Adaptive Devices in Young People with Upper Limb Reduction Deficiencies: Use and Satisfaction
J Rehabil Med 2015; 47: 346–355 ORIGINAL REPORT ADAPTIVE DEVICES IN YOUNG PEOPLE WITH UPPER LIMB REDUCTION DEFICIENCIES: USE AND SATISFACTION Ecaterina Vasluian, MSc1, Iris van Wijk, MD, PhD2, Pieter U. Dijkstra, PhD1,3, Heleen A. Reinders-Messelink, PhD1,4 and Corry K. van der Sluis, MD, PhD1 From the 1Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, 2Rehabilitation Center De Hoogstraat, Utrecht, 3Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen and 4Rehabilitation Center “Revalidatie Friesland”, Beetsterzwaag, The Netherlands Objective: To evaluate use of, satisfaction with, and social ad- INTRODUCTION justment with adaptive devices compared with prostheses in young people with upper limb reduction deficiencies. Young people with an upper limb reduction deficiency (ULRD) Methods: Cross-sectional study of 218 young people with are generally able to perform activities of daily living (ADL) upper limb reduction deficiencies (age range 2–20 years) (1–3) by finding solutions to facilitate difficulties in activities and their parents. A questionnaire was used to evaluate and participation (2). However, some ADL pose more functional participants’ characteristics, difficulties encountered, and limitations; for example, lifting heavy objects, engaging in preferred solutions for activities, use satisfaction, and social sports, cycling or driving (3, 4). Although prostheses are usu- adjustment with adaptive devices vs prostheses. The Quebec ally prescribed for activity limitations (5–7), they are rejected User Evaluation of Satisfaction with assistive Technology by 35–45% of young people with ULRD (8) due to the weight, and a subscale of Trinity Amputation and Prosthesis Experi- lack of functional gain and loss of or reduced sensory feedback, ence Scales were used.
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