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Relation between capacity and performance in paediatric upper limb prosthesis users

LINDNER H; HIYOSHI A; HERMANSSON L
PROSTHET ORTHOT INT , 2018, vol. 42, n° 1, p. 14-20
Doc n°: 187057
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364617704802
Descripteurs : EC154 - PROTHESE FONCTIONNELLE - MEMBRE SUPERIEUR

The International Classification of functioning, disability and
health refers capacity to what an individual can do in a standardised environment
and describes performance as what an individual really does and whether the
individual encounters any difficulty in the real-life environment. Measures of
capacity and performance can help to determine if there is any gap between them
that may restrict participation. The aim of this study was to explore the
relationship between capacity scores obtained in a standardised clinical setting
and proportional ease of performance obtained from a real-life environment.
METHODS: The Assessment of Capacity for Myoelectric Control and the Prosthetic
Upper Extremity Functional Index were used to assess capacity and performance in
62 prosthetic users (age 3-17). Spearman coefficient and generalised linear model
were used to examine the association between these measures. RESULTS: A strong
correlation (Spearman = 0.75) was found between the capacity scores and the ease
of performance. In both unadjusted and adjusted models, capacity was
significantly associated with proportional ease of performance. The adjusted
model showed that, by 1 unit increase in the Assessment of Capacity for
Myoelectric Control score, the ratio of proportional ease of performance
increases by 45%. CONCLUSION: This implies that Assessment of Capacity for
Myoelectric Control can be a predictor for ease of performance in real-life
environment. Clinical relevance The ACMC scores may serve as an indicator to
predict the difficulties that the children may encounter in their home
environment. This prediction can help the clinician to make decisions, such that
if the child requires more control training or is ready to move on to learn more
complex tasks.

Langue : ANGLAIS

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