Article

OBJECTIVE: To investigate patients' mobility and satisfaction with their lower
limb prosthetic or orthotic device and related service delivery in Malawi and to
compare groups of patients regarding type and level of device and demographics.
METHODS: Questionnaires were used to collect self-report data from 83 patients.
RESULTS: Ninety percent of prostheses or orthoses were in use by patients, but
approximately half of these needed repair. Thirty-nine percent reported pain when
using their assistive device. The majority of patients were able to rise from a
chair (77%), move around the home (80%), walk on uneven ground (59%) and travel
by bus or car (56%). However, patients had difficulties walking up and down hills
(78%) and stairs (60%). In general, patients were quite satisfied with their
assistive device (mean of 3.9 out of 5) and very satisfied with the service
provided (mean of 4.4 out of 5). Access to repairs and servicing were rated as
most important, followed by durability and follow-up services. Lack of finances
to pay for transport was a barrier to accessing the prosthetic and orthotic
centre. CONCLUSION: Patients were satisfied with the assistive device and service
received, despite reporting pain associated with use of the device and
difficulties ambulating on challenging surfaces.

Langue : ANGLAIS