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Satisfaction and Problems Experienced with Wrist Movements: Comparison Between a Common Body-Powered Prosthesis and a New Biomechatronics Prosthesis

Abd Razak, N.A. MEngSc; Abu Osman, N.A. PhD; Kamyab, M. PhD; Wan Abas, W.A.B. PhD; Gholizadeh, H. MEngSc

American Journal of Physical Medicine & Rehabilitation: May 2014 - Volume 93 - Issue 5 - p 437–444
doi: 10.1097/PHM.0b013e3182a51fc2
Brief Report

ABSTRACT This report compares wrist supination and pronation and flexion and extension movements with the common body-powered prosthesis and a new biomechatronics prosthesis with regard to patient satisfaction and problems experienced with the prosthesis. Fifteen subjects with traumatic transradial amputation who used both prosthetic systems participated in this study. Each subject completed two questionnaires to evaluate their satisfaction and problems experienced with the two prosthetic systems. Satisfaction and problems with the prosthetic’s wrist movements were analyzed in terms of the following: supination and pronation; flexion and extension; appearance; sweating; wounds; pain; irritation; pistoning; smell; sound; durability; and the abilities to open a door, hold a cup, and pick up or place objects. This study revealed that the respondents were more satisfied with the biomechatronics wrist prosthesis with regard to supination and pronation, flexion and extension, pain, and the ability to open a door. However, satisfaction with the prosthesis showed no significant differences in terms of sweating, wounds, irritation, pistoning, smell, sound, and durability. The abilities to hold a cup and pick up or place an object were significantly better with the body-powered prosthesis. The results of the survey suggest that satisfaction and problems with wrist movements in persons with transradial amputation can be improved with a biomechatronics wrist prosthesis compared with the common body-powered prosthesis.

From the Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia (NAAR, NAAO, WABWA, HG); and Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran (MK).

All correspondence and requests for reprints should be addressed to: N.A. Abd Razak, MEngSc, Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, 50603, Kuala Lumpur, Malaysia.

Supported by grant number UM.C/HIR/MOHE/ENG/14 D000014-16001.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins