Prosthesis use among individuals with lower limb amputation in Bangladesh. Issue 1 (26th February 2023)

• Record Type: Journal Article
• Authors: Al Imam, Mahmudul Hassan; Kader, Manzur; Islam, Rangila; Alamgir, Hasnat
• Is Part Of: Prosthetics and orthotics international. Volume 47:Issue 1(2023)
• Page Start: 81
• Page End: 86
• Publication Date: 2023-02-26
• Subjects: lower limb amputation -- artificial limb use -- prosthetic rehabilitation -- Bangladesh; Orthopedic apparatus -- Periodicals; Prosthesis -- Periodicals; Implants, Artificial -- Periodicals; 617.905
• DOI: 10.1097/PXR.0000000000000172
• Languages: English
• ISSNs: 0309-3646

Abstract

Abstract : Objective: This study aimed to assess factors related to prostheses use among individuals with lower limb amputation in Bangladesh. Methods: Data related to prosthesis use, functional capabilities (as measured with the Locomotor Capabilities Index [LCI]), and user satisfaction were collected using telephone interviews between January 2014 and October 2016. Descriptive and regression analyses were performed. Results: This study involved 183 participants (89.6% male); the mean (SD) age was 49.5 (10.7) years. Most of the participants (95.6%) used prostheses daily, and the mean (SD) duration of use was 7.0 (4.1) hours per day. The mean (SD) basic LCI score, advanced LCI score, and total LCI score were 25.1 (4.9), 20.8 (8.3), and 45.9 (12.2), respectively. Among them, 36.7% were dissatisfied with the weight of the prosthesis. Having a below knee amputation (odds ratio 2.6 and confidence interval 1.3, 5.3) and absence of comorbidities (odds ratio 2.1; confidence interval 1.0, 4.4) were associated significantly with an increased use of prosthesis. Conclusion: Factors such as weight of the prosthesis, amputation level, and presence of comorbidities are important considerations while planning for prosthetic rehabilitation and optimize utilization of the prosthetic devices.