Prosthetics and Orthotics International最新文献

{"title":"Existing methodologies for triaging referrals in orthotic services and wider allied health professional settings: A scoping review.","authors":"Matthew Wood","doi":"10.1097/PXR.0000000000000576","DOIUrl":"10.1097/PXR.0000000000000576","url":null,"abstract":"<p><p>This scoping review aims to establish an understanding of existing tools or methodologies to grade referral quality or appropriateness published in an orthotics, Allied Health Profession (AHP), or AHP-involved setting. All patients deserve equal access to NHS services, but without knowing if services accept and triage referrals in the same way, it is not possible to. The PRISMA (ScR) checklist was used to structure this scoping review. The search was performed on March 04th, 2025, and was restricted to publications in the English Language only. Publications were screened and extracted by a single reviewer. Further to the literature search a call for gray literature, unpublished service evaluations, or audits through the British Association of Prosthetists and Orthotists, 71 publications were found, and 19 of these were included in the review. No publications focused on an orthotics setting, and only 3 publications centered on AHP specific services. Large variations exist in the methodology used and the purpose of evaluating referrals, with the 2 key tests of appropriateness appearing to be clinicians' judgment or on the outcome after a referral. There is a gap that appears to exist wider than the orthotics profession in what is considered an appropriate referral and an agreed upon methodology for measuring appropriateness. This could be a valuable topic for further research and consideration, with the initial steps being to establish an understanding of how orthotic departments receive and evaluate referrals and understanding if there are differences in experience or common problems that services face.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empathy to exhaustion: A mixed-methods qualitative study exploring burnout in orthotic and prosthetic clinicians.","authors":"Delaney Schavey, Jeremy Sherman","doi":"10.1097/PXR.0000000000000573","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000573","url":null,"abstract":"<p><strong>Background: </strong>Burnout is a phenomenon that has been extensively documented across health care professions, but empirical investigation within orthotics and prosthetics (O&P) remains limited. This leaves a critical gap in understanding clinician well-being in a field defined by distinct clinical, technical, and organizational demands.</p><p><strong>Objective: </strong>This study aimed to quantify burnout levels in O&P clinicians and explore the factors contributing to this phenomenon.</p><p><strong>Study design: </strong>This study used a convergent parallel mixed-methods approach: a survey incorporating the Abbreviated Maslach Burnout Inventory (aMBI) to gather burnout incidence, and semi-structured interviews to assess burnout experiences, personal and professional factors, and possible prevention strategies among orthotics and prosthetics clinicians.</p><p><strong>Methods: </strong>Participants first completed a survey incorporating the aMBI to assess burnout incidence as it correlates to the 3 domains of burnout-emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Survey participants could then elect to participate in semi-structured interviews for qualitative insight and thematic analysis. Data were analyzed for correlations between survey responses and personal factors gathered from the interviews.</p><p><strong>Results: </strong>Approximately 78.3% of respondents experienced burnout in at least 1 domain, with emotional exhaustion being the most prevalent. Men experienced higher rates of depersonalization than women. From the semi-structured interviews, four overarching themes emerged: organizational and workload pressures, financial and career strain, individual coping and protective strategies, and burnout experience and trajectory.</p><p><strong>Conclusions: </strong>Burnout was highly prevalent among O&P clinicians, with emotional exhaustion representing the most prominent domain. Qualitative findings highlighted the contribution of organizational or workload pressures, financial and career strain, coping strategies, and the progressive nature of burnout. These results underscore burnout as a multidimensional phenomenon influenced by both individual and systemic factors, and further research into interventions addressing this issue is critical for clinician well-being and the sustainability of the profession.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Residency stipend study to modernize and increase competitiveness in VA's ability to recruit, train, and retain top future orthotists and prosthetists: A collaborative analysis between the VA Orthotic, Prosthetic & Pedorthic Clinical Services (OPPCS) program office and the VA Prosthetics & Orthotics Residency (VAPOR) program.","authors":"Michael K Carroll, Martin L McDowell, Christopher M Fantini, Jeffrey Bott, Chris Robinson, M Jason Highsmith","doi":"10.1097/PXR.0000000000000579","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000579","url":null,"abstract":"<p><strong>Introduction: </strong>In the 2022/2023 training cycle, the VA Prosthetic Orthotic Residency (VAPOR) Program was unable to fill all funded residency positions. Initial debriefing with residency directors revealed a likely cause to be lack of competitiveness of the VAPOR training stipend value, particularly for second-year residents. This demonstrated a need to conduct a training stipend analysis for the VAPOR program.</p><p><strong>Methods: </strong>A five-part analysis was conducted including review of the program's stipend history, review of the impact of inflation, and surveys of residency directors and current and former residents.</p><p><strong>Results: </strong>Cumulatively, the analysis revealed that the current stipend was no longer competitive and that the profession was compensating second-year residents more than first-year residents. To effectively compete for top residency candidates, the VA must increase the current training stipend. Ultimately, 4 evidence-based recommendations were derived from the analysis as follows: (1) VAPOR Year 2 (Y2) stipends should be greater than the Year 1 (Y1) stipends; (2) VAPOR Y1 residents should receive a base stipend of $41,620 in addition to a locality adjustment based on the site location; and (3) VAPOR Y2 residents should receive a nonadjusted base stipend valued at 9.3% more than the Y1 stipend or $45,491 to be increased with a locality adjustment based on the site location.</p><p><strong>Conclusions: </strong>A cost-of-living adjustment should be applied to VAPOR program stipends at a minimum of every 3 to 5 years at an increase of 3-5% based on cost-of-living data from other government resources. VA bolstered resident compensation because of these findings.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sagittal spinopelvic parameters in lower extremity amputees with and without low back pain.","authors":"Tuğba Atan, Ayşe Naz Kalem Özgen, Vildan Öztürk Gültekin, Yasin Demir, Ümüt Güzelküçük, Koray Aydemir, Engin Koyuncu","doi":"10.1097/PXR.0000000000000580","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000580","url":null,"abstract":"<p><strong>Background: </strong>Lower limb amputees often experience low back pain (LBP), potentially due to altered spinal alignment and biomechanical challenges from prosthetic use. However, limited data exist on the role of spinopelvic parameters in this population.</p><p><strong>Objective: </strong>To examine the relationship between sagittal spinopelvic alignment and LBP in individuals with unilateral lower extremity amputation.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in an inpatient rehabilitation unit of a tertiary university hospital. Thirty male participants aged 18-60 years with unilateral traumatic lower limb amputation were enrolled. They were divided into 2 groups: Group 1 (n = 13) without LBP and Group 2 (n = 17) with LBP. Pain was assessed using the Visual Analog Scale (VAS) and the Oswestry Disability Index. Radiographic evaluation included cervical lordosis, thoracic kyphosis, lumbar lordosis, pelvic tilt, pelvic incidence, sacral slope, and spinal vertical axis (SVA). Quality of life was assessed using the SF-36.</p><p><strong>Results: </strong>Significant differences were found in cervical lordosis (P=0.045, 95% confidence interval [CI], 0.17-14.36), thoracic kyphosis (P = 0.009, 95% CI -19.23 to -2.98), and SVA (P = 0.003, 95% CI, 0.11-0.54) between groups. Lumbar lordosis showed a negative correlation with VAS-pain scores (P = 0.031, r = -0.395), while thoracic kyphosis (P = 0.009, r = 0.466) and SVA (P = 0.001, r = -0.561) had positive correlations. Amputees with LBP had lower SF-36 scores in emotional well-being (P = 0.041), pain (P = 0.001), and general health (P=0.014) domains.</p><p><strong>Conclusions: </strong>Spinopelvic misalignment is associated with LBP in lower limb amputees. Rehabilitation strategies aiming to improve sagittal balance may reduce pain and enhance quality of life in this population.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intranational variation in prosthetic user populations: A comparative analysis of prosthetic and orthotic centers in central and northern Sri Lanka.","authors":"Morgan H Alverson, Ryan A Irving, Nicola Y Bailey, Saranga Gunasena, Mohan Rajndram, Michael A Berthaume","doi":"10.1097/PXR.0000000000000574","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000574","url":null,"abstract":"<p><strong>Background: </strong>Population-level data on people with limb loss (PwLL) are needed for effective prosthetic provision and rehabilitation. These data are rare in low- and middle-income countries, and low- and middle-income countries are routinely dealt with as homogenous entities.</p><p><strong>Objectives: </strong>Here, we investigate intranational variation in PwLL populations in Sri Lanka using long-term routinely collected data from prosthetic and orthotic (P&O) clinics.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Methods: </strong>Until 2009, Sri Lanka experienced a 26-year civil war affecting primarily northern/eastern districts. Published data from 2 P&O centers in northern (Jaffna Jaipur Centre for Disability Rehabilitation, JJCDR; 1987-2018) and central (Centre for Handicapped, CFH; 1987-2024) districts were compared to investigate intranational variation in PwLL demographics and temporal trends. Summative statistics, χ2, and Mann-Whitney U tests (α < 0.05) were used to quantify differences.</p><p><strong>Results: </strong>Major differences included a larger population of males at the CFH (88.8%) compared with the JJCDR (77.4%) and-although war-related amputations were most common at both clinics-there were relatively more war-related amputees at the JJCDR (CFH: 44.8%; JJCDR: 62.7%). In addition, the JJCDR had a higher proportion of patients registered and injured in the same district (CFH: 62.22%; JJCDR: 66.11%).</p><p><strong>Conclusions: </strong>Intranational variation in PwLL populations exists in Sri Lanka as evidenced by differences in populations between northern and central P&O clinics. This points toward differences in provisional needs and temporal health/societal trends underlying limb loss, which must be considered when provisioning health services.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of walking speed and leg proprioception in foot clearance for older transtibial prosthesis users.","authors":"Anna C Pogharian, Kiley L Armstrong, Jenny A Kent, Rebecca L Stine, Matthew J Major","doi":"10.1097/PXR.0000000000000560","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000560","url":null,"abstract":"<p><strong>Background: </strong>Falling is a concern for both older persons and transtibial prosthesis users (TTPUs), with older TTPUs potentially facing compounded risk. Older adults and TTPUs display foot clearance (FC) behavior that may contribute to increased tripping risk. Further, a person's knowledge of their leg orientation in space (ie proprioception) plays a role in managing FC and is affected by age and prosthesis use.</p><p><strong>Objective: </strong>To examine the effect of walking speed on FC of older TTPUs and the relationship between FC and leg proprioception.</p><p><strong>Study design: </strong>Twelve unilateral TTPUs and 10 age-matched able-bodied controls participated in this observational study.</p><p><strong>Methods: </strong>Proprioception was assessed through knee joint angle replication ability. FC was recorded with optical motion capture while participants walked at self-selected normal and fast speeds. Average FC between groups was assessed using an independent t-test. A repeated-measures ANOVA assessed the effects of speed by limb on FC for each group separately. Linear regression controlling for speed assessed the association between FC and proprioception.</p><p><strong>Results: </strong>At both speeds, older TTPUs showed no difference in FC on their prosthetic limb compared with the nondominant limbs of controls. Both groups exhibited reduced FC when walking faster. Worse proprioception on the prosthetic side of TTPUs was associated with lower sound limb FC.</p><p><strong>Conclusions: </strong>These behaviors may reflect a protective strategy of TTPUs to avoid foot collision during swing, including a desire to keep the sound limb close to the ground with poorer prosthetic limb position awareness.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting gait symmetry in unilateral transtibial prosthesis users: Surface, speed, and slope.","authors":"Ali İmran Yalçın, Semra Topuz, Gül Yazıcıoğlu","doi":"10.1097/PXR.0000000000000569","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000569","url":null,"abstract":"<p><strong>Background: </strong>In individuals with lower extremity amputation, a certain degree of gait asymmetry is biomechanically unavoidable and has been associated with reduced energy efficiency, secondary musculoskeletal complications, and diminished quality of life. The aim of this study was to investigate the effects of surface type, walking speed, and slope on gait symmetry in unilateral transtibial prosthesis users.</p><p><strong>Study design and methods: </strong>: Ten male individuals with unilateral transtibial amputation (mean age 36.5 ± 10.3 years) who had been using prostheses for at least 1 year participated. Participants walked under 7 conditions varying in surface type, speed, and slope. Lower extremity spatiotemporal parameters and joint angular kinematics were recorded using an inertial motion analysis system. Symmetry indices were calculated for each parameter and analyzed.</p><p><strong>Results: </strong>Knee frontal-plane range of motion (RoM) was more asymmetrical on uneven ground than on level ground (p=0.004). Step length was more asymmetrical during slow walking compared with fast walking (p=0.015). Swing phase duration (p=0.002) and ankle sagittal-plane RoM (p=0.002) were more asymmetrical during ramp ascent.</p><p><strong>Conclusion: </strong>Changes in walking surface, speed, or slope affect gait symmetry in unilateral transtibial prosthesis users, with effects varying by condition. The findings revealed that gait asymmetry in this population is not a fixed characteristic but a dynamic, condition-dependent response to the demands of the walking environment.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosthesis use among individuals with limb loss after targeted muscle reinnervation/regenerative peripheral nerve interface for symptomatic neuromas: A scoping review.","authors":"Jessica Saini, Borum Yang, Alison Wong, Amanda Mayo","doi":"10.1097/PXR.0000000000000556","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000556","url":null,"abstract":"<p><p>Neuromas are aberrant axonal growths that may develop after amputations and contribute to residual-limb and/or phantom-limb pain. Burgeoning surgical approaches for treating neuroma pain include targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI) surgery. However, little is known regarding functional outcomes postoperatively. The scoping review aimed to examine prosthesis outcomes among individuals with acquired amputations who have undergone TMR and/or RPNI surgery for neuromas. The study protocol was published on Open Science Framework. A search was conducted across MEDLINE (OVID), EMBASE (OVID), CINAHL Plus (EBSCO), Cochrane Library, and Web of Science. An ascendancy approach was used to assess citation lists of select articles. Two reviewers screened abstracts and full texts after pilot testing, with input from a senior reviewer. Nineteen studies were included. The studies predominantly assessed: TMR only (n = 15), upper extremity amputation only (n = 13), traumatic amputation only (n = 8), and many were case reports or case series (n = 13). Thirteen studies reported prosthesis use pre- and postoperatively. Eleven studies indicated positive change in prosthesis use postoperatively. Two studies indicated no change. Variable outcome measures were used to describe prosthetic use post-TMR/RPNI surgery. In conclusion, literature regarding prosthesis outcomes post-TMR/RPNI surgery is insufficient to support a systematic review. Observations regarding prosthesis use must be interpreted within the context of multiple limitations. Minimal information is available regarding timing of prosthesis wear initiation, prosthesis tolerance, and barriers to prosthesis use. Larger studies are required to support the development of postsurgical rehabilitation protocols.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective clinical analysis of gait asymmetry in unilateral transfemoral and transtibial amputees.","authors":"Keigo Yamauchi, Takashi Nakamura","doi":"10.1097/PXR.0000000000000581","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000581","url":null,"abstract":"<p><strong>Introduction: </strong>Gait asymmetries and compensatory strategies are common among individuals with unilateral transfemoral (TF) and transtibial (TT) amputation. Although these characteristics have been widely described in the prosthetic gait literature, comparative evidence directly examining differences between the 2 amputation levels, particularly using large-scale clinical data derived from long-term databases, remains limited. This study aimed to clarify gait asymmetry characteristics in individuals with unilateral lower limb amputation by comparing spatiotemporal gait parameters between TF amputees and TT amputees.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on clinical gait data collected between 2013 and 2024 from 66 individuals at a Japanese rehabilitation center using a pressure-sensitive walkway system. Spatiotemporal parameters and symmetry indices (symmetry indices; a quantitative measure expressing interlimb differences as a normalized percentage difference between limbs) were calculated for each limb. Intergroup comparisons were conducted using the Mann-Whitney U test, and within-group comparisons of amputated vs. nonamputated limbs were performed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>TT amputees exhibited significantly greater walking speed, cadence, and stride length than TF amputees. Temporal asymmetries were more pronounced in TF amputees, whereas spatial and support-related asymmetries were more evident in TT amputees. Stride length asymmetry was also identified in the TF group. Symmetry indices for stance and swing phase durations were significantly greater in the TF group, whereas those for step width and double support time were greater in the TT group.</p><p><strong>Conclusions: </strong>Gait asymmetry patterns in lower limb amputees differ according to amputation level. TF amputees showed predominantly temporal asymmetry, whereas TT amputees demonstrated more marked spatial and support-related asymmetries. These findings support the clinical utility of symmetry indices in prosthetic gait assessment.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observational study of people with complete hand amputation using a multigrip myoelectric prosthesis after using a standard myoelectric prosthesis.","authors":"Marc Marty, Nathalie de Hesselle, Mireille Grenier, Anthony Palacio, Michèle Timsit, Amelie Touillet, Frédéric Charlate, Stephane Vigier, Emilie Leblong, Yoann Ronzi, Léo Borrini, Emilie Braley, Patrice Schumacker, Simona Audemar, Thierry Jacob-Chia, Estelle Elie, Juliette Milcamps, Renaud Urbinelli, Isabelle Loiret","doi":"10.1097/PXR.0000000000000571","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000571","url":null,"abstract":"<p><strong>Background: </strong>Clinical evidence substantiating the advantages multi-grip myoelectric hand prosthesis over conventional myoelectric hand prosthesis in daily life remains inconclusive.</p><p><strong>Objectives: </strong>The study aimed to assess the efficacy of using a multi-grip myoelectric hand prosthesis after utilizing a conventional myoelectric hand prosthesis.</p><p><strong>Study design: </strong>A before-and-after, multi-center, observational study included adults with complete hand amputation using a standard myoelectric hand prosthesis for more than 4 weeks.</p><p><strong>Methods: </strong>Patients were assessed at T0 with their standard myoelectric hand prosthesis, after a 4 to 6 weeks training and trial period with a multi-grip myoelectric hand prosthesis (T1) and then after an 8 to 10 weeks period of wearing (T2). The primary outcome measure was the change of upper limb function via the Orthotics and Prosthetics Users' Survey (OPUS). Results: twenty-two participants were prescribed a definitive multi-grip hand myoelectric prosthesis. On average, the duration since amputation was 6.5 ± 11.4 years. Traumatic causes accounted for 77.3% (17/22) of the cases. The upper limb function component score of the OPUS exhibited a mean increase of 6.2 ± 10.8 points (95% CI 1.5 to 11.0) from T0 to T2. Statistically significant improvements were also noted in the quality-of-life component of OPUS, the Quick DASH score, and overall satisfaction with prosthesis.</p><p><strong>Conclusions: </strong>In this study, the transition from using daily living standard myoelectric hand prosthesis to using a multi-grip myoelectric hand prosthesis yielded improvements in functionality, quality of life, and overall satisfaction (self-drafted) among individuals with complete hand amputation.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}