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Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: A cross-sectional study

Magnusson, Lina LU ; Ramstrand, Nerrolyn; Fransson, Eleonor I. and Ahlström, Gerd LU (2014) In Journal of Rehabilitation Medicine 46(5). p.438-446
Abstract
Objectives: To investigate patients' mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery in Sierra Leone; to compare groups of patients regarding type and level of assistive device, gender, area of residence, income; and to identify factors associated with satisfaction with the assistive device and service. Methods: A total of 139 patients answered questionnaires, including the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire (QUEST 2.0). Results: Eighty-six percent of assistive devices were in use, but half needed repair. Thirty-three percent of patients reported pain when using their assistive device. Patients had difficulties or could not walk at all... (More)
Objectives: To investigate patients' mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery in Sierra Leone; to compare groups of patients regarding type and level of assistive device, gender, area of residence, income; and to identify factors associated with satisfaction with the assistive device and service. Methods: A total of 139 patients answered questionnaires, including the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire (QUEST 2.0). Results: Eighty-six percent of assistive devices were in use, but half needed repair. Thirty-three percent of patients reported pain when using their assistive device. Patients had difficulties or could not walk at all on: uneven ground (65%); hills (75%); and stairs (66%). Patients were quite satisfied with their assistive device and the service (mean 3.7 out of 5 in QUEST), but reported 886 problems. Approximately half of the patients could not access services. In relation to mobility and service delivery, women, orthotic patients and patients using above-knee assistive devices had the poorest results. The general condition of the assistive device and patients' ability to walk on uneven ground were associated with satisfaction with the assistive devices and service. Conclusion: Patients reported high levels of mobility while using their device although they experienced pain and difficulties walking on challenging surfaces. Limitations in the effectiveness of assistive devices and limited access to follow-up services and repairs were issues desired to be addressed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prosthesis, orthosis, assistive device, Sierra Leone, satisfaction, disability, rehabilitation
in
Journal of Rehabilitation Medicine
volume
46
issue
5
pages
438 - 446
publisher
Taylor & Francis
external identifiers
  • wos:000336472300009
  • scopus:84902984683
ISSN
1651-2081
DOI
10.2340/16501977-1780
language
English
LU publication?
yes
id
a5c2f204-9f16-4828-9a6a-48e60b5f8c5a (old id 4559155)
date added to LUP
2014-08-01 07:42:52
date last changed
2017-10-01 04:01:17
@article{a5c2f204-9f16-4828-9a6a-48e60b5f8c5a,
  abstract     = {Objectives: To investigate patients' mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery in Sierra Leone; to compare groups of patients regarding type and level of assistive device, gender, area of residence, income; and to identify factors associated with satisfaction with the assistive device and service. Methods: A total of 139 patients answered questionnaires, including the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire (QUEST 2.0). Results: Eighty-six percent of assistive devices were in use, but half needed repair. Thirty-three percent of patients reported pain when using their assistive device. Patients had difficulties or could not walk at all on: uneven ground (65%); hills (75%); and stairs (66%). Patients were quite satisfied with their assistive device and the service (mean 3.7 out of 5 in QUEST), but reported 886 problems. Approximately half of the patients could not access services. In relation to mobility and service delivery, women, orthotic patients and patients using above-knee assistive devices had the poorest results. The general condition of the assistive device and patients' ability to walk on uneven ground were associated with satisfaction with the assistive devices and service. Conclusion: Patients reported high levels of mobility while using their device although they experienced pain and difficulties walking on challenging surfaces. Limitations in the effectiveness of assistive devices and limited access to follow-up services and repairs were issues desired to be addressed.},
  author       = {Magnusson, Lina and Ramstrand, Nerrolyn and Fransson, Eleonor I. and Ahlström, Gerd},
  issn         = {1651-2081},
  keyword      = {prosthesis,orthosis,assistive device,Sierra Leone,satisfaction,disability,rehabilitation},
  language     = {eng},
  number       = {5},
  pages        = {438--446},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine},
  title        = {Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: A cross-sectional study},
  url          = {http://dx.doi.org/10.2340/16501977-1780},
  volume       = {46},
  year         = {2014},
}