Satisfaction with cosmesis and priorities for cosmesis design reported by lower limb amputees in the United Kingdom: instrument development and results

Nicola Cairns, Kevin Murray, Jonathan Corney, Angus McFadyen

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Study Design: Cross sectional questionnaire study.
Background: Amputee satisfaction with cosmesis and the importance they place on cosmesis design has not been published in the literature.
Objectives: Investigate the current satisfaction levels of amputees in the United Kingdom with their cosmesis and the importance placed on attributes of cosmesis design to inform future cosmesis redesign.
Methods: Questionnaires were administered to lower limb amputees in the United Kingdom. Satisfaction scores and the overall importance ranking of cosmesis features were calculated. Statistically significant relationships between two demographic, satisfaction, or importance variables were tested using Fisher’s Exact tests (one-tailed) at a significance level p=0.05.
Results: Between 49% and 64% of respondents reported neutral or dissatisfied opinions with the cosmesis features (greater than 50% for five of the nine features). The three most important features identified were shape matching the cosmesis to the sound limb, free prosthetic joint movement underneath the cosmesis and natural fit of clothing over the cosmesis.
Conclusions: The results indicate that current cosmesis satisfaction levels of amputees in the U.K. are below what the medical device industry and clinical community would desire. The most important cosmesis features identified by the sample can be used to direct future cosmesis design research.
LanguageEnglish
Number of pages8
JournalProsthetics and Orthotics International
Early online date10 Dec 2013
DOIs
Publication statusPublished - 2013

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Amputees
Lower Extremity
Prosthetics
Clothing
Acoustic waves
Industry
Research Design
Extremities
Cross-Sectional Studies
Joints
Demography
United Kingdom
Equipment and Supplies
Surveys and Questionnaires

Keywords

  • prosthetic design
  • Amputation
  • questionnaire
  • cosmesis
  • transfemoral
  • transtibial
  • lower limb
  • satisfaction
  • importance

Cite this

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title = "Satisfaction with cosmesis and priorities for cosmesis design reported by lower limb amputees in the United Kingdom: instrument development and results",
abstract = "Study Design: Cross sectional questionnaire study.Background: Amputee satisfaction with cosmesis and the importance they place on cosmesis design has not been published in the literature.Objectives: Investigate the current satisfaction levels of amputees in the United Kingdom with their cosmesis and the importance placed on attributes of cosmesis design to inform future cosmesis redesign.Methods: Questionnaires were administered to lower limb amputees in the United Kingdom. Satisfaction scores and the overall importance ranking of cosmesis features were calculated. Statistically significant relationships between two demographic, satisfaction, or importance variables were tested using Fisher’s Exact tests (one-tailed) at a significance level p=0.05. Results: Between 49{\%} and 64{\%} of respondents reported neutral or dissatisfied opinions with the cosmesis features (greater than 50{\%} for five of the nine features). The three most important features identified were shape matching the cosmesis to the sound limb, free prosthetic joint movement underneath the cosmesis and natural fit of clothing over the cosmesis.Conclusions: The results indicate that current cosmesis satisfaction levels of amputees in the U.K. are below what the medical device industry and clinical community would desire. The most important cosmesis features identified by the sample can be used to direct future cosmesis design research.",
keywords = "prosthetic design, Amputation, questionnaire, cosmesis, transfemoral, transtibial, lower limb, satisfaction, importance",
author = "Nicola Cairns and Kevin Murray and Jonathan Corney and Angus McFadyen",
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language = "English",
journal = "Prosthetics and Orthotics International",
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AB - Study Design: Cross sectional questionnaire study.Background: Amputee satisfaction with cosmesis and the importance they place on cosmesis design has not been published in the literature.Objectives: Investigate the current satisfaction levels of amputees in the United Kingdom with their cosmesis and the importance placed on attributes of cosmesis design to inform future cosmesis redesign.Methods: Questionnaires were administered to lower limb amputees in the United Kingdom. Satisfaction scores and the overall importance ranking of cosmesis features were calculated. Statistically significant relationships between two demographic, satisfaction, or importance variables were tested using Fisher’s Exact tests (one-tailed) at a significance level p=0.05. Results: Between 49% and 64% of respondents reported neutral or dissatisfied opinions with the cosmesis features (greater than 50% for five of the nine features). The three most important features identified were shape matching the cosmesis to the sound limb, free prosthetic joint movement underneath the cosmesis and natural fit of clothing over the cosmesis.Conclusions: The results indicate that current cosmesis satisfaction levels of amputees in the U.K. are below what the medical device industry and clinical community would desire. The most important cosmesis features identified by the sample can be used to direct future cosmesis design research.

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