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    Identifying successful outcomes and important factors to consider in upper limb amputation rehabilitation: an international web-based Delphi survey


    NiMhurchadha, Sinead and Gallagher, Pamela and MacLachlan, Malcolm and Wegener, Stephen T. (2013) Identifying successful outcomes and important factors to consider in upper limb amputation rehabilitation: an international web-based Delphi survey. Disability and Rehabilitation: Assistive Technology, 35 (20). pp. 1726-1733. ISSN 1748-3107

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    Abstract

    Purpose: To identify and gain agreement on successful outcomes of and important factors to consider in rehabilitation following upper limb absence (ULA). Method: Fifty-three participants consisting of multi-disciplinary rehabilitation professionals, and individuals with ULA were invited to complete a three-round modified Delphi iterative survey. Following three Delphi questionnaire rounds, participants clarified the definitions of success in three areas (prosthesis use, activities and participation and self-image). In addition, participants identified and agreed the important factors to consider in rehabilitation after ULA. Results: Results showed that participants reached agreement (having a SD <1) over the three rounds on 78 out of 81 rated items. Of these, 54 rated items were “accepted” as important by panel members (mean score of 4 on a five-point Likert scale). Twenty-four items were rejected. Only three rated items had not reached agreement by the third round. Conclusions: Clarification of successful outcomes and factors that should be taken into consideration in a patient’s rehabilitation allows a clearer evaluation of what should be the focus of rehabilitation. The findings from the Delphi study can help form the basis for a screening tool for clinicians to be able to identify areas of concern and subsequent treatment for a patient in their care.

    Item Type: Article
    Keywords: Amputation; body image; prostheses; upper extremity;
    Academic Unit: Assisting Living & Learning,ALL institute
    Faculty of Science and Engineering > Psychology
    Item ID: 16487
    Identification Number: https://doi.org/10.3109/09638288.2012.751138
    Depositing User: Malcolm MacLachlan
    Date Deposited: 06 Sep 2022 14:44
    Journal or Publication Title: Disability and Rehabilitation: Assistive Technology
    Publisher: Taylor & Francis
    Refereed: Yes
    URI:
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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