Objective. To evaluate the refusal of the prosthesis in order to highlight elements in determining the acceptance/rejection of the prosthetic devices, and its role on rehabilitation program. Methods. A literature review through a search of the database Medline for studies published between October 2007 and May 2020 using the key words "prosthesis", "limb", and "accept"*. Results. Nine studies were included. Women appear to be more concerned about discomfort in using body-powered devices and about prosthesis cosmetic appearance. Level of limb amputation was considered relevant for prosthesis rejection only for the upper limb. Children fitted with prosthesis before two years old were less likely to abandon the prosthesis, preschool children have a lower drop-out prevalence compared to adults and school-age children. Conclusions. Understating the factors for rejections is crucial for more favorable health outcomes; multiple psychological factors should be considered during the rehabilitation process of individuals with limb amputation. Rehabilitation should consider psychosocial assistance for acceptance and perception of body representation and its discrepancy with the real body.

Piscitelli, D., Beghi, M., Bigoni, M., Diotti, S., Perin, C., Peroni, F., et al. (2021). Prosthesis rejection in individuals with limb amputation: a narrative review with respect to rehabilitation. RIVISTA DI PSICHIATRIA, 56(4), 175-181 [10.1708/3654.36344].

Prosthesis rejection in individuals with limb amputation: a narrative review with respect to rehabilitation

Piscitelli, Daniele;Beghi, Massimiliano
;
Bigoni, Marco;Perin, Cecilia;Peroni, Federica;Turati, Marco;Zanchi, Nicolò;Mazzucchelli, Myriam;Cornaggia, Cesare Maria
2021

Abstract

Objective. To evaluate the refusal of the prosthesis in order to highlight elements in determining the acceptance/rejection of the prosthetic devices, and its role on rehabilitation program. Methods. A literature review through a search of the database Medline for studies published between October 2007 and May 2020 using the key words "prosthesis", "limb", and "accept"*. Results. Nine studies were included. Women appear to be more concerned about discomfort in using body-powered devices and about prosthesis cosmetic appearance. Level of limb amputation was considered relevant for prosthesis rejection only for the upper limb. Children fitted with prosthesis before two years old were less likely to abandon the prosthesis, preschool children have a lower drop-out prevalence compared to adults and school-age children. Conclusions. Understating the factors for rejections is crucial for more favorable health outcomes; multiple psychological factors should be considered during the rehabilitation process of individuals with limb amputation. Rehabilitation should consider psychosocial assistance for acceptance and perception of body representation and its discrepancy with the real body.
Articolo in rivista - Articolo scientifico
Acceptance; Limb amputation; Prosthesis; Psychological; Rejection;
English
2021
56
4
175
181
none
Piscitelli, D., Beghi, M., Bigoni, M., Diotti, S., Perin, C., Peroni, F., et al. (2021). Prosthesis rejection in individuals with limb amputation: a narrative review with respect to rehabilitation. RIVISTA DI PSICHIATRIA, 56(4), 175-181 [10.1708/3654.36344].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/324064
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