TY  -  JOUR
AU  -  Piscitelli, Daniele
AU  -  Beghi, Massimiliano
AU  -  Bigoni, Marco
AU  -  Diotti, Silvia
AU  -  Perin, Cecilia
AU  -  Peroni, Federica
AU  -  Turati, Marco
AU  -  Zanchi, Nicolò
AU  -  Mazzucchelli, Myriam
AU  -  Cornaggia, Cesare Maria
T1  -  Prosthesis rejection in individuals with limb amputation: 
a narrative review with respect to rehabilitation
PY  -  2021
Y1  -  2021-07-01
DO  -  10.1708/3654.36344
JO  -  Rivista di Psichiatria
JA  -  Riv Psichiatr
VL  -  56
IS  -  4
SP  -  175
EP  -  181
PB  -  Il Pensiero Scientifico Editore
SN  -  2038-2502
Y2  -  2026/06/24
UR  -  http://dx.doi.org/10.1708/3654.36344
N2  -  SUMMARY. Objective. To evaluate the refusal of the prosthesis in order to highlight elements in determining the acceptance/rejection of the prosthetic devices, and its role on rehabilitation program. Methods. A literature review through a search of the database Medline for studies published between October 2007 and May 2020 using the key words “prosthesis”, “limb”, and “accept”*. Results. Nine studies were included. Women appear to be more concerned about discomfort in using body-powered devices and about prosthesis cosmetic appearance. Level of limb amputation was considered relevant for prosthesis rejection only for the upper limb. Children fitted with prosthesis before two years old were less likely to abandon the prosthesis, preschool children have a lower drop-out prevalence compared to adults and school-age children. Conclusions. Understating the factors for rejections is crucial for more favorable health outcomes; multiple psychological factors should be considered during the rehabilitation process of individuals with limb amputation. Rehabilitation should consider psychosocial assistance for acceptance and perception of body representation and its discrepancy with the real body.
ER  -