Activity and Participation, Bimanual Function, and Prosthesis Satisfaction are Strong Predictors of General Well-Being Among Upper Limb Prosthesis Users

Autor: Phillip M. Stevens, MEd, Dwiesha L. England, MS, Amy E. Todd, MS, Stephen A. Mandacina, CP, Shane R. Wurdeman, PhD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archives of Rehabilitation Research and Clinical Translation, Vol 5, Iss 2, Pp 100264- (2023)
Druh dokumentu: article
ISSN: 2590-1095
DOI: 10.1016/j.arrct.2023.100264
Popis: Objective: To determine the role of multiple factors on general well-being for upper limb prosthesis users. Design: Retrospective cross-sectional observational design. Setting: Prosthetic clinics across the United States. Participants: At the time of analysis, the database consisted of 250 patients with unilateral upper limb amputation seen between July 2016 and July 2021. Intervention: Not applicable. Main Outcomes Measures: Dependent variable: well-being (Prosthesis Evaluation Questionnaire- Well-Being). Independent variables included in analysis: activity and participation (Patient Reported Outcomes Measurement Information System [PROMIS] Ability to Participate in Social Roles and Activities), bimanual function (PROMIS-9 UE), prosthesis satisfaction (Trinity Amputation and Prosthesis Experience Scales-Revised; TAPES-R), PROMIS pain interference, age, gender, average daily hours worn, time since amputation, and amputation level. Results: A multivariate linear regression model using a forward enter method was applied. The model included 1 dependent variable (well-being) and 9 independent variables. Within the multiple linear regression model, the strongest predictors of well-being were activity and participation (β=0.303, P
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