reports of their patient's prosthesis use and activity, and participated in a semi-structured interview. Survey results and interview transcripts were analyzed to identify and compare prosthetists' perceptions. Results Prosthesis use and activity varied among patients. Prosthetists over- and under-estimated patient activity, relative to measurements recorded by the monitors. All three prosthetists selected multiple clinical applications for the prosthesis use and activity information in the survey, and several additional applications were suggested during the interviews. When presented with multiple report formats, prosthetists found features of each to be clinically useful. Conclusions Prosthesis-mounted monitors may provide prosthetists with a better understanding of their patients' prosthesis use and activity. Information provided by the monitoring system may inform clinical decisions and promote evidence-based practices. |
Databáze: | OpenAIRE |
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