Provision of prosthetic and orthotic services in low-income countries: A review of the literature

被引:28
作者
Harkins, Colette S. [1 ]
McGarry, Anthony [1 ]
Buis, Arjan [2 ]
机构
[1] Univ Strathclyde, Dept Biomed Engn, Glasgow G4 0LS, Lanark, Scotland
[2] Univ Strathclyde, Glasgow G4 0LS, Lanark, Scotland
关键词
Prosthetics and orthotics in developing countries; developing countries; rehabilitation of prostheses and orthoses users; rehabilitation; COMMUNITY-BASED REHABILITATION; KNUD-JANSEN-LECTURE; DEVELOPING-WORLD; MEDICAL REHABILITATION; PERSONAL VIEW; EDUCATION; PROGRAMS; AFRICA; CHOICE;
D O I
10.1177/0309364612470963
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Disability is inextricably linked to poverty. A total of 80% of the disabled population lives in low-income countries. The demand for prosthetic and orthotic services in these countries is increasing, and a variety of methods to provide services are currently used. Objectives: To assess current models of provision to facilitate sustainable, evidence-based prosthetic and orthotic services. Study Design: Literature review. Methods: A literature search was performed through Medline (Ovid), PubMed, ISI Web of Knowledge, EMBASE and RECAL Legacy using combinations of subject heading and text word searching strategies. Full-text publications were critically appraised and ranked according to the Scottish Intercollegiate Guidelines Network guidelines. Results: Three areas were deemed pertinent to the research question. Studies were grouped into one or more of these categories based on the issues addressed: instigators, types of service provision, demographics and region-specific issues. It was found that many complex factors influence prosthetic and orthotic services in low-income countries. Demographic and regional idiosyncrasies require prosthetic and orthotic services to be tailored to address the specific needs of individual countries. Conclusions: The lack of and quality of available research made efficacy of methods used to provide services in low-income countries difficult to determine. Clinical relevance This review aims to highlight areas of best practice in prosthetic and orthotic services in low-income countries and to show where further research is required in order to develop evidence-based prosthetic and orthotic services.
引用
收藏
页码:353 / 361
页数:9
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