Lower Limb Prosthetic Prescription in Jordan

Mohammad S. Malaheem, Bashar Sa'ed Al Qaroot

Abstract


Objective: This study examine if the criteria of prescribing prosthetic components in Jordan is based on the amputee’s level of activity or other variables (e.g. gender). Findings could help in standardizing the approach used when prescribing lower limb prosthetic components and could help in identifying the agreement, if present, on the criteria used when prescribing prosthetic components.

Methods: The prosthetic components prescribed for 112 lower limb amputees (trans-femoral amputation, knee disarticulation, trans-tibial amputation, and syme amputation) from different rehabilitation centres in Amman/Jordan were recorded. For each amputee, the research team filled a form containing the amputees’ information and prescribed prosthetic components as well as the Medicare Functional Classification Level (MFCL) mobility scale, which intends to evaluate the amputee’s level of activity.

Results: A relationship between the level of activity and prosthetic components prescription was not found. The study shows that an agreement could not be found in the prescription criteria for any of the investigated prosthetic components. The lack of guidelines that indicate the criteria for prescribing each prosthetic component could be the sole reason for these findings.

Conclusions: The study raises the necessity to develop clinical guidelines that make prosthetic components prescription not only scientific evidence but also consistent between prescribers from different backgrounds. Given that prosthetic components keep developing and increase in alternatives, such clinical guidelines can be of vital importance.

Keywords


Prosthetic Prescription, Prosthetic Components, Lower Limb Amputees.

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