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Strathprints makes available scholarly Open Access content by the Fraser of Allander Institute (FAI), a leading independent economic research unit focused on the Scottish economy and based within the Department of Economics. The FAI focuses on research exploring economics and its role within sustainable growth policy, fiscal analysis, energy and climate change, labour market trends, inclusive growth and wellbeing.

The open content by FAI made available by Strathprints also includes an archive of over 40 years of papers and commentaries published in the Fraser of Allander Economic Commentary, formerly known as the Quarterly Economic Commentary. Founded in 1975, "the Commentary" is the leading publication on the Scottish economy and offers authoritative and independent analysis of the key issues of the day.

Explore Open Access research by FAI or the Department of Economics - or read papers from the Commentary archive [1975-2006] and [2007-2018]. Or explore all of Strathclyde's Open Access research...

Perceptions of cosmesis and function in adults with upper limb prostheses : a systematic literature review

Ritchie, Sophie and Wiggins, Sally and Sanford, Alison (2011) Perceptions of cosmesis and function in adults with upper limb prostheses : a systematic literature review. Prosthetics and Orthotics International, 35 (4). pp. 332-341. ISSN 0309-3646

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Abstract

Technological developments in prosthesis design of upper limb devices are improving rapidly, and understandings of user’s perceptions are important to reduce device abandonment and improve user satisfaction rates. Objectives: The purpose of this review was to establish what is known about adult user’s perceptions of upper limb prostheses in terms of both cosmesis and function. A search of the literature between 1990 and 2010 identified over 600 possible citations; these were reduced to 15 citations based on selection criteria. Results: The main themes arising from the review were user satisfaction ratings with current prostheses, priorities for future design and the social implications of wearing a prosthetic limb. While users of cosmetic prostheses were mostly satisfied with their prostheses, satisfaction rates vary considerably across studies, due to variability in demographics of users and an ambiguity over the definitions of cosmesis and function. Design priorities also varied, though overall there is a slight trend toward prioritising function over cosmesis. The qualitative studies noted the importance users placed on presenting a ‘normal’ appearance and ‘not standing out’. The reviewed studies mostly examine functionality and cosmesis as separate constructs, and conclusions are limited due to the disparity of user groups studied. Recommendations are made for further work to explore understandings of these constructs in relation to upper limb prosthesis use.