Article

This work explores the functional and psychosocial impact of the multigrip
Michelangelo (M) prosthetic hand. Transradial myoelectric prosthesis users (6
men, median age : 47 y) participated in a crossover longitudinal study. A
multifactorial assessment protocol was applied before the application of M and
after 3 mo (functional assessment) and 6 mo (psychosocial assessment) of home
use. Functional assessment included both practical tests (i.e., Southampton Hand
Assessment Procedure [SHAP], Box and Blocks Test [BBT], and Minnesota Manual
Dexterity Test [MMDT]) and self-report functional scales. Psychosocial assessment
consisted of a clinical interview and a battery of self-report questionnaires
concerning current anxious-depressive symptoms and health-related quality of
life, body image concerns, adjustment and satisfaction with prosthesis, social
support, coping style, and personality. Increased manual dexterity was observed
after 3 mo based on improvements in the SHAP, BBT, and MMDT. Two important themes
emerged from the clinical interviews at the 6 mo follow-up: (1) the enhanced
functionality and (2) the "like a real hand" aspect of the M, which further
increased prosthesis integration to the Self. A few patients expressed concerns
about M dimension, noise, and weight. The M appeared to restore hand function and
natural appearance. The present findings provide preliminary evidence, and
additional studies are needed.

Langue : ANGLAIS