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||Fantini, C., & Yancosek, K. E. (2017). Upper-limb prostheses: Perspectives involving the veteran population. Journal of Prosthetics and Orthotics, 29(4S (Supplement 1)), P51-P56.
||Amputations, assistive technology, body movement, clinical management, devices, health care, limbs, prosthetics, rehabilitation services, service delivery, veterans
||Article introduces the Department of Veterans Affairs (VA) Amputation System of Care (ASoC) model and the VA/Department of Defense (DoD) Clinical Practice Guideline for the Management of Upper Extremity Amputation Rehabilitation (UEAR-CPG). Evidence-based practice has been described as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Clinical practice guidelines are statements of recommended practice based on a systematic review of the best available evidence and expert opinion. A systematic review evaluates research studies in a particular area and produces a summary of overall results. Recent publications to inform evidence-based prescription of upper-limb prostheses show a lack of empirical evidence. This lack of evidence makes it challenging to determine the most effective and appropriate prosthetic interventions for individuals with upper-limb amputations, including those who are veterans. There is, however, a substantial amount of practice-based evidence (expert opinion) available to help guide clinical care. In 2008, in response to the current and future need to advance the clinical care for veterans with amputation, the VA rolled out its ASoC healthcare delivery system. Its mission is to incorporate the latest practices in medical rehabilitation, including therapy services and prosthetic technology, to enhance the quality and consistency of amputation care for veterans. Furthermore, the VA and DoD collaborated to address the need for clinical guidance specifically regarding upper-limb amputation and rehabilitation with the 2014 publication of the UEAR-CPG.
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