Prosthesis donning and doffing questionnaire: Development and validation

被引:6
作者
Abu Osman, Noor Azuan [1 ]
Eshraghi, Arezoo [1 ,2 ]
Gholizadeh, Hossein [1 ,3 ]
Abas, Wan Abu Bakar Wan [1 ]
Lechler, Knut [4 ]
机构
[1] Univ Malaya, Dept Biomed Engn, Fac Engn, Kuala Lumpur, Malaysia
[2] Holland Bloorview Kids Rehabil Hosp, 150 Kilgour Rd, Toronto, ON M4G 1R8, Canada
[3] Ottawa Hosp Res Inst, Ctr Rehabil Res & Dev, Ottawa, ON, Canada
[4] Ossur Ehf, R&D Med Off, Reykjavik, Iceland
关键词
Amputation; prosthesis; disability evaluation; psychometrics; questionnaires; rehabilitation; SUSPENSION SYSTEMS; SOCKET; SATISFACTION; AMPUTATIONS; SUCTION; STUMP; FIT;
D O I
10.1177/0309364617690397
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
Objectives: To develop a questionnaire that specifically evaluates the ability of trans-tibial amputees to don and doff a prosthesis and to investigate the psychometric properties of the newly developed questionnaire. Background: Prosthesis should be donned and doffed few times during the day and night; thus, it is important to measure ease of donning and doffing. Study design: A cross-sectional study. Methods: The questionnaire was designed and evaluated by a group of experts. The final questionnaire was administered to 50 individuals with trans-tibial amputation. A test-retest study was also conducted on 20 amputees to assess the repeatability of questionnaire items. Results: The prosthesis donning and doffing questionnaire was developed and tested through a pilot study. Based on Kappa index, the questionnaire items showed correlation coefficients greater than 0.7, which indicate good reliability and repeatability. The majority of the participants had good hand dexterity (80%) and could perform all types of grasps. The mean satisfaction scores with donning and doffing were 69.9 and 81.4, respectively. Most of the respondents needed to don and doff the prosthesis 3.44 times per day. Based on a 7-point score, the total scores ranged between 3 and 7. Conclusion: The prosthesis donning and doffing questionnaire items showed good psychometric properties. A scoring method was suggested based on the pilot sample, which requires further evaluation to be able to differentiate between more suspension types. A larger international multicenter evaluation is required in the future to measure the responsiveness of the scales. This questionnaire will be useful in the evaluation of the ability of amputees to don and doff a trans-tibial limb prosthesis. Clinical relevance Donning and doffing of prostheses are challenging tasks for many lower limb amputees. The prosthesis donning and doffing questionnaire, on its own or combined with other prosthetic evaluation questionnaires, has the potential to help manufacturers, clinicians, and researchers gain knowledge and improve the donning and doffing qualities of prostheses.
引用
收藏
页码:571 / 578
页数:8
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