The Prosthetic Upper Extremity Functional Index (PUFI) is a child- and parent-report questionnaire administered by a health care practitioner that evaluates real-world prosthesis use in a range of bi-manual daily activities in children using prostheses. One main goal for the PUFI is to measure change in status over time. The PUFI-2 is not a medical device. The PUFI-2 is intended to be used by health care practitioners as part of their care practice.

The PUFI-2 is used for children with an upper limb prosthesis. There are two versions: the young child version (ages 3 to 6 years) and the older child version (ages 7 and up).

After creating an account, health care practitioners request the completion of the PUFI-2 via email, and children and/or parents complete the assessment on their own. The results from the PUFI-2 can help clinicians work collaboratively with clients to inform goal setting and treatment planning.

Each clinic/health care practitioner can determine when to administer the PUFI-2 based on their client 's needs and practice setting. Some examples of when to administer the PUFI-2 are listed below:

The PUFI was created and validated over 25 years ago at Holland Bloorview Kids Rehabilitation Hospital by Dr. Virginia Wright and her team. The PUFI has since been updated with co-creation involvement of children, parents and clinicians.

Publications:

Wright FV, Hubbard S, Jutai J, Naumann S. The Prosthetic Upper Extremity Functional Index: development and reliability testing of a new functional status questionnaire for children who use upper extremity prostheses. https://pubmed.ncbi.nlm.nih.gov/11382260/

Wright FV, Hubbard S, Naumann S, Jutai J. Evaluation of the validity of the prosthetic upper extremity functional index for children. https://pubmed.ncbi.nlm.nih.gov/12690590/