title: Use of Powered Prosthesis for Children with Upper Limb Deficiency at Hyogo Rehabilitation Center.
abstract: BACKGROUND
  There has been no research investigating the use of powered prosthetic for children in Japan.
  
  
  OBJECTIVE
  To gain better insight into the state of powered prosthesis usage and identify a ratio of rejection among children.
  
  
  METHODS
  Subjects were 37 unilateral below elbow amputees between the ages of 0 and 16 at the time of their first experienced fitting with a powered prosthesis at our Center. The information was collected from medical records and through face-to-face interviews, and we examined rejection rate and the factors affecting the use of powered prosthesis.
  
  
  RESULTS
  The rate of discontinuation was 21.6% as 8 of the 37 children stopped using powered prosthesis. All of them were fitted their prosthesis after 2 years of age, and they rejected prosthesis between 5 to 19 years. We found that the level of amputation had no influence on the use of a powered prosthesis.
  
  
  CONCLUSIONS
  Children fitted before 2 years of age tend to accept their powered prosthesis than those fitted after 2 years. Multidisciprinary team approach, adequate rehabilitation, detailed follow-up and involvement of parents are quite important for introducing powered prosthesis for children.
authors.affiliation: Department of Orthopaedic Surgery, Hyogo Rehabilitation Center, Kobe, Japan.
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Toda
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hyogo Rehabilitation Center, Kobe, Japan; Department of Rehabilitation Science, Kobe University Graduate School of Medicine in Hyogo Rehabilitation Center, Kobe, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Chin
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hyogo Rehabilitation Center, Kobe, Japan.
authors.forename: Yaeko
authors.initials: Y
authors.lastname: Shibata
authors.affiliation: Department of Physical Medicine and Rehabilitation, Hyogo Rehabilitation Center, Kobe, Japan.
authors.forename: Futoshi
authors.initials: F
authors.lastname: Mizobe
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000671:Amputation, Surgical; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D002648:Child; D002675:Child, Preschool; D005260:Female; D005542:Forearm / Q000601:surgery; D006801:Humans; D007564:Japan; D008297:Male; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D011474:Prosthesis Design / Q000295:instrumentation*; D019919:Prosthesis Implantation / Q000379:methods*; D012047:Rehabilitation Centers; D011795:Surveys and Questionnaires