Prosthetics and Orthotics International最新文献

{"title":"Medial meniscal extrusion with cumulative mechanical stress describes the clinical response of lateral wedge insoles for patients with knee osteoarthritis.","authors":"Yosuke Ishii, Akinori Nekomoto, Goki Kamei, Masakazu Ishikawa, Atsuo Nakamae, Takato Hashizume, Miharu Sugimoto, Kohei Matsumura, Makoto Takahashi, Nobuo Adachi","doi":"10.1097/PXR.0000000000000475","DOIUrl":"10.1097/PXR.0000000000000475","url":null,"abstract":"<p><strong>Background: </strong>Lateral wedge insole (LWI) is known to reduce abnormal mechanical stress in knee osteoarthritis; however, clinical improvement across cases varies. The increase in medial meniscal extrusion (⊿MME) during walking could describe the dysfunction of shock absolution and the reaction of mechanical stress in individual knee joints.</p><p><strong>Objective: </strong>This study aimed to investigate whether the ⊿MME affects LWI responders.</p><p><strong>Study design: </strong>Quasi-experimental design.</p><p><strong>Methods: </strong>The ⊿MME during walking was assessed using a dynamic ultrasound technique. Knee adduction moment was evaluated using motion analysis. The activity of the patients during the study period was evaluated as the number of steps counted by the acceleration sensor, and the cumulative knee adduction moment (CKAM) was calculated. These parameters were obtained at the initial visit (baseline) and after intervention with LWI after 3 months (post-LWI), and are expressed as the rates of change. The global rating of change was assessed and compared after the intervention; the patients were classified as responders or nonresponders accordingly.</p><p><strong>Results: </strong>Responders had a significantly higher reduction rate of ⊿MME than nonresponders (responder: 33.6% ± 14.4%, nonresponder: 14.8% ± 26.9%; P = 0.035), whereas there was no significant difference in rates of change in the number of steps, knee adduction moment, and CKAM between groups. The ⊿MME was significantly correlated with CKAM among the parameters of rates of change ( r = 0.416, P = 0.034).</p><p><strong>Conclusions: </strong>Reduction in mechanical stress in a laboratory setting does not directly affect the clinical response to LWI. The functional features of the meniscal hoop during walking can mediate the response to mechanical stress and help elucidate pain-relief mechanisms.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"434-441"},"PeriodicalIF":1.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638580","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":"Outcomes of prosthetic and orthotic use in individuals with a minor lower extremity amputation: A scoping review.","authors":"Ahmed Dami, Élise Mahé-Duverger, Maxime Acien, Virginie Blanchette, Gabriel Moisan","doi":"10.1097/PXR.0000000000000486","DOIUrl":"10.1097/PXR.0000000000000486","url":null,"abstract":"<p><p>Restoring independent daily activity is crucial for patients with a lower extremity amputation. Amputations at or distal to the midtarsal level pose unique challenges, necessitating specialized prosthetic and orthotic interventions to improve functionality, wellness, and quality of life. The objective of this scoping review was to examine the impact of prosthetic and orthotic use on clinical and health care outcomes in adults with a minor lower extremity amputation. Following Arksey and O'Malley's framework and the updated Joanna Briggs Institute's methodology, a systematic search of MEDLINE, CINAHL, SPORTDiscus, APA PsycInfo, Scopus, and the Cochrane Database of Systematic Reviews, was conducted. Fifty-nine relevant studies, primarily originating from the United States of America and Australia, were included. Trauma (47.5%) and diabetes (35.6%) were the leading causes of amputation. The most reported biomechanical outcomes were gait alterations (49.2%), revealing deficits and improvements in spatiotemporal parameters (33.9%), and plantar pressure distribution (22.0%). Custom-made devices insertable into the shoe, such as toe fillers and foot orthoses, enhanced walking speed and plantar pressure distribution, whereas above-ankle devices were more effective than foot orthoses in more proximal amputations. Well-fitted devices increased satisfaction and quality of life, but economic impacts were less frequently addressed. Despite most of the included studies being case reports (23.7%), which have a higher risk of bias, the review underscores the essential role of prosthetic and orthotic prescriptions based on tailored patient-centered care. The findings highlight the need for higher-quality research considering cost, and a broader range of patient-related outcomes and experiences measures, including psycho-social aspects.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"465-482"},"PeriodicalIF":1.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294259","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":"Amputee gait performance symmetry may be affected by how prosthetic socket shape is captured: A preliminary investigation.","authors":"Satria Ardianuari, Jocelyn S Berge, Glenn K Klute","doi":"10.1097/PXR.0000000000000564","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000564","url":null,"abstract":"<p><strong>Background: </strong>Socket fit is a critical determinant of comfort, mobility, and long-term prosthesis use in individuals with transtibial amputation. Traditional hand-casting techniques are labor-intensive and variable, whereas digital socket shape capture may improve reproducibility and consistency. However, its influence on gait performance remains an open question.</p><p><strong>Objectives: </strong>To compare gait performance measures in body support, forward propulsion, stability, and interlimb symmetry between digitally shaped sockets (DSS) and traditionally shaped sockets (TSS).</p><p><strong>Study design: </strong>Randomized Clinical Trial (RCT).</p><p><strong>Methods: </strong>In this preliminary RCT (NCT05884203), 10 adults with unilateral transtibial amputation were assigned to receive a DSS or a TSS. After a 2-week acclimation, participants completed treadmill walking trials at their preferred speed. Ground reaction force and center of pressure data were analyzed to provide measures of body support, forward propulsion, stability, and interlimb symmetry. Socket fitting characteristics were assessed by the required number of sock plies. An exploratory analysis using linear mixed-effects regression was conducted to compare groups.</p><p><strong>Results: </strong>Compared with the TSS group, the DSS group demonstrated reduced body support (p = 0.05, Hedges g = 1.03) and improved interlimb symmetry in body support (p = 0.04, g = 0.71) and propulsion (p = 0.04, g = 0.80). No consistent socket effects were observed for margin of stability. Fewer fitting socks were required in the DSS group (0-3 vs. 0-8 ply in TSS), suggesting a more consistent fit.</p><p><strong>Conclusions: </strong>Digital socket fabrication may promote more symmetrical gait and reduce variability in fitting compared with traditional casting. Although findings are preliminary, they highlight potential biomechanical and clinical benefits and warrant confirmation in larger, more diverse cohorts.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632445","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":"Translation and validation of the Italian amputee mobility predictor: Assessing functional mobility in lower limb amputees.","authors":"Alessandro Manelli, Piero Antonio Zecca, Silvia Bozzi, Mirko Zambon, Angelo Caico, Filippo Allegretti, Gabriele Baruffi, Marina Protasoni","doi":"10.1097/PXR.0000000000000539","DOIUrl":"10.1097/PXR.0000000000000539","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to translate, cross-culturally adapt, and conduct a preliminary validation of the Italian version of the Amputee Mobility Predictor (AMP-IT) to assess its psychometric properties.</p><p><strong>Methods: </strong>In this cross-sectional study, the AMP was translated into Italian in accordance with established guidelines. Twenty-eight individuals with lower limb amputation were recruited from various rehabilitation centres. The psychometric evaluation included assessing internal consistency (Cronbach's alpha), test-retest reliability (intraclass correlation coefficients, ICCs), and concurrent validity by correlating AMP scores with the Six-Minute Walk Test (6MWT) and the Prosthetic Limb Users Survey of Mobility (PLUS-M).</p><p><strong>Results: </strong>The AMP-IT demonstrated excellent internal consistency for both the AMPPRO (α = 0.986) and AMPnoPRO (α = 0.980) versions. Test-retest reliability was also excellent, with ICCs of 0.94 for AMPPRO and 0.92 for AMPnoPRO. Concurrent validity was supported by strong correlations with the 6MWT (r = 0.75-0.76) and a satisfactory correlation with the PLUS-M™ (r = 0.62). The tool successfully discriminated between different K-levels ( p < 0.01).</p><p><strong>Conclusions: </strong>The validated Italian version of the AMP is a robust, reliable, and valid instrument for the objective assessment of functional mobility in Italian-speaking individuals with lower limb amputation. It represents a valuable tool for clinicians to guide rehabilitation strategies and prosthetic prescription.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989772","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":"An evaluation of the impact on comfort and function of a novel harnessing strategy, Brasthesis, for woman using upper extremity prostheses: A qualitative feasibility study.","authors":"Chelsea Leonard, Jemy Delikat, Samuel Phillips, Jeffrey T Heckman","doi":"10.1097/PXR.0000000000000529","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000529","url":null,"abstract":"<p><strong>Background: </strong>Women with upper extremity amputations are more likely to reject a prosthesis, and poor comfort is a primary reason for prosthesis rejection. Brasthesis was developed in the Department of Veteran's Affairs with the goal of improving prosthesis fit and comfort for women with major upper extremity amputations. Brasthesis is a harnessing system that incorporates the prosthesis support harness into a sports bra for women. The goal of this pilot study was to evaluate feasibility, acceptability, and impact of Brasthesis on a small group of women receiving care in the Veteran's Affairs.</p><p><strong>Methods: </strong>We conducted a qualitative pilot feasibility and acceptability study of Brasthesis. Five subjects were fitted with Brasthesis. They participated in an intake interview, an interview after 1 month wearing Brasthesis, and a focus group to debrief on experiences wearing Brasthesis. Interview and focus group data were analyzed using a rapid approach to deductive content analysis to identify key findings related to feasibility, acceptability, and impacts of Brasthesis.</p><p><strong>Results: </strong>Findings around feasibility included a satisfactory fitting process and ability to independently don and remove Brasthesis. Findings around acceptability included improved comfort and satisfaction with appearance relative to the prior harnessing system. Findings around impact included (1) wearing prostheses for longer amounts of time, (2) improved functional use of prostheses, (3) changes in activity-specific prosthesis use, and (4) increased confidence wearing and using prostheses.</p><p><strong>Conclusions: </strong>Participants described positive experiences including improvements in comfort, increased wearing time, and better ability to functionally use the prosthesis. Innovations like Brasthesis are critical to support quality of life for women with limb loss.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158897","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":"A prosthesis user perspective on interactions with their prosthetist during lower-limb prosthetic socket fitting.","authors":"Lucy Armitage, Shruti Turner, Belinda Ford, Kirsty A McDonald, Darrel Sparke, Lauren Kark","doi":"10.1097/PXR.0000000000000463","DOIUrl":"10.1097/PXR.0000000000000463","url":null,"abstract":"<p><strong>Background: </strong>Successful prosthetic socket fitting contributes to prosthesis user satisfaction and facilitates rehabilitation, but is often challenging to achieve and maintain. There is a lack of information available that explores firsthand experiences of prosthetic users throughout socket fitting sessions and, in particular, their preferences regarding information exchange between them and their prosthetist.</p><p><strong>Objectives: </strong>Assess satisfaction with prosthetic service, confidence in clinical judgement, and confidence providing feedback to prosthetists, examine experiences of prosthesis users in providing feedback to prosthetists and identify the types of information that prosthesis users want to communicate to their prosthetist, as well receive before, during, and after the socket fitting process.</p><p><strong>Study design: </strong>Mixed-method (quantitative and qualitative) survey.</p><p><strong>Methods: </strong>A questionnaire was designed and administered in consultation with Amputees NSW (an amputee community support group) and distributed through their membership database. Quantitative items with discrete or scale-based responses were analyzed using descriptive, nonparametric methods and described satisfaction and confidence during prosthetic fitting. A thematic analysis was performed on qualitative responses to explore prosthesis user experiences of information exchange before, during, and after socket fitting.</p><p><strong>Results: </strong>There were 24 survey responses. Ninety-six percentage of respondents were satisfied with their prosthetic service and were confident in their prosthetists' clinical judgement as well as ensuring socket comfort for their client. Most prosthesis users felt comfortable to provide feedback to their prosthetist (median =100 [interquartile range = 20], where 0 = not at all confident and 100 = completely confident). Experiences in providing input on comfort and fitting fell under 4 interrelated themes: collaboration, frustrations with process, impacts of poor fit, and prosthetic fit. Experiences with exchanging information with their prosthetist before, during, and after socket fitting fell under a further 4 themes: process-based information and provision options, taking history and treatment planning, collaboration and communication, and functional concerns.</p><p><strong>Conclusions: </strong>Prosthesis users' confidence to provide feedback and satisfaction with prosthetic services could be helped by ensuring a responsive working relationship, facilitating information exchange between the prosthetist and prosthesis user, as well as improved prosthesis user education on the socket fit process.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"357-365"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235734","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":"Design and manufacture of prosthetic sockets based on soft tissue thickness.","authors":"Xidong Liu, Jianhua Tang, Wei Li","doi":"10.1097/PXR.0000000000000467","DOIUrl":"10.1097/PXR.0000000000000467","url":null,"abstract":"<p><strong>Background: </strong>Wearing a prosthesis is one of the main ways for amputees to regain their mobility and reintegrate into society. Traditional prosthetic socket fabrication consists of many different stages and is difficult to quantify. More and more prosthetists are using CAD/CAM technology in the design and manufacture of sockets.</p><p><strong>Objectives: </strong>The purpose of this study was to propose a method for designing the socket based on the soft tissue thickness of the stump.</p><p><strong>Methods: </strong>The sockets with different parameters were designed based on soft tissue thickness, and the subjects were subjected to pressure test and walking test after wearing 3D-printed sockets and traditional manual sockets for 6 weeks, respectively.</p><p><strong>Results: </strong>The pressures of the designed socket at the end of the tibia and the fibula head region as well as the maximum pressure at the stump/socket interface were significantly lower than those of the traditional socket. The results of a 2-minute walk test and socket comfort score showed a significant difference in walking ability and comfort when subjects wore different sockets.</p><p><strong>Conclusion: </strong>The 3D-printed socket can meet the daily needs of amputees. Existing methods may be superior to traditional manufacturing methods for data storage and modification.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"341-347"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217377","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":"Reliability of 2 self-report questionnaires assessing performance of activities of daily living in chronic hand orthotic users.","authors":"Tanja Oud, Frans Nollet, Merel-Anne Brehm","doi":"10.1097/PXR.0000000000000460","DOIUrl":"10.1097/PXR.0000000000000460","url":null,"abstract":"<p><strong>Background: </strong>The reliability of Dutch questionnaires assessing performance of activities of daily living (ADL) has not been established in chronic hand orthotic users.</p><p><strong>Objective: </strong>To examine the reliability of the custom short form of the Dutch-Flemish Patient-Reported Outcomes Measurement Information System-Upper Extremity (DF-PROMIS-UE) and the Michigan Hand Questionnaire Dutch language version (MHQ-DLV) in chronic hand orthotic users and evaluate the correlation between the DF-PROMIS-UE and MHQ-DLV ADL domain.</p><p><strong>Methods: </strong>Seventy-four chronic hand orthotic users (mean [SD] age 60.5 [10.71] years, 60 female) completed the DF-PROMIS-UE and MHQ-DLV twice. Reliability was assessed as internal consistency (Cronbach's α), test-retest reliability (intraclass correlation coefficient), and agreement (95% limits of agreement, standard error of measurement, smallest detectable change). Furthermore, the Pearson correlation coefficient were determined.</p><p><strong>Results: </strong>Cronbach's α for both ADL questionnaires was ≥0.90. The intraclass correlation coefficient was 0.88 (95% confidence interval [CI], 0.82-0.93) for the DF-PROMIS-UE and 0.81 (95% CI, 0.72-0.88) for the MHQ-DLV ADL domain. The limits of agreement were narrower for the DF-PROMIS-UE (-4.43 to 5.85) than for the MHQ-DLV ADL domain (-27.4 to 26.4). The standard error of measurement and smallest detectable change for the DF-PROMIS-UE were 1.91 and 5.29 points and for MHQ-DLV ADL domain 9.65 and 26.8 points, respectively. The correlation between the ADL questionnaires was 0.83 (95% CI, 0.75 to 0.89).</p><p><strong>Conclusions: </strong>Although the DF-PROMIS-UE and MHQ-DLV ADL domain were highly correlated and showed good internal consistency, the DF-PROMIS-UE showed better test-retest reliability and lower measurement error than the MHQ-DLV ADL domain in chronic hand orthotic users.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"321-329"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235736","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":"Patient-reported outcome measures used in clinical trials of an elbow orthosis: A scoping review.","authors":"Hadley T Ninow, Apurba Barman, Sandesh G Bhat, Gwen Wilson, Kenton R Kaufman","doi":"10.1097/PXR.0000000000000482","DOIUrl":"10.1097/PXR.0000000000000482","url":null,"abstract":"<p><p>There is an increased clinical use of elbow orthoses. It is important to consider patient experiences in their use. Patient-reported outcome measures (PROMs) serve as essential tools for gathering patient perspectives. This review provides a comprehensive list of PROMs used in clinical trials of elbow orthoses, and documents their properties, uses, and quality. A systematic literature search across PubMed, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature, and Web of Science identified 31 clinical trials of elbow orthoses that used PROMs as outcome measures. Subsequently, manual searches were conducted to report on each PROM's characteristics. A total of 15 different PROMs were used as outcome measurements in clinical trials that used an elbow orthosis as an intervention for 11 different conditions. Researchers can use this review to aid in making informed decisions about which PROMs to use for future clinical trials.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"330-340"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856900","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":"Effects of amputation on the mental health among osteosarcoma survivors: A mixed quantitative study at a city-based corporate hospital in India.","authors":"Kousik Nandy, Arunima Datta","doi":"10.1097/PXR.0000000000000491","DOIUrl":"10.1097/PXR.0000000000000491","url":null,"abstract":"<p><strong>Background: </strong>An amputation may lead to not only impaired physical function but also psychosocial consequences including emotional health, personal relationships, and social life.</p><p><strong>Aims: </strong>The study aimed to highlight osteosarcoma survivors' experiences of the amputation, focusing on changes in emotional reaction with time to the impairment. In addition, the research sought to assess how the survivors' perceived challenges about body image.</p><p><strong>Methods: </strong>The present mixed quantitative study was conducted among 31 osteosarcoma survivors at the department of ortho-oncology in a tertiary hospital in India. According to the hospital medical records, participants included in the study were individuals who had undergone acquired amputation 6 months to 1 year before, had no history of pulmonary metastasis, were receiving follow-up treatment, and were between 18 and 25 years of age. To assess body-image perception, survivors went through the psychological assessment by using validated tool (Amputation Body Image Scale). A clinical psychologist used semistructured interviews with same group of survivors to collect qualitative data. In this research, quantitative data have been analyzed by applying appropriate statistics and qualitative data transcribed, coded, and analyzed by experienced psychologists for addressing 3 areas: breaking news, adapting the word \"amputation,\" phantom sensation, and self-inferiority complex vs. social insecurity-related impairment.</p><p><strong>Results: </strong>The age mean of 31 osteosarcoma survivors with amputation was 22.41 ± 4.08. They were 87 % above the knee and 13% had partial hand amputation. Amputation Body Image Scale's average score was 60.1 ± 19.62 and it was not correlated with the length of time of amputation surgery took itself, age, and sex ( p ≥ 0.005). Our study emerged 4 themes: amputation was usually the thought of life-ending. Survivors reported a feeling of a handicap when facing the mirror just after amputation. As per the survivor's viewpoint, the self-inferiority complex plays an important role in developing psychological stress that affects their psychological well-being.</p><p><strong>Conclusions: </strong>Various stages of the diagnostic treatment pathway give rise to unique and diverse influences on physical, emotional, social, and psychological well-being. The entire process, starting from the acquired amputation to coping with everyday life, can be demanding and difficult.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":"275-282"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453721","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}