Satisfaction with and usage of a hand neuroprosthesis

Objective: To measure the satisfaction with, clinical impact of, and use of an implantable hand neuroprosthesis. Setting: Eight different medical centers. Participants: Thirty-four individuals with spinal cord injuries at the C5 or C6 motor level. Interventions: Participants were implemented with a...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 1999-02, Vol.80 (2), p.206-213
Hauptverfasser: Wuolle, Kathryn Stroh, Van Doren, Clayton L., Bryden, Anne M., Hunter Peckham, P., Keith, Michael W., Kilgore, Kevin L., Grill, Julie H.
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container_end_page 213
container_issue 2
container_start_page 206
container_title Archives of physical medicine and rehabilitation
container_volume 80
creator Wuolle, Kathryn Stroh
Van Doren, Clayton L.
Bryden, Anne M.
Hunter Peckham, P.
Keith, Michael W.
Kilgore, Kevin L.
Grill, Julie H.
description Objective: To measure the satisfaction with, clinical impact of, and use of an implantable hand neuroprosthesis. Setting: Eight different medical centers. Participants: Thirty-four individuals with spinal cord injuries at the C5 or C6 motor level. Interventions: Participants were implemented with a hand neuroprosthesis that provides grasp and release. The neuroprosthesis includes a surgically implanted stimulator, implanted electrodes sutured to the hand and forearm muscles, and an externally mounted controller. Main Outcome Measure: A survey was mailed to study participants, who were asked to respond to statements such as “If I had it to do over, I would have the hand system implanted again,” using a 5-level Likert scale (“strongly agree” to “strongly disagree”). Results: Eighty-seven percent of participants were very satisfied with the neuroprosthesis, 88% reported a positive impact on their life, 87% reported improvements in activities of daily living, and 81% reported improved independence. Participants reported using the neuroprosthesis a median of 5.5 days per week; 15 participants used the neuroprosthesis 7 days per week, and 5 participants reported not using the device. Conclusions: The neuroprosthesis was used by most participants. The neuroprosthesis performed satisfactorily, increased users' ability to perform activities of daily living and independence, and improved their quality of life.
doi_str_mv 10.1016/S0003-9993(99)90123-5
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Participants reported using the neuroprosthesis a median of 5.5 days per week; 15 participants used the neuroprosthesis 7 days per week, and 5 participants reported not using the device. Conclusions: The neuroprosthesis was used by most participants. The neuroprosthesis performed satisfactorily, increased users' ability to perform activities of daily living and independence, and improved their quality of life.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Disability Evaluation</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Electric Stimulation Therapy - instrumentation</subject><subject>Electrodes, Implanted</subject><subject>Female</subject><subject>Hand - innervation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Motor Skills - physiology</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Satisfaction</subject><subject>Prosthesis Implantation - instrumentation</subject><subject>Quality of Life</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Orthopedic treatment</topic><topic>Electric Stimulation Therapy - instrumentation</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>Hand - innervation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Motor Skills - physiology</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Satisfaction</topic><topic>Prosthesis Implantation - instrumentation</topic><topic>Quality of Life</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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subjects Adolescent
Adult
Biological and medical sciences
Disability Evaluation
Diseases of the osteoarticular system. Orthopedic treatment
Electric Stimulation Therapy - instrumentation
Electrodes, Implanted
Female
Hand - innervation
Humans
Male
Medical sciences
Middle Aged
Motor Skills - physiology
Outcome Assessment (Health Care)
Patient Acceptance of Health Care
Patient Satisfaction
Prosthesis Implantation - instrumentation
Quality of Life
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Spinal Cord Injuries - physiopathology
Spinal Cord Injuries - psychology
Spinal Cord Injuries - rehabilitation
title Satisfaction with and usage of a hand neuroprosthesis
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