Upper-Limb Prosthetics Referral Guidelines: Myoelectric vs Body-Powered (For MDs)

Upper-Limb Prosthetics Referral Guidelines: Myoelectric vs Body-Powered (For MDs)

Upper-limb amputees rely heavily on their doctors to guide them toward the right kind of prosthetic care. The referral you make, the timing you choose, and the information you share all shape how well the patient adapts to life after limb loss. But choosing between a myoelectric arm and a body-powered arm is not always simple. Each system has strengths, limits, and specific clinical signs that make one option better than the other.

This article is designed to give medical doctors a clear, practical, and easy-to-use guideline for upper-limb prosthetic referrals. The language is simple, the flow is human, and the goal is to help you make confident decisions for your patient. By understanding how each system works, when to refer, and what factors matter most, you can set your patient on a predictable path toward independence and comfort.

Step One: Understanding the Role of Upper-Limb Prosthetic Referral

Why Early Guidance Matters

Upper-limb amputees often feel overwhelmed in the early phase of recovery. Their hand or arm plays a major role in daily activities, so the sudden loss can bring fear, frustration, and uncertainty. When doctors step in early with calm, clear guidance, the patient gains a sense of direction. This early structure helps them trust the process and prepares them for rehabilitation later.

A timely referral also prevents delays that might affect muscle conditioning or emotional readiness. When the patient understands that prosthetic care is part of a structured plan, they feel supported rather than lost in the system. This sense of support becomes an anchor during the difficult weeks after amputation.

How System Choice Affects Long-Term Function

Myoelectric and body-powered prostheses offer different benefits. Some patients need fine motor control, while others depend on strength and durability. Doctors help patients understand these differences early so expectations stay realistic. When the system matches their lifestyle and physical ability, long-term satisfaction becomes much higher.

This understanding also reduces frustration during training. Patients who know why a specific system was chosen stay more motivated and less anxious during fittings and adjustments. Clear clinical reasoning creates confidence, which directly supports better outcomes.

Building the Foundation for Trust Between Patient and Team

Upper-limb prosthetic rehabilitation requires long-term teamwork. Patients interact with surgeons, physiatrists, therapists, and prosthetists across many months. Early trust sets the tone for the entire journey. When doctors use simple, kind language and explain each step clearly, the patient becomes more engaged.

This trust becomes especially important when challenges appear. Adjustments, training fatigue, or emotional distress are easier to navigate when the patient feels supported. A strong foundation created by the referring doctor can influence the entire rehabilitation process.

Step Two: Evaluating Residual Limb Condition for System Selection

Understanding Limb Length and How It Affects Device Choice

Residual limb length plays a big role in determining

Residual limb length plays a big role in determining whether a myoelectric or body-powered arm will work well. A longer limb gives the patient more leverage and may allow for better harness control in a body-powered system. A shorter limb may make harnessing difficult, pushing the decision toward a myoelectric device.

Doctors examine limb length during early follow-up appointments. This measurement not only guides system selection but also shapes the prosthetist’s approach to socket design. Communicating limb length and bone status clearly helps the prosthetist prepare for the patient’s evaluation.

Checking Skin Quality and Soft Tissue Stability

Skin integrity matters, especially for myoelectric control. Sensors depend on healthy tissue to pick up signals. If the patient has fragile skin or scarring, body-powered control may be safer and more predictable. Doctors check for sensitivity, scar position, and tissue stability during each review.

When doctors understand how skin interacts with each system, they can explain these limits in simple language. This clarity helps the patient accept the final recommendation more easily. It also prevents disappointment later in the process if sensor function becomes inconsistent.

Evaluating Pain, Neuromas, and Nerve Sensitivity

Pain is another important factor. Some amputees develop neuromas or nerve hypersensitivity that make harness pressure uncomfortable. In these cases, a myoelectric arm may reduce physical strain. Others may tolerate pressure well but struggle with fine motor control, making a body-powered system more suitable.

Doctors document pain patterns early. These notes help prosthetists avoid pressure zones and design a socket that reduces irritation. Addressing nerve concerns early also protects the patient from long-term discomfort during prosthetic use.

Step Three: Assessing Patient Strength and Muscle Activation

Measuring Muscle Control for Myoelectric Eligibility

Myoelectric prostheses rely on steady muscle signals from the residual limb. Doctors test these signals by asking the patient to contract certain muscles gently. Clean, repeatable signals improve control accuracy. If signals are weak or inconsistent, the patient may struggle with myoelectric function.

This evaluation is simple but essential. Doctors who check muscle activation early give the prosthetist a clear starting point. Patients benefit from understanding whether their muscle patterns support advanced control or whether they need more pre-prosthetic therapy first.

Understanding Upper Body Strength for Body-Powered Use

Body-powered arms rely on a harness and cable system. Patients need good shoulder strength and steady movement control. If the patient has shoulder stiffness, pain, or weakness, they may find the harness difficult to manage. This limitation becomes important for patients with bilateral involvement or prior shoulder injuries.

Doctors check shoulder range of motion and basic strength. These observations help determine whether a body-powered system is realistic. When strength is limited, recommending additional therapy can improve outcomes and make the final choice more flexible.

Balancing Muscle Strength With Patient Fatigue Levels

Fatigue affects system choice as well. Some patients tire quickly due to medical conditions, lifestyle factors, or emotional stress. Body-powered devices require more physical effort, while myoelectric devices need less physical force but more cognitive focus.

Doctors observe how the patient responds to simple movements. When fatigue appears early, the doctor may guide the patient toward a system that demands less physical energy. This insight prevents frustration during long-term use and encourages better participation in therapy.

Step Four: Reviewing Patient Lifestyle and Functional Needs

Understanding Daily Routines and Activity Levels

Doctors learn about the patient’s daily life by asking simple questions. They explore what tasks the patient values most, such as cooking, writing, driving, or caring for children. Some tasks require precision, while others need strength. These differences help decide whether a myoelectric or body-powered system offers better function.

Patients who need fine hand movements often benefit from myoelectric systems. Those who work in rugged environments may prefer the durability of body-powered devices. Understanding these lifestyle factors early prevents mismatch between the patient’s needs and the device’s strengths.

Considering Work Demands and Environmental Conditions

Work environment affects prosthetic performance. Outdoor labor, heat exposure, moisture, and rough handling can damage electronic components. In these conditions, body-powered systems may survive longer and require fewer repairs. Office or indoor workspaces allow more flexibility for advanced myoelectric systems.

Doctors help patients think through these practical details. When work demands are considered early, the final system aligns better with the patient’s career and environment.

Discussing Hobbies, Social Roles, and Personal Goals

Personal goals also guide system selection. Some patients want to return to sports or hobbies, while others simply want to handle daily tasks independently. Doctors encourage patients to share these goals openly. This helps the team choose a system that supports not just physical function, but emotional well-being.

When hobbies and personal roles are acknowledged, patients feel seen and understood. This validation helps them stay motivated during rehabilitation and training.

Step Five: Evaluating Cognitive Capacity and Learning Style

Understanding How Patients Learn New Motor Skills

Myoelectric systems require concentration

Myoelectric systems require concentration, coordination, and patience. Patients must learn to isolate muscle contractions and follow training steps closely. Doctors observe how well the patient follows instructions, asks questions, and stays focused during appointments.

Patients who learn quickly may adapt well to myoelectric control. Those who prefer simple, direct methods may feel more comfortable with a body-powered system. Recognizing learning styles early protects the patient from frustration.

Assessing Memory and Ability to Manage Device Care

Myoelectric prostheses need regular charging, maintenance, and careful handling. Patients must remember to store batteries properly and avoid moisture. If memory or executive function is limited, they may struggle with advanced device care.

Doctors use gentle conversation to evaluate whether the patient can manage these responsibilities. When cognitive demand becomes a concern, a simpler system may be safer and more predictable.

Supporting Patients Who Experience Anxiety or Fear

Some patients feel anxious about technology or rehabilitation. Advanced systems may intimidate them, while simpler systems feel more manageable. Doctors acknowledge these emotions and guide patients toward a choice that supports confidence rather than fear.

When emotional readiness aligns with system complexity, rehabilitation becomes smoother and more positive.

Step Six: Understanding the Cost, Access, and Long-Term Maintenance

Helping Patients Understand Maintenance Needs

Myoelectric systems need periodic software updates, battery replacements, and servicing. Body-powered devices require adjustments over time, especially if the harness loosens or the cable stretches. Doctors explain these needs in simple words so the patient is not surprised later.

Clear explanations build realistic expectations. Patients who understand maintenance demands stay more consistent in their follow-up care.

Considering Budget and Insurance Support

Cost plays a major role in system selection, especially in India. Myoelectric devices are more expensive and may not be fully covered. Body-powered systems offer a more affordable entry point but may limit advanced function.

Doctors help patients weigh these factors without pressure. When cost is discussed openly, patients feel more confident in their final choice.

Preparing Patients for Long-Term Upgrades

As the patient grows stronger or their lifestyle changes, they may need upgrades or new components. Doctors explain that prosthetic care is a long-term journey rather than a single event. This understanding helps patients stay patient and avoid discouragement if adjustments become necessary.

Long-term planning encourages steady progress and reduces anxiety about future needs.

Step Seven: Timing the Referral for Upper-Limb Prosthetic Care

Knowing When the Limb Is Ready for Evaluation

Doctors monitor healing closely after upper-limb amputation. The incision must be closed, swelling should stabilize, and the skin should tolerate gentle pressure. When these conditions are met, the patient is ready for a prosthetic evaluation. Early timing prevents muscle weakening and helps the patient stay motivated.

If healing is slow due to infection, sensitivity, or poor tissue quality, the referral may need more time. Doctors watch for signs of stability and guide the patient patiently. This careful timing protects them from early complications during fitting.

Preparing the Patient for What Happens Next

Before referring the patient, doctors explain what the first prosthetic visit will look like. This includes limb assessment, measurements, and a discussion about goals. Sharing this information in simple words reduces fear and gives the patient a sense of control.

When patients know what to expect, they approach the appointment calmly. This readiness increases their ability to focus and participate during evaluations.

Coordinating With the Rehabilitation Team

Physical and occupational therapists play a key role in preparing the upper body for prosthetic use. Doctors coordinate with therapists to ensure the patient has enough strength, range of motion, and stability for the upcoming stages. This teamwork creates a smoother transition and prevents setbacks later.

A well-timed referral, supported by the entire team, gives the patient a strong start.

Step Eight: What Happens During the First Prosthetic Assessment

Understanding Limb Shape and Socket Implications

During evaluation, the prosthetist studies the residual limb’s shape, contours, and tissue behavior. The goal is to design a socket that supports comfortable, stable control. Patients learn that this is the foundation of all future prosthetic function.

Doctors help the patient understand that socket comfort is more important than the technology level of the prosthetic hand. When the socket fits well, control improves and pain decreases. This perspective helps the patient stay patient during adjustments.

Introducing the Patient to System Components

The prosthetist shows the patient different components, such as hands, elbows, harnesses, or sensors. This early exposure helps the patient visualize how each part works. It also helps clarify differences between myoelectric and body-powered control.

Doctors encourage patients to ask questions during this stage. Curiosity strengthens understanding and improves long-term outcomes.

Building Comfort Through Calm, Clear Communication

Some patients feel overwhelmed by technical details. The prosthetist and doctor use simple explanations and gentle pacing to keep the patient relaxed. When technical language is avoided, patients feel more confident and less intimidated.

This early comfort becomes important during training, when new challenges arise.

Step Nine: Deciding Between Myoelectric and Body-Powered Systems

Matching System Type With Functional Needs

Doctors compare the patient’s goals

Doctors compare the patient’s goals, physical abilities, and emotional readiness to determine which system fits best. Myoelectric systems support fine motor control and natural movement patterns. Body-powered systems offer durability and simple mechanics. Each has strengths that match different lifestyles.

When doctors explain these differences clearly, patients feel empowered. They understand the reasoning behind the recommendation and feel more committed to using the device.

Considering Long-Term Reliability and Repair Needs

Body-powered systems can withstand heavy use and rough environments. Myoelectric systems require more care but provide smoother, more natural movement. Doctors consider the patient’s access to maintenance services and their comfort with repairs or replacements.

This practical perspective prevents future frustration. Patients who understand repair needs make better daily decisions and care for their device responsibly.

Balancing Physical Effort With Emotional Comfort

A patient who fears harness pressure may prefer myoelectric control. Someone who prefers simple mechanisms may feel more comfortable with a body-powered arm. Doctors observe emotional reactions during discussions to ensure the choice supports confidence rather than fear.

When emotional comfort matches system complexity, rehabilitation becomes smoother.

Step Ten: Preparing the Patient for Pre-Prosthetic Therapy

Strengthening Remaining Muscles for Control

Pre-prosthetic therapy helps the patient build shoulder, back, and residual limb strength. Therapists teach exercises that improve coordination and prepare the body for either system. Myoelectric users focus more on muscle isolation. Body-powered users build stronger shoulder movement.

Doctors reinforce why these exercises matter. When patients understand the purpose, they engage more actively and progress faster.

Shaping the Residual Limb for Socket Fit

Limb shaping is essential for socket comfort. Therapists use compression socks or gentle wrapping techniques to reduce swelling and improve contour. This makes fitting easier and reduces later discomfort.

Doctors check limb condition regularly to ensure shaping progresses safely. Healthy skin and consistent limb volume lead to better socket outcomes.

Encouraging Early Independence and Confidence

Even before receiving a prosthesis, patients begin learning new ways to function. Therapists teach simple strategies to help them regain independence in daily tasks. These early wins build emotional resilience and help the patient feel capable again.

Confidence built during this stage carries forward into prosthetic training.

Step Eleven: Understanding the First Test Socket Stage

Introducing the Patient to Their First Prosthetic Fit

The test socket gives the patient a first look at how their prosthesis will feel. It is lightweight and temporary, designed to test comfort and alignment. Doctors help the patient understand that adjustments during this stage are normal and expected.

Some patients feel emotional when they see themselves with a prosthetic arm for the first time. Doctors acknowledge these feelings and support them through this important step.

Observing Skin Response and Pressure Points

Doctors and prosthetists watch how the skin responds to pressure. Red areas or discomfort guide the team to adjust the socket. For myoelectric users, good sensor contact is essential. For body-powered users, harness comfort becomes the priority.

This careful inspection protects the limb and reduces early pain. Patients feel reassured when the team takes time to adjust the fit properly.

Helping the Patient Stay Patient With Adjustments

Test sockets require trial and error. Doctors explain that these refinements lead to better long-term comfort. When patients understand that adjustments are normal, they remain calm and cooperative.

This understanding prevents frustration and leads to better overall satisfaction.

Step Twelve: Beginning Functional Training

Teaching Control for Myoelectric Users

Myoelectric training starts with learning how to contract specific muscles without tensing the whole arm. Patients practice opening and closing the hand, rotating the wrist, or flexing the elbow using gentle and precise movements. Doctors encourage slow progress and celebrate small improvements.

Patients often feel proud when they gain their first controlled movement. This early success builds motivation.

Building Strength for Body-Powered Users

Body-powered training focuses on harness control. Patients learn how shoulder movement activates the cable system. Therapists teach safe postures to prevent strain and fatigue. Doctors monitor shoulder comfort and adjust the plan if pain appears.

As the patient gains strength, the system becomes easier to manage. This gradual growth builds lasting control.

Helping the Patient Practice Daily Tasks Safely

Both systems require practice with everyday movements. Patients learn how to hold objects, stabilize utensils, and manage clothing. Therapists guide them step by step, keeping movements slow and safe.

Doctors observe progress and adjust the rehabilitation plan as needed. These practical skills build independence and confidence.

Step Thirteen: Transitioning to Full-Time Prosthetic Use

Increasing Wear Time Gradually

Doctors help patients build wear tolerance slowly

Doctors help patients build wear tolerance slowly. They recommend short periods of use at first, increasing time as the skin adapts. This gradual schedule protects the limb and reduces irritation.

Patients appreciate clear guidelines. It helps them feel safe while adjusting to a major life change.

Supporting the Patient Through Setbacks

Some days feel harder than others. Skin irritation, sensitivity, or fatigue may slow progress. Doctors encourage patients to communicate openly so adjustments can be made quickly. This steady support helps the patient stay committed.

When setbacks are handled calmly, motivation stays strong.

Helping the Patient Rebuild Identity and Routine

As patients grow comfortable with their prosthesis, they return to work, hobbies, and daily life. Doctors discuss routines, environmental challenges, and emotional experiences. This conversation helps patients feel understood and supported.

Over time, the prosthesis becomes part of their identity, not a reminder of loss.

Step Fourteen: Long-Term Follow-Up and System Support

Monitoring Skin Health and Socket Fit

The residual limb changes over months and years. Doctors examine skin regularly to ensure the socket still fits well. They watch for irritation, swelling, or volume changes. Early detection of issues prevents discomfort and encourages long-term use.

This routine follow-up reassures the patient that they are not alone in their journey.

Upgrading Components When Needed

Patients often progress in strength and skill, eventually needing new components or more advanced control. Doctors explain upgrade options based on the patient’s goals and lifestyle. This ongoing conversation helps them plan for the future.

Knowing that improvements are possible keeps the patient optimistic.

Supporting Emotional Well-Being Through Ongoing Care

Upper-limb amputees may experience emotional challenges long after treatment. Doctors create a supportive environment where patients feel comfortable sharing concerns. Emotional health remains a key part of successful rehabilitation.

This long-term care builds trust and strengthens the patient’s overall recovery.

Step Fifteen: When to Recommend Dual-System Use

Understanding Why Some Patients Benefit From Both Systems

Some patients thrive when they have access to both a myoelectric and a body-powered prosthesis. Each system serves a different purpose. A myoelectric arm can support fine motor tasks at home or work, while a body-powered arm can handle rugged activities or outdoor environments. Doctors help patients understand that dual use is not excessive but practical.

This approach gives the patient flexibility. Instead of relying on one device for every situation, they choose the arm that matches their task. This freedom often leads to higher satisfaction and greater independence.

Helping Patients Manage Switching Between Systems

Switching systems requires coordination and familiarity. Doctors and therapists help patients understand how to adjust posture, movement patterns, and expectations when changing from one device to another. This guidance prevents frustration during transitions.

With time, patients develop a sense of when each system works best. This confidence helps them stay active throughout the day without hesitation.

Evaluating Whether the Patient Has the Capacity for Dual Care

Managing two systems requires organization, physical ability, and emotional readiness. Doctors assess whether the patient can maintain both devices, keep charging schedules, and store components safely. If these tasks feel overwhelming, the team may reconsider dual use.

When capacity aligns with the benefits, dual-system care offers significant functional gains.

Step Sixteen: Special Considerations for Pediatric Upper-Limb Prosthetics

Understanding Growth and Its Impact on System Choice

Children grow quickly, which means their prosthetic needs evolve frequently. Body-powered systems often work well because they are simple to adjust and maintain. Myoelectric systems may help with fine motor control but require more supervision. Doctors balance these factors to choose a system that supports both function and long-term development.

The child’s emotional response also guides the decision. Some children enjoy the interaction with electronic systems, while others prefer simple, mechanical control. Doctors observe these reactions during early visits.

Supporting Families Through Frequent Adjustments

Parents often feel anxious when their child needs regular socket changes or component upgrades. Doctors use calm, simple language to explain that growth makes adjustments normal. This reassurance helps parents stay confident and patient.

When parents understand the process, they support their child more effectively at home. This support becomes essential for skill development and confidence building.

Encouraging Healthy Motor Development

Therapists help children practice movements that build strength, coordination, and balance. These exercises support both prosthetic use and natural development. Doctors reinforce these routines during follow-up visits.

Healthy motor development ensures that the child grows into their device comfortably and safely.

Step Seventeen: Addressing Bilateral Upper-Limb Loss

Choosing Systems That Support Maximum Independence

Patients with bilateral upper-limb loss need prosthetic solutions that allow them to eat, groom, write, and manage daily activities without constant assistance. Myoelectric systems offer advanced control, while body-powered systems add reliability. Doctors carefully assess which combination supports independence best.

These decisions require patience, observation, and collaboration between all team members. The patient’s emotional resilience is also a major factor in determining the best approach.

Considering Energy Demands and Cognitive Load

Bilateral users expend more energy during training and daily use. Doctors evaluate whether a patient can manage the mental focus required for myoelectric control while also learning to coordinate both arms. When this becomes overwhelming, a mixed-system approach may work better.

Balancing energy and cognitive demand helps prevent burnout. Patients who feel supported are more likely to stay engaged.

Offering Emotional Support During a Complex Journey

Bilateral upper-limb loss can bring deep emotional challenges. Doctors provide reassurance, clear expectations, and practical goals. Each small achievement becomes meaningful, strengthening the patient’s belief that independence is possible.

This emotional support lays the foundation for steady long-term progress.

Step Eighteen: Managing Complications Related to System Use

Addressing Skin Irritation and Overuse Pain

Skin irritation can occur with both systems, especially when patients increase wear time quickly. Doctors check for redness, swelling, or friction marks. Adjustments to the socket, suspension, or harness help manage these issues without interrupting use.

Overuse pain is common with body-powered systems due to repetitive shoulder motion. Myoelectric users may develop muscle fatigue from over-contracting during training. Early identification and gentle correction protect long-term function.

Managing Sensor Issues and Myoelectric Signal Loss

Myoelectric sensors rely on clean, consistent muscle signals. Sweating, swelling, or poor skin contact may cause intermittent control. Doctors teach patients how to clean the sensors and keep the skin dry. When needed, the prosthetist adjusts electrode placement to improve performance.

Understanding these troubleshooting steps helps the patient feel less dependent and more confident managing their device.

Handling Mechanical Wear in Body-Powered Devices

Cables and harnesses can loosen with time. Doctors help patients recognize early signs such as reduced grip strength or delayed response. Early repairs prevent functional decline and protect the patient from strain.

When patients understand how their device works, they report changes sooner, allowing quicker intervention.

Step Nineteen: Psychological Support and Identity Rebuilding

Helping Patients Accept Their Prosthetic Journey

Upper-limb loss affects identity deeply. Patients may grieve their previous abilities, feel self-conscious, or worry about how others see them. Doctors address these feelings openly, acknowledging their impact without minimizing the patient’s experience.

Acceptance develops slowly but grows stronger when patients feel understood. Compassionate communication helps them move forward with confidence.

Encouraging Realistic but Positive Expectations

Patients sometimes imagine rapid recovery, only to feel discouraged when progress takes time. Doctors help set realistic expectations, explaining each stage clearly and gently. This approach reduces frustration and keeps motivation stable.

Positive expectations, grounded in honesty, become a powerful tool during rehabilitation.

Promoting Social and Community Support

Patients benefit from meeting others who have walked the same path. Peer support groups or community programs offer reassurance and shared understanding. Doctors suggest these resources to help patients feel less isolated.

Social support strengthens emotional resilience and creates a sense of belonging.


Step Twenty: Long-Term Functional Training and Independence

Encouraging Continuous Skill Development

Even after mastering basic tasks, patients can improve with ongoing practice. Doctors encourage them to explore new movements, adapt to different environments, and attempt tasks that once felt challenging. Continued training builds confidence and physical resilience.

Over time, these skills become natural parts of daily life. The prosthesis becomes a tool that supports growth rather than a reminder of loss.

Helping Patients Return to Work and Daily Roles

Doctors guide patients through workplace expectations, environmental challenges, and task modifications. They help the patient identify barriers and create plans to overcome them. This support makes the transition back to work smoother and less stressful.

Returning to meaningful daily roles restores a sense of normalcy and purpose.

Empowering Patients to Advocate for Their Needs

As patients grow confident, they learn to communicate openly about their needs, comfort, and challenges. Doctors encourage this self-advocacy, knowing it strengthens long-term independence.

A confident patient becomes an active partner in their own care.

Step Twenty-One: When to Recommend System Upgrades

Recognizing Signs That the Current System No Longer Meets Needs

As patients become more skilled

As patients become more skilled, their expectations change. They may want better grip options, smoother control, or lighter components. Doctors look for signs of dissatisfaction or functional limitations during follow-up visits.

Upgrading at the right time helps the patient continue progressing without feeling stuck.

Evaluating New Technologies for Suitability

Technology evolves quickly. New motors, sensors, and hand designs may offer better performance. Doctors review these options carefully to ensure they match the patient’s goals and physical ability.

When new technology aligns with clinical need, the upgrade becomes meaningful rather than cosmetic.

Preparing the Patient Emotionally for Change

Switching systems requires patience and training. Doctors prepare the patient for this transition with clear explanations and realistic expectations. Emotional readiness makes the upgrade experience smoother and more rewarding.

Change becomes an opportunity for growth rather than a source of anxiety.

Step Twenty-Two: Creating a Long-Term Prosthetic Care Plan

Developing a Structured Follow-Up Routine

Doctors create a follow-up plan that includes regular checkups, skin monitoring, and functional assessments. These visits keep the patient’s progress steady and prevent small issues from becoming serious.

A predictable schedule also helps the patient feel supported and secure.

Guiding the Patient Through Life Changes

Long-term life changes such as aging, weight shifts, and new medical conditions may affect prosthetic use. Doctors help patients adapt by adjusting components, updating therapy plans, or recommending new systems.

This adaptability protects long-term independence and comfort.

Keeping the Patient Involved in Their Own Recovery

Patients who understand their prosthesis and its care stay more engaged. Doctors reinforce this empowerment through education and open communication. Over time, the patient becomes the expert of their own device.

This partnership supports long-term success.

Conclusion

Upper-limb prosthetic care requires careful evaluation, thoughtful guidance, and steady emotional support. When doctors understand the differences between myoelectric and body-powered systems, they can make confident referrals that shape the patient’s entire rehabilitation journey. Each step—from early assessment to long-term follow-up—relies on simple communication, close teamwork, and empathy.

By taking time to understand the patient’s goals, physical abilities, and emotional needs, doctors create a pathway that leads to strong functional outcomes. With clear guidance, patients regain independence, rebuild identity, and develop the confidence to move forward with a prosthesis that truly fits their life.

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REFUNDS AND CANCELLATIONS

Last updated: November 10, 2022

Thank you for shopping at Robo Bionics.

If, for any reason, You are not completely satisfied with a purchase We invite You to review our policy on refunds and returns.

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For the purposes of this Return and Refund Policy:

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Last Updated on: 1st Jan 2021

These Terms and Conditions (“Terms”) govern Your access to and use of the website, platforms, applications, products and services (ively, the “Services”) offered by Robo Bionics® (a registered trademark of Bionic Hope Private Limited, also used as a trade name), a company incorporated under the Companies Act, 2013, having its Corporate office at Pearl Heaven Bungalow, 1st Floor, Manickpur, Kumbharwada, Vasai Road (West), Palghar – 401202, Maharashtra, India (“Company”, “We”, “Us” or “Our”). By accessing or using the Services, You (each a “User”) agree to be bound by these Terms and all applicable laws and regulations. If You do not agree with any part of these Terms, You must immediately discontinue use of the Services.

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4. LICENSE AND INTELLECTUAL PROPERTY

4.1 All content, trademarks, logos, designs and software on Our website, Apps and Platform are the exclusive property of Bionic Hope Private Limited or its licensors.

4.2 Subject to these Terms, We grant You a limited, non-exclusive, non-transferable, revocable license to use the Services for personal, non-commercial purposes.

4.3 You may not reproduce, modify, distribute, decompile, reverse engineer or create derivative works of any portion of the Services without Our prior written consent.

5. WARRANTIES AND LIMITATIONS

5.1 Limited Warranty. We warrant that Products will be free from workmanship defects under normal use as follows:
 (a) Grippy™ Bionic Hand, BrawnBand® and WeightBand®: one (1) year from date of purchase, covering manufacturing defects only.
 (b) Chargers and batteries: six (6) months from date of purchase.
 (c) Grippy Mech™: three (3) months from date of purchase.
 (d) Consumables (e.g., gloves, carry bags): no warranty.

5.2 Custom Sockets. Sockets fabricated by Clinics are covered only by the Clinic’s optional warranty and subject to physiological changes (e.g., stump volume, muscle sensitivity).

5.3 Exclusions. Warranty does not apply to damage caused by misuse, user negligence, unauthorised repairs, Acts of God, or failure to follow the Instruction Manual.

5.4 Claims. To claim warranty, You must register the Product online, provide proof of purchase, and follow the procedures set out in the Warranty Card.

5.5 Disclaimer. To the maximum extent permitted by law, all other warranties, express or implied, including merchantability and fitness for a particular purpose, are disclaimed.

6. DATA PROTECTION AND PRIVACY

6.1 We collect personal contact details, physiological evaluation data, body measurements, sensor calibration values, device usage statistics and warranty information (“User Data”).

6.2 User Data is stored on secure servers of our third-party service providers and transmitted via encrypted APIs.

6.3 By using the Services, You consent to collection, storage, processing and transfer of User Data within Our internal ecosystem and to third-party service providers for analytics, R&D and support.

6.4 We implement reasonable security measures and comply with the Information Technology Act, 2000, and Information Technology (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information) Rules, 2011.

6.5 A separate Privacy Policy sets out detailed information on data processing, user rights, grievance redressal and cross-border transfers, which forms part of these Terms.

7. GRIEVANCE REDRESSAL

7.1 Pursuant to the Information Technology Rules, 2021, We have given the Charge of Grievance Officer to our QC Head:
 - Address: Grievance Officer
 - Email: support@robobionics.in
 - Phone: +91-8668372127

7.2 All support tickets and grievances must be submitted exclusively via the Robo Bionics Customer Support portal at https://robobionics.freshdesk.com/.

7.3 We will acknowledge receipt of your ticket within twenty-four (24) working hours and endeavour to resolve or provide a substantive response within seventy-two (72) working hours, excluding weekends and public holidays.

8. PAYMENT, PRICING AND REFUND POLICY

8.1 Pricing. Product and Service pricing is as per quotations or purchase orders agreed in writing.

8.2 Payment. We offer (a) 100% advance payment with possible incentives or (b) stage-wise payment plans without incentives.

8.3 Refunds. No refunds, except pro-rata adjustment where an Individual Consumer is medically unfit to proceed or elects to withdraw mid-stage, in which case unused stage fees apply.

9. USAGE REQUIREMENTS AND INDEMNITY

9.1 Users must follow instructions provided by RCI-registered professionals and the User Manual.

9.2 Users and Entity Consumers shall indemnify and hold Us harmless from all liabilities, claims, damages and expenses arising from misuse of the Products, failure to follow professional guidance, or violation of these Terms.

10. LIABILITY

10.1 To the extent permitted by law, Our total liability for any claim arising out of or in connection with these Terms or the Services shall not exceed the aggregate amount paid by You to Us in the twelve (12) months preceding the claim.

10.2 We shall not be liable for any indirect, incidental, consequential or punitive damages, including loss of profit, data or goodwill.

11. MEDICAL DEVICE COMPLIANCE

11.1 Our Products are classified as “Rehabilitation Aids,” not medical devices for diagnostic purposes.

11.2 Manufactured under ISO 13485:2016 quality management and tested for electrical safety under IEC 60601-1 and IEC 60601-1-2.

11.3 Products shall only be used under prescription and supervision of RCI-registered Prosthetists, Physiotherapists or Occupational Therapists.

12. THIRD-PARTY CONTENT

We do not host third-party content or hardware. Any third-party services integrated with Our Apps are subject to their own terms and privacy policies.

13. INTELLECTUAL PROPERTY

13.1 All intellectual property rights in the Services and User Data remain with Us or our licensors.

13.2 Users grant Us a perpetual, irrevocable, royalty-free licence to use anonymised usage data for analytics, product improvement and marketing.

14. MODIFICATIONS TO TERMS

14.1 We may amend these Terms at any time. Material changes shall be notified to registered Users at least thirty (30) days prior to the effective date, via email and website notice.

14.2 Continued use of the Services after the effective date constitutes acceptance of the revised Terms.

15. FORCE MAJEURE

Neither party shall be liable for delay or failure to perform any obligation under these Terms due to causes beyond its reasonable control, including Acts of God, pandemics, strikes, war, terrorism or government regulations.

16. DISPUTE RESOLUTION AND GOVERNING LAW

16.1 All disputes shall be referred to and finally resolved by arbitration under the Arbitration and Conciliation Act, 1996.

16.2 A sole arbitrator shall be appointed by Bionic Hope Private Limited or, failing agreement within thirty (30) days, by the Mumbai Centre for International Arbitration.

16.3 Seat of arbitration: Mumbai, India.

16.4 Governing law: Laws of India.

16.5 Courts at Mumbai have exclusive jurisdiction over any proceedings to enforce an arbitral award.

17. GENERAL PROVISIONS

17.1 Severability. If any provision is held invalid or unenforceable, the remainder shall remain in full force.

17.2 Waiver. No waiver of any breach shall constitute a waiver of any subsequent breach of the same or any other provision.

17.3 Assignment. You may not assign your rights or obligations without Our prior written consent.

By accessing or using the Products and/or Services of Bionic Hope Private Limited, You acknowledge that You have read, understood and agree to be bound by these Terms and Conditions.