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Relation between capacity and performance in paediatric upper limb prosthesis users
Örebro University, School of Health Sciences. (Research enabling an active life REAL)
Örebro University, School of Medical Sciences. Örebro University Hospital. Clinical Epidemiology and Biostatistics.ORCID iD: 0000-0002-2088-0530
Örebro University Hospital. Örebro University, School of Health Sciences. Department of Prosthetics and Orthotics.ORCID iD: 0000-0003-4247-2236
2017 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, 309364617704802Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: The International Classification of functioning, disability and health refers capacity to what an individual can do in a standardised environment and describes performance as what an individual really does and whether the individual encounters any difficulty in the real-life environment. Measures of capacity and performance can help to determine if there is any gap between them that may restrict participation. The aim of this study was to explore the relationship between capacity scores obtained in a standardised clinical setting and proportional ease of performance obtained from a real-life environment.

METHODS: The Assessment of Capacity for Myoelectric Control and the Prosthetic Upper Extremity Functional Index were used to assess capacity and performance in 62 prosthetic users (age 3-17). Spearman coefficient and generalised linear model were used to examine the association between these measures.

RESULTS: A strong correlation (Spearman = 0.75) was found between the capacity scores and the ease of performance. In both unadjusted and adjusted models, capacity was significantly associated with proportional ease of performance. The adjusted model showed that, by 1 unit increase in the Assessment of Capacity for Myoelectric Control score, the ratio of proportional ease of performance increases by 45%.

CONCLUSION: This implies that Assessment of Capacity for Myoelectric Control can be a predictor for ease of performance in real-life environment.

Clinical relevance: The ACMC scores may serve as an indicator to predict the difficulties that the children may encounter in their home environment. This prediction can help the clinician to make decisions, such that if the child requires more control training or is ready to move on to learn more complex tasks.

Place, publisher, year, edition, pages
Sage Publications, 2017. 309364617704802
Keyword [en]
Upper limb prosthetics, prosthetics, rehabilitation, rehabilitation of prostheses users
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:oru:diva-59060DOI: 10.1177/0309364617704802PubMedID: 28639478OAI: oai:DiVA.org:oru-59060DiVA: diva2:1133458
Available from: 2017-08-15 Created: 2017-08-15 Last updated: 2017-10-10Bibliographically approved

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Lindner, Helen YHiyoshi, AyakoHermansson, Liselotte
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