Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow

Arnold, Marlen; Burggraf, Laura; Spiess, Martina

Publication type:	Conference poster
Type of review:	Peer review (abstract)
Title:	Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow
Authors:	Arnold, Marlen Burggraf, Laura Spiess, Martina
et. al:	No
Conference details:	RehabWeek, Singapore, 24-28 September 2023
Issue Date:	24-Sep-2023
Language:	English
Subjects:	Occupational therapy; Prosthetics; Assistive technology; Recommendation; Pediatrics; Below elbow reduction deficiency
Subject (DDC):	615.8515: Occupational therapy 618.92: Pediatrics
Abstract:	Background and aim: Pediatric prosthetic fitting practice for congenital forearm reduction deficiency is a controversial topic. Evidence-based occupational therapy decision-making is essential for optimal participation and occupational support. Therefore the goal of this review was to provide an overview of evidence-based criteria for occupational therapists regarding prosthetic fitting and alternative adaptive devices (AAD) and/or compensatory strategies for children with unilateral congenital transversal reduction deficiency below elbow (UCTRDBE). The focus was on children aged zero to 14 years. Methods: We conducted a systematized review. We critically appraised the seven included studies and summarized the results in the form of a decision-support flow chart. Results: Multiple facts influence clinical decision-making regards to prosthesis prescription. Prosthesis are especially accepted if they provide the user with clear functional or cosmetic benefits. In all other cases, AAD and/or teaching compensatory strategies have greater benefits. The social environment, especially parents, have a crucial influence on the attitude towards coping with disability and participation in activities of daily living (ADL) of the child. Conclusion: Prosthetics are particularly useful for specific activities during which they provide a clear functional benefit (e. g. cycling or eating). The potential of AAD and/or compensatory strategies should not be neglected during a comprehensive rehabilitation process.
URI:	https://digitalcollection.zhaw.ch/handle/11475/28636
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Occupational Therapy (IER)
Appears in collections:	Publikationen Gesundheit

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Arnold, M., Burggraf, L., & Spiess, M. (2023, September 24). Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow. RehabWeek, Singapore, 24-28 September 2023.

Arnold, M., Burggraf, L. and Spiess, M. (2023) ‘Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow’, in RehabWeek, Singapore, 24-28 September 2023.

M. Arnold, L. Burggraf, and M. Spiess, “Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow,” in RehabWeek, Singapore, 24-28 September 2023, Sep. 2023.

ARNOLD, Marlen, Laura BURGGRAF und Martina SPIESS, 2023. Prosthesis: help or hindrance? : recommendations for occupational therapists regarding children with a unilateral congenital transverse reduction defect distal the elbow. In: RehabWeek, Singapore, 24-28 September 2023. Conference poster. 24 September 2023

Arnold, Marlen, Laura Burggraf, and Martina Spiess. 2023. “Prosthesis: Help or Hindrance? : Recommendations for Occupational Therapists Regarding Children with a Unilateral Congenital Transverse Reduction Defect Distal the Elbow.” Conference poster. In RehabWeek, Singapore, 24-28 September 2023.

Arnold, Marlen, et al. “Prosthesis: Help or Hindrance? : Recommendations for Occupational Therapists Regarding Children with a Unilateral Congenital Transverse Reduction Defect Distal the Elbow.” RehabWeek, Singapore, 24-28 September 2023, 2023.