Rehabilitative Outcome of Amputee
黃美涓(May-Kuen Wong)；陳智仁(Jyh-Ren Chen)
Amputee ； Prosthesis ； Rehabilitation
|Volume or Term/Year and Month of Publication||
13期（1985 / 12 / 01）
61 - 64
25 amputee patients were studied by questionnaire to understand their rehabilitative outcome after prosthesis fitting from January to December of 1984. Among them, 22 cases were male, 3 were female; 9 were upper extremity amputee (above elbow 3, below elbow 6) and 16 were lower extremity amputee (above Knee 6, below Knee 10); all of them were one limb amputation. The maturation time for porsthesis being used skillfully depended on different patients. 44% could use the prosthesis quite well at the time of being discharged, 24% needed 3 more months, and 32% should get repeat practice until half year later. The frequency of prosthesis being used at home was better in lower extremity than the upper, 87.5% lower extremity amputee used their prosthesis everyday, while on 44.4% in the upper. The activities of daily living were very well in these cases. 56% were completely independent, 40% needed a little bite help by others, only 1 person was partially dependent to his family, but no body was totally dependent. 56% of amputee patients remained to work outside, 24% changed to work at home, 3 cases gave up their original job and changed role with their wives. Only 2 cases did not work, one was a student and went back to school, another was a 85 year old man who stayed home before amputation. Only 32% cases were very satisfied to their prosthesis, another 32% were satisfied, 24% were fairly satisfied, while 24% were not satisfied at all. Among them, lower extremity prosthesis were satisfied at 75%, in upper were only 44.4%. The difference was statistically significant (P＜0.05). How to improve the design and function of upper extremity prosthesis are very necessary and challenging in prosthetic field today.