2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia

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date 2023-08-01
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originalfilename IMPACT OF PROSTHETIC KNEE JOINTS ON FUNCTIONAL OUTCOMES AMONG TRANSFEMORAL AMPUTEES IN SAUDI ARABIA (MASTER_2023).pdf
person Abdallah Mohammad Alzeer
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spelling 15834 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15834 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Health Sciences English application/pdf 1.5 Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access UNIVERSITI SULTAN ZAINAL ABIDIN SAMBox 3.0.10; modified using iTextSharp™ 5.5.10 ©2000-2016 iText Group NV (AGPL-version) Copyright©PWB2025 181 2023-08-01 IMPACT OF PROSTHETIC KNEE JOINTS ON FUNCTIONAL OUTCOMES AMONG TRANSFEMORAL AMPUTEES IN SAUDI ARABIA (MASTER_2023).pdf 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia Abdallah Mohammad Alzeer Prosthetic knee joints—Evaluation Acquired amputation or congenital limb loss rehabilitation program requires mostly prosthesis intervention. Selection of different types of prosthesis components impact the user rehabilitation functional outcomes. Transfemoral prosthesis includes socket, knee joint, ankle and foot. Prosthetic knee joint selection is a crucial element for rehabilitation functional outcome. The literature on the impact of Microprocessor Controlled Prosthetic Knee joint (MCPK) and Non-Microprocessor Controlled Knee joint (NMCPK) were limited and inconsistent. The objective of this study is to highlight the impact of use of Microprocessor Controlled Prosthetic knee (MCPK) Genium compared to Non Microprocessor Controlled Prosthetic Knee (NMCPK) through Prosthetic Evaluation Questionnaire (PEQ) and Functional Independence Measure (FIM) outcomes. A cross-sectional study with a total of 76 unilateral transfemoral amputees were recruited and allotted into two groups, first group 38 participants using the Microprocessor Controlled Prosthetic Knee (MCPK) Genium and second group using Non-microprocessor Controlled Prosthetic Knee (NMCPK) with four different types of hydraulic knee joints 3R80, 3R95, 3R106 and total knee joints. All participants answered the Prosthetic Evaluation Questionnaire (PEQ) 9 scales: Utility (UT), Sounds (SO), Appearance (AP), Residual Limb health (RL), Frustration (FR), Perceived Response (PR), Social Burden (SB), Ambulation (AM) and quality of life /Well-being. Functional Independence Measure (FIM) score includes self-care, sphincter control, transfer, locomotion, communication, and social cognition. PEQ and FIM were filled after follow-up appointments in Prosthetic clinics analysed with SPSS version 23 using independent sample T test and Pearson correlations. MCPK participants had significant improvement in the utility (t67.780=2.291, P=0.025), appearance (t74=2.097, P= 0.039), ambulation (t74= 3.115, P=0.003) and total score of PEQ (t74= 0.200, P=0.014). No significant evidence was found in other PEQ scales (frustration, perceived response, residual limb health, social burden, sounds, and quality of life/ well-being). Middle adulthood (25-40 years) users of MCPK had significant difference in utility (t 42= 2.415, P=0.020), frustration (t35.872= 2.034, P=0.049), ambulation (t42= 3.704, P=0.001) and total score of PEQ (t42= 0.285, P=0.012) compared with early adulthood (18-24 years) and late adulthood group (41-60 years). MCPK participants with transfemoral amputations caused by diseases had significant higher ambulation (t19= 3.564, P=0.002) compared with traumatic and congenital causes. All scores of (PEQ) had higher values in MCPK users compared to NMCPK. A strong significant relationship was observed between PEQ scales for MCPK except utility with frustration, sound with social burden and wellbeing. In the FIM score, there were significant improvements with MCPK compared to NMCPK (t67= 2.09, P=0.039). Using MCPK improved participants' utility, appearance, and ambulation. No significant impact was reported to prosthetic sound, residual limb, perceived response, social burden, and well-being. MCPK added values to the transfemoral amputee expectations in certain scales but not general during the prosthetic rehabilitation program. Criteria of selection for prosthetic knee joint and prosthesis claiming from the heath regulatory bodies are supported by the study findings based on the user needs, realistic goal setting and achievable rehabilitation outcomes. Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Prosthetic Knee Joints And Mobility Functional Rehabilitation in Transfemoral Amputees Quality Of Life With Prosthetic Limbs Thesis
spellingShingle 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
state Terengganu
subject Prosthetic knee joints—Evaluation
Dissertations, Academic
summary Acquired amputation or congenital limb loss rehabilitation program requires mostly prosthesis intervention. Selection of different types of prosthesis components impact the user rehabilitation functional outcomes. Transfemoral prosthesis includes socket, knee joint, ankle and foot. Prosthetic knee joint selection is a crucial element for rehabilitation functional outcome. The literature on the impact of Microprocessor Controlled Prosthetic Knee joint (MCPK) and Non-Microprocessor Controlled Knee joint (NMCPK) were limited and inconsistent. The objective of this study is to highlight the impact of use of Microprocessor Controlled Prosthetic knee (MCPK) Genium compared to Non Microprocessor Controlled Prosthetic Knee (NMCPK) through Prosthetic Evaluation Questionnaire (PEQ) and Functional Independence Measure (FIM) outcomes. A cross-sectional study with a total of 76 unilateral transfemoral amputees were recruited and allotted into two groups, first group 38 participants using the Microprocessor Controlled Prosthetic Knee (MCPK) Genium and second group using Non-microprocessor Controlled Prosthetic Knee (NMCPK) with four different types of hydraulic knee joints 3R80, 3R95, 3R106 and total knee joints. All participants answered the Prosthetic Evaluation Questionnaire (PEQ) 9 scales: Utility (UT), Sounds (SO), Appearance (AP), Residual Limb health (RL), Frustration (FR), Perceived Response (PR), Social Burden (SB), Ambulation (AM) and quality of life /Well-being. Functional Independence Measure (FIM) score includes self-care, sphincter control, transfer, locomotion, communication, and social cognition. PEQ and FIM were filled after follow-up appointments in Prosthetic clinics analysed with SPSS version 23 using independent sample T test and Pearson correlations. MCPK participants had significant improvement in the utility (t67.780=2.291, P=0.025), appearance (t74=2.097, P= 0.039), ambulation (t74= 3.115, P=0.003) and total score of PEQ (t74= 0.200, P=0.014). No significant evidence was found in other PEQ scales (frustration, perceived response, residual limb health, social burden, sounds, and quality of life/ well-being). Middle adulthood (25-40 years) users of MCPK had significant difference in utility (t 42= 2.415, P=0.020), frustration (t35.872= 2.034, P=0.049), ambulation (t42= 3.704, P=0.001) and total score of PEQ (t42= 0.285, P=0.012) compared with early adulthood (18-24 years) and late adulthood group (41-60 years). MCPK participants with transfemoral amputations caused by diseases had significant higher ambulation (t19= 3.564, P=0.002) compared with traumatic and congenital causes. All scores of (PEQ) had higher values in MCPK users compared to NMCPK. A strong significant relationship was observed between PEQ scales for MCPK except utility with frustration, sound with social burden and wellbeing. In the FIM score, there were significant improvements with MCPK compared to NMCPK (t67= 2.09, P=0.039). Using MCPK improved participants' utility, appearance, and ambulation. No significant impact was reported to prosthetic sound, residual limb, perceived response, social burden, and well-being. MCPK added values to the transfemoral amputee expectations in certain scales but not general during the prosthetic rehabilitation program. Criteria of selection for prosthetic knee joint and prosthesis claiming from the heath regulatory bodies are supported by the study findings based on the user needs, realistic goal setting and achievable rehabilitation outcomes.
title 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
title_full 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
title_fullStr 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
title_full_unstemmed 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
title_short 2023_Impact of Prosthetic Knee Joints on Functional Outcomes Among Transfemoral Amputees in Saudi Arabia
title_sort 2023_impact of prosthetic knee joints on functional outcomes among transfemoral amputees in saudi arabia