Applied Sciences (Apr 2025)
Prosthesis Embodiment in Lower Extremity Limb Loss: A Narrative Review
- Tuyet Thao Nguyen,
- Bingjie Wang,
- Haddy Alas,
- Quincy Jones,
- Chase Clark,
- Sabrina Lazar,
- Shaddy Malik,
- Joshua Graham,
- Yasmeen Talaat,
- Chris Shin,
- Jonathon Schofield,
- Toran Macleod,
- Laduan Smedley,
- Clifford Pereira,
- Wilsaan Joiner,
- R. Lor Randall,
- Diana Farmer,
- Aijun Wang,
- Dake Hao,
- Spencer Greene,
- Ravi Sood,
- Danielle Brown,
- Rachel Russo,
- Kingsley Manoharan,
- Andrew Simpkins,
- Andrew Li
Affiliations
- Tuyet Thao Nguyen
- School of Medicine, University of California Davis, 4610 X St, Sacramento, CA 95817, USA
- Bingjie Wang
- Department of Biomedical Engineering, Columbia University, 351 Engineering Terrace, 1210 Amsterdam Avenue, New York, NY 10027, USA
- Haddy Alas
- Department of Surgery, Columbia University, 630 West 168th Street, New York, NY 10032, USA
- Quincy Jones
- School of Medicine, University of California Davis, 4610 X St, Sacramento, CA 95817, USA
- Chase Clark
- School of Medicine, University of California Davis, 4610 X St, Sacramento, CA 95817, USA
- Sabrina Lazar
- Albany Medical College, 43 New Scotland Ave, Albany, NY 12208, USA
- Shaddy Malik
- School of Medicine, University of California Davis, 4610 X St, Sacramento, CA 95817, USA
- Joshua Graham
- School of Medicine, Royal College of Surgeons in Ireland, 123 St Stephen’s Green, D02 YN77 Dublin, Ireland
- Yasmeen Talaat
- School of Medicine, University of California Davis, 4610 X St, Sacramento, CA 95817, USA
- Chris Shin
- Department of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento, CA 95817, USA
- Jonathon Schofield
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Toran Macleod
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Laduan Smedley
- Department of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento, CA 95817, USA
- Clifford Pereira
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Wilsaan Joiner
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- R. Lor Randall
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Diana Farmer
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Aijun Wang
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Dake Hao
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Spencer Greene
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Ravi Sood
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Danielle Brown
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Rachel Russo
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Kingsley Manoharan
- Department of Physical Medicine and Rehabilitation, University of California Davis Health, Sacramento, CA 95817, USA
- Andrew Simpkins
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- Andrew Li
- Prosthesis Embodiment Through Intuitive Technology (PETIT), University of California Davis Health, Davis, CA 95616, USA
- DOI
- https://doi.org/10.3390/app15094952
- Journal volume & issue
-
Vol. 15,
no. 9
p. 4952
Abstract
Lower limb prosthesis abandonment is a significant challenge, leading to reliance on walking aids, such as wheelchairs, which frequently do not match the patient’s needs and lead to increased morbidity. Prosthesis abandonment is driven by a lack of embodiment, the latter defined as the integration of a prosthetic device into one’s body schema. This review evaluates interventions enhancing embodiment through three dimensions: ownership, agency, and co-location. The aim of this narrative review is to ask what interventions are available to improve embodiment, and what dimensions of embodiment should be included in the standard of care for lower-limb amputation surgery and componentry development. This narrative is constructed through a thorough literature search on how the aforementioned dimensions of embodiment can be optimized. In the studies reviewed, standardization of embodiment metrics and longitudinal data are lacking, hindering clinical translation. Future work must prioritize patient-centered design, integrate multidimensional assessments, and address practical issues to expand eligibility for advanced interventions.
Keywords
