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The influence of environment: experiences from users of myoelectric arm prostheses
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-3437-0590
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0003-4247-2236
2014 (English)In: MEC'14: Redefinig the Norm, Frederiction, New Brunswick, Canada: University of New Brunswick, Fredericton, Canada , 2014Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Myoelectric prostheses are used in varying degrees. According to the International Classification of functioning, disability and health (ICF) the environment includes the physical, social and attitudinal environment in which people live and conduct their lives. An environment with barriers, or without facilitators, will restrict the individual’s occupational performance and can result in limitations of Quality of Life. Few studies have been made to see the impact of environmental factors on prosthesis use. In this study the ICF- model is the framework to understand the complexity of environmental factors influence on prostheses use. The aim of this study was to describe the experience of how environmental factors affect the use of myoelectric arm prostheses..                        

Method: A qualitative descriptive approach was used and interviews were conducted with 13 adult prosthesis users at the Prosthetics and Orthotics Outpatient Clinic in Örebro, Sweden. The participants were 9 males and 4 females with age ranging from 20-74 years ; they had acquired (n=5) or congenital (n=8) cause of absence at trans humeral (n=3 ) or trans radial (n=10 ) level. Their experience from prosthesis use was ranging from 2- 30 years. Qualitative content analysis with an inductive approach was used for data analysis.        

Results: Participants’ experiences of prosthesis use and how environmental factors affect them could be divided into seven categories: Various adaptations to the environment; Other peoples attitudes affect use; Support promotes use; Technical shortcomings affect use; Climate affects comfort and function; Ignorance and legislation complicates; Different approach to usability. Two themes occurred in all the categories and gave an overall perspective of what the participants believe have an important impact on prosthesis use: The prosthesis is/is not a part of my body; and, It is important to be like everyone else. A model was created to clarify the relation between environmental factors and prosthesis use/non-use. It illustrates how a persons coping strategy interacts with all the different environmental factors it is exposed to and how this leads to usability in different degrees. The prosthesis use can be a barrier or a facilitator for activity, participation and body structure.  

Conclusions: Embodiment of prosthesis reduces environmental barriers and facilitates future use in both congenital and acquired upper limb amputees. Support to the persons and their family in prosthetic use, access to prosthesis training close to home, and considerations taken to the prosthesis appearance and function will facilitate future prosthesis use.

Place, publisher, year, edition, pages
Frederiction, New Brunswick, Canada: University of New Brunswick, Fredericton, Canada , 2014.
National Category
Medical and Health Sciences Occupational Therapy
Identifiers
URN: urn:nbn:se:oru:diva-40575ISBN: 978-1-55131-176-0 (print)OAI: oai:DiVA.org:oru-40575DiVA, id: diva2:777564
Conference
MEC'14 - Redefining the Norm, Fredricton, New Brunnswick, Canada, August 19-22, 2014.
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2017-10-18Bibliographically approved

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Widehammar, CathrinePettersson, IngvorHermansson, Liselotte M. N.

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CiteExportLink to record
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