Factors Influencing the Adoption, Non-Adoption and Abandonment of Lower Limb Prostheses among Amputees in Selected Hospitals in Owerri, Imo
DOI:
https://doi.org/10.60787/tnhj.v24i4.899Keywords:
Prosthesis, adoption, non-adoption, abandonment, amputeesAbstract
Background: A high rate of abandonment of lower limb prostheses after adoption is observed, with many amputees unable to adopt any prosthesis. This challenges rehabilitation and reintegration efforts. This study assesses the reasons behind this issue and suggests possible solutions.
Method: A descriptive cross-sectional study was conducted on 100 lower limb amputees using multistage sampling. Data were collected via a validated self-administered questionnaire and analyzed using SPSS v26.0. A significance level of 5% (p<0.05) was used.
Results: The study’s age range was dominated by participants aged 51-65 years (28%). Amputees with higher education levels (39%) were more likely to use prostheses. Trauma was the leading cause of amputation (55%). While 27% of respondents did not use a prosthesis, 73% did. Financial constraints prevented 34% from affording a prosthesis, but 66% could. Additionally, 31% faced difficulties accessing prostheses, and 99% had not accessed government support. Major barriers to prosthesis adoption were financial constraints (46%) and lack of access to services (22%). Proposed solutions included financial support (27%) and improved access to prosthetic services (12%).
Conclusion: The significant rate of non-adoption and abandonment of lower limb prostheses in Owerri, Imo, is attributed to financial and access barriers, highlighting the need for interventions like financial assistance and better service access.
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References
Biddiss E, & Chau T. Upper limb prosthesis use and abandonment: A survey of the last 25 years. Prosthetics and Orthotics International. 2007; 31(3):236–257.
Gallagher P, Maclachlan M, & Desmond D. Psychosocial adjustment following lower limb amputation: The influence of coping, social support, and body image. Disability and Rehabilitation. 2008; 30(15): 1219–1229.
Highsmith MJ, Kahle JT, & Fox J. Axial limb rotation affects kinetics during gait in individuals with transtibial amputation using prostheses. Journal of Neuro Engineering and Rehabilitation. 2016; 13(1): 79.
Ugorji TN, Ekezie J, Anyam CK, Osuchukwu WI, Nwakanma JI. Inclusion of Ankle Joint in the Design and Fabrication of Below-Knee Prosthesis. International Journal of Health and Rehabilitation Sciences. 2018; 7(3): 131-135
Gauthier-Gagnon C, Grisé MC, & Potvin D. Enablers and obstacles to the use of prostheses from the perspective of people with lower limb amputation. Archives of Physical Medicine and Rehabilitation. 2009; 90(2): 253–263.
Murray C. An interpretative phenomenological analysis of the embodiment of artificial limbs. Disabil. Rehabil. 2004; (26): 963-973. doi: 10.1080/09638280410001696764.
Zidarov D, Swaine B, & Gauthier-Gagnon C. Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Archives of Physical Medicine and Rehabilitation. 2009; 90(4): 634-645.
Ogamba MI, Nwankwo MU, Chukwu EO, & Ohuabunwa EG. (2016). Community perception of prosthesis use by lower limb amputees in a Nigerian city. Hong Kong Journal of Occupational Therapy. 2006; 26(1): 37-43.
Ugorji TN, Osuagwu CG, Ekezie J, Igwe A and Okafor W. Design and Fabrication of Improved Below-Knee Prosthesis to Better Mimic Natural Limb. Current Trends in Biomedical Engineering and Biosciences 2017; 19(2): 001-004
Diana Z, Bonine S, Christiane G. Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Arch Phys Med Rahabil. 2009; 90(4): 634-45. doi: 10.1016/j.apmr.2008.11.003.
Ajaraogu JC, Obasi OO. Determinants of Patients’ Choice of Medical Treatment Options in selected Rural, Rural-Urban & Urban Communities in Imo State, Nigeria. The Nigerian Health Journal 2024; 24(2):1204 – 1210. https://doi.org/10.60787/tnhj.v24i2.796
Gauthier-Gagnon C, Grisé MC, & Potvin D. Enablers and obstacles to the use of prostheses from the perspective of people with lower limb amputation. Archives of Physical Medicine and Rehabilitation. 2009; 90(2): 253–263.
Breakey JW. Body image: the lower limb amputee. JPI: Journal of Prosthesis and Orthotics. 1997; 9(2): 58-66.
Stefan S, Heiko S, Lukas HP, Clemens G, Agnes S, Johannes AM, Micheal S & Oskar CA. Current rate of prosthetic usage in upper-limb amputees- have innovations had an impact on device acceptance. Disability and Rehabilitation. 2020; 44(14): 3708-3713. https://doi.org/10.1080/09638288.2020.1866684
Aguocha UB, Olekanma CV, Uzowuihe PN. A Prospective Research Study on the Appraisal of Lower Limb Amputee Experiences with Prostheses in Southeast Nigeria. Open Access library journal. 2023; 10(14); 1-9
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