Needs and Perspectives on Upper Limb Prostheses Among Children and Adolescents With Upper Limb Differences - Summary - MDSpire

Needs and Perspectives on Upper Limb Prostheses Among Children and Adolescents With Upper Limb Differences

  • By

  • Kevin Wendo

  • Crystal Chigbu

  • Obafemi Ekundayo

  • Oluwaseun Ayodeji

  • Fiyinfoluwa Ayoola

  • Adebowale Adekemisola Ayoola

  • Gbolamide Ogunkua

  • Vindication Joseph

  • Gift Anyanwu

  • Séverine Guisset

  • Jade Ward

  • Benoît Herman

  • Stéphane Moniotte

  • Raphael Olszewski

  • June 25, 2026

  • 0 min

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Objective:

To investigate the needs, perceptions, and expectations of children and adolescents with upper limb differences (ULDs) living in Nigeria regarding upper limb prosthesis (ULP) use.

Approach:
  • Study Design: Qualitative phenomenological study using semistructured focus group discussions and interviews.
  • Participant Recruitment: Purposeful sampling of children and adolescents with ULDs enrolled in The IREDE Foundation's ULP program.
  • Data Collection: Conducted in-person and online focus groups, and individual telephone interviews to gather diverse perspectives.
  • Data Analysis: Thematic analysis using reflexive methods to identify patterns in qualitative data.
Key Findings:
  • Children with congenital below-elbow differences often reject prostheses due to retained near-typical function and improved self-acceptance.
  • Activity-specific prostheses that offer functional benefits are preferred over cosmetic options.
  • Limited access to prosthetic services in low- and middle-income countries (LMICs) affects the design and availability of appropriate prosthetic solutions.
Interpretation:

Limitations:
  • Limited sample size of 25 participants may not fully represent the broader population of children with ULDs in Nigeria.
  • Existing research primarily focuses on high-income countries, limiting the transferability of findings.
Conclusion:

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