Satisfaction with Prostheses and Services in Cyclists with
a Lower Limb Amputation
Jutamanee Poonsiri, BSc, MEng¹ , ², Rienk Dekker, MD, PhD¹, Pieter U Dijkstra, PT, PhD¹ , ³, Yasmin Nutchamlong, BPo²,
Chanapak Dismanopnarong, BSc⁴, Chiraphan Puttipaisan, BSc⁵, Samai Suakonburi, BPo⁶, Pensupa Pimchan, BSc⁷,
Juha M Hijmans, PhD¹, Jan HB Geertzen, MD, PhD¹
Affiliation : ¹ Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands ² Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand ³ Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands ⁴ Prosthetic and Orthotic Unit, Orthopaedic Department, Veterans General Hospital, Bangkok, Thailand ⁵ Rehabilitation Department, Prosthetic and Orthotic Unit, King Chulalongkorn Memorial Hospital, Bangkok, Thailand ⁶ Rehabilitation Department, Lerdsin Hospital, Bangkok, Thailand ⁷ Prosthetic and Orthotic Unit, Orthopaedic Department, Phramongkutklao Hospital, Bangkok, Thailand
Objective: To investigate the prosthetic and service satisfaction in cycling and non-cycling adults with a lower limb amputation
in Thailand and to analyze factors associated with satisfaction.
Materials and Methods: Orthotics and Prosthetics Users’ Survey questionnaire was given to 424 adults with uni or bilateral lower limb amputation in five public hospitals and mobile units. Associated variables in univariate analysis were entered into a multiple linear regression.
Results: Forty-five percent of participants were from the Veterans General Hospital, Bangkok. Cyclists were slightly more satisfied with the prostheses than non-cyclists, but no differences were reported for service satisfaction. In general, all participants were satisfied with the service received. Factors associated with higher prosthetic satisfaction were not using gait aids, being employed or retired, being amputated below the knee, no or basic education, and hospital delivering the prosthesis. The factor associated with higher service satisfaction was not using gait aids.
Conclusion: The results suggested that mobility independence, use of the prosthesis, and socioeconomic status may influence prosthetic and service satisfaction. Communication between people with a lower limb amputation and prosthetists, as well as follow-up after delivery may improve the prosthetic and service satisfaction. Satisfactory prostheses may increase activity participation, as seen in cyclists.
Received 3 February 2020 | Revised 23 May 2020 | Accepted 2 June 2020
doi.org/10.35755/jmedassocthai.2020.11.11118
Keywords : Satisfaction, Prosthesis, Service, Cycling, Amputation, Lower limb, Transfemoral amputation, Transtibial amputation
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