Prosthetic fitting is mostly based on personal experiences and follows therefore empirical knowledge rather than evidence based and structured processes. In 2014 a group of experts published in Germany Quality Standards (QS) in upper limb prosthetics followed in 2018 by a second group publishing QS in lower limb prosthetics. The motivation was to publish acknowledged fitting processes including not only the prosthesis but also educational aspects. Any recommendation of the QS is given with respect to patient’s requirements and uncoupled from prosthetist level of experience or any of the rehab team members. So prosthetic function and construction features as well as socket technique is recommended with respect to patient’s needs, and functional deficits. A plenty of ADL’s is listed as part of training and educational procedure is described and completes the process. Reason for amputation is also taken into account and has obviously an impact on the technical features of prosthesis, but also to the rehabilitation process itself. The QS does not only contain fitting recommendations and information about gait education in lower limb or training in upper limb prosthetics, the QS provide additionally the hole documentation structure with respect to the process and regulatory needs, leading to a level of standardization which was not given by now. The Aim is having a structured fitting process including aforementioned recommendations but also providing a profound quality management and quality assurance in prosthetic fitting allowing for an increased outcome in prosthetic fitting.
Statement of the objective / learning objectives
A new approach for standardized procedures in fitting and rehab processes in upper and lower extremity prosthetics towards an acknowledged way of Quality Assurance will be introduced to the audience.