Skip to main page content
U.S. flag
See More

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2018 Sep;97(39):e12296.
doi: 10.1097/MD.0000000000012296.

Prosthesis satisfaction in lower limb amputees: A systematic review of associated factors and questionnaires

Erwin C Baars  1 , Ernst Schrier  2 , Pieter U Dijkstra  2   3 , Jan H B Geertzen  2
Affiliations
Meta-Analysis

Prosthesis satisfaction in lower limb amputees: A systematic review of associated factors and questionnaires

Erwin C Baars et al. Medicine (Baltimore). 2018 Sep.

Abstract

Background: Factors influencing patient satisfaction with a transtibial prosthesis have been studied fragmentarily. The aims of this systematic review were to review the literature regarding factors of influence on patient satisfaction with a transtibial prosthesis, to report satisfaction scores, to present an overview of questionnaires used to assess satisfaction and examine how these questionnaires operationalize satisfaction.

Methods: A literature search was performed in PubMed, Embase, PsycInfo, CINAHL, Cochrane, and Web of Knowledge databases up to February 2018 to identify relevant studies.

Results: Twelve of 1832 studies met the inclusion criteria. Sample sizes ranged from 14 to 581 participants, mean age ranged from 18 to 70 years, and time since amputation ranged from 3 to 39 years. Seven questionnaires assessed different aspects of satisfaction. Patient satisfaction was influenced by appearance, properties, fit, and use of the prosthesis, as well as aspects of the residual limb. These influencing factors were not relevant for all amputee patients and were related to gender, etiology, liner use, and level of amputation. No single factor was found to significantly influence satisfaction or dissatisfaction. Significant associations were found between satisfaction and gender, etiology, liner use, and level of amputation.

Conclusion: Relevance of certain factors for satisfaction was related to specific amputee patient groups. Questionnaires assessing satisfaction use different operationalizations, making comparisons between studies difficult.

PubMed Disclaimer

Conflict of interest statement

There is no conflict of interest regarding the manuscript.

Figures

Figure 1
Figure 1
Flow chart of paper assessment.
See this image and copyright information in PMC

References

    1. Kark L, Simmons A. Patient satisfaction following lower-limb amputation: the role of gait deviation. Prosthet Orthot Int 2011;35:225–33. - PubMed
    1. MohdHawari N, Jawaid M, MdTahir P, et al. Case study: survey of patient satisfaction with prosthesis quality and design among below-knee prosthetic leg socket users. Disabil Rehabil Assist Technol 2017;10:868–74. - PubMed
    1. Berke GM, Fergason J, Milani JR, et al. Comparison of satisfaction with current prosthetic care in veterans and service members from Vietnam and OIF/OEF conflicts with major traumatic limb loss. J Rehabil Res Dev 2010;47:361–71. - PubMed
    1. Dillingham TR, Pezzin LE, MacKenzie EJ, et al. Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study. Am J Phys Med Rehabil 2001;80:563–71. - PubMed
    1. Gailey R, McFarland LV, Cooper RA, et al. Unilateral lower-limb loss: prosthetic device use and functional outcomes in servicemembers from Vietnam war and OIF/OEF conflicts. J Rehabil Res Dev 2010;47:317–31. - PubMed