Empowering amputees
For amputees, the right prosthetic is more than just a tool for mobility - it's a key to independence, confidence and a better quality of life. ANGELA CASSAR, chairperson of Amputees 4 Amputees Malta, is at the forefront of ensuring that no amputee in Malta feels alone or underserved. In this interview, she shares the organisation's mission, the importance of proper prosthetics and the physical and emotional impact they have on those who rely on them.
Who are Amputees4Amputees?
A4A is a group of amputees who've come together to support the amputee community in Malta. Our organisation is built on three pillars: supporting our members, advocating for better services and educating the wider community. A4A is a registered organisation established in 2009, with a committee composed entirely of amputees.
Why is it important for amputees to have proper prosthetics?
Individuals who lose a limb depend on prosthetic devices to go about their daily lives. Having the appropriate prosthetic limb goes beyond basic mobility. It influences an amputee's quality of life, independence and physical and mental health.
Prosthetic limbs are not just medical devices. They are life-enhancing instruments that enable amputees to regain control of their lives. Whether someone loses a limb due to an injury, illness or congenital condition, it is a life-changing experience that requires resilience and willpower.
However, all the willpower in the world would not be enough without the right prosthetics.
How do prosthetics affect an amputee's physical health?
A well-fitted prosthetic reduces strain on the body and reduces the chance of injury. The impact of a poorly-fitted or inappropriate prosthetic is detrimental to an amputee's physical health. In addition, regular movement is essential for cardiovascular health, muscle strength, and overall
well-being. Without the right prosthetics, they cannot maintain an active lifestyle, resulting in increasing health issues, including obesity, poor circulation and musculoskeletal problems.
Do prosthetics impact mental health?
The psychological effects of losing a limb can be profound, sometimes leading to depression, anxiety and a loss of confidence. Proper prosthetics alleviate some of these emotional challenges and restore an individual's autonomy. When amputees can be independent and engage in social activities, it helps their self-esteem and mental well-being.
What types of prosthetics are available?
Prosthetic technology has made significant strides in recent years, allowing for more natural movement and energy efficiency. Some of the latest advancements include:
- Myoelectric prosthetics use muscle sensors to provide intuitive control, making artificial limbs feel more natural;
- Adaptive prosthetics adjust to different terrains, which is especially useful in Malta, where navigating uneven surfaces is a daily challenge; and
- Sports prosthetics are designed for high-impact activities like running, swimming and cycling, allowing amputees to engage in active lifestyles.
How much do prosthetics cost?
Prosthetics are expensive, often costing tens of thousands of euros. And since they wear out over time or may need adjustments, they are a lifelong financial commitment.
Are prosthetics free in Malta?
Yes, but with limitations. Malta's national health service provides basic prosthetic devices for amputees. This means every amputee has access to a prosthetic, but if they need something beyond the standard issue, like a running blade, a waterproof limb for swimming or an advanced myoelectric arm, they must fund it themselves.
Why isn't every amputee given an advanced prosthetic?
Malta's healthcare system provides essential prosthetics but not necessarily ones that allow amputees to lead fully active lives. A4A advocates that prosthetics should be allocated based on individual needs. For example:
- A person who loves swimming should have access to a waterproof prosthetic;
- A young amputee, who wants to play sports, should have access to the appropriate sports prosthetic; and
- An individual who works with their hands should have a functional, high-tech arm prosthetic.
What support is available for amputees in Malta?
Malta has excellent rehabilitation services. The professionals at the Orthotics and Prosthetics Unit, as well as a team of dedicated physiotherapists at the Amputee Rehab Unit at St Luke's Hospital, work hand-in-hand with amputees to provide them with the support they need to adapt to new ways of doing things and use their prosthetics effectively.
However, financial support for more advanced prosthetics is still lacking, and many amputees have to fundraise or pay out of pocket to get the devices they truly need.
What needs to change for amputees in Malta?
Amputees in Malta need more than just basic mobility. They need a fair chance at leading full, active lives. The decision on what prosthetic an amputee receives should involve prosthetists, physiotherapists and occupational therapists on a case-by-case basis.
Advanced prosthetics are not a luxury; they are a necessity. Let's remove barriers and ensure that every amputee in Malta gets the tools they need to thrive.
Amputees 4 Amputees Association Malta are full members of Malta Health Network www.maltahealthnetwork.org