ArticleFrontiers in neurorobotics2021
Prosthetic Embodiment and Body Image Changes in Patients Undergoing Bionic Reconstruction Following Brachial Plexus Injury.
Article in Frontiers in neurorobotics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Prosthetic embodiment: systematic review on definitions, measures, and experimental paradigms.Journal of neuroengineering and rehabilitation · 2022Pooled it
- Design, construction, and evaluation of the BeneFit socket: An adjustable temporary socket for a transradial prosthesis.Prosthetics and orthotics international · 2025Article
- Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series.Journal of rehabilitation medicine · 2024Article
- A BIONIC HAND VS. A REPLANTED HAND.Journal of rehabilitation medicine. Clinical communications · 2024Article
- Failure of motor function-A Developmental Embodiment Research perspective on the systemic effects of stress.Frontiers in human neuroscience · 2023Article
- [Amputation techniques].Der Unfallchirurg · 2022Article
- Measuring embodiment: A review of methods for prosthetic devices.Frontiers in neurorobotics · 2022Review
- Case Report: Bionic Reconstruction in an Adult With Obstetric Brachial Plexus Injury.Frontiers in rehabilitation sciences · 2021Article
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Authors and funding
10 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Brachial plexus injuries with multiple-root involvement lead to severe and long-lasting impairments in the functionality and appearance of the affected upper extremity. In cases, where biologic reconstruction of hand and arm function is not possible, bionic reconstruction may be considered as a viable clinical option. Bionic reconstruction, through a careful combination of surgical augmentation, amputation, and prosthetic substitution of the functionless hand, has been shown to achieve substantial improvements in function and quality of life. However, it is known that long-term distortions in the body image are present in patients with severe nerve injury as well as in prosthetic users regardless of the level of function. To date, the body image of patients who voluntarily opted for elective amputation and prosthetic reconstruction has not been investigated. Moreover, the degree of embodiment of the prosthesis in these patients is unknown. We have conducted a longitudinal study evaluating changes of body image using the patient-reported Body Image Questionnaire 20 (BIQ-20) and a structured questionnaire about prosthetic embodiment. Six patients have been included. At follow up 2.5-5 years after intervention, a majority of patients reported better BIQ-20 scores including a less negative body evaluation (5 out of 6 patients) and higher vital body dynamics (4 out of 6 patients). Moreover, patients described a strong to moderate prosthesis embodiment. Interestingly, whether patients reported performing bimanual tasks together with the prosthetic hand or not, did not influence their perception of the prosthesis as a body part. In general, this group of patients undergoing prosthetic substitution after brachial plexus injury shows noticeable inter-individual differences. This indicates that the replacement of human anatomy with technology is not a straight-forward process perceived in the same way by everyone opting for it.
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