Two studies (121 participants including patients, therapists and service managers) were included in the review. Both studies were surveys (level 5 evidence) and both had methodological limitations.
The first study (scored 7 out of 10 for quality) found that 81% of the 65 participants wore their prosthesis every day. The frequency of occupational therapy sessions was statistically significantly related to prosthetic use. In multiple regression, dissatisfaction with the prosthesis, not possessing a wheelchair and cognitive integrity explained 46% of the variance.
The second study (scored 4 out of 10 for quality) found that all 30 occupational therapists surveyed used stump boards with patients who had below knee amputations and 50% of therapists used them with through knee amputations. Comfort and protection of stump were considered to be important factors in their provision. Older adults (sample of 12) perceived that using a stump board had increased their comfort in a wheelchair, offered protection to the stump and encouraged them to accept their amputation.