Cultural Sensitivity in Prosthetic Rehabilitation - Lessons from Gaza
Effective prosthetic rehabilitation must honor the cultural context of each child’s life. Universal Limbs has learned that incorporating Palestinian cultural practices and values into our psychosocial interventions dramatically improves outcomes for children and families navigating limb loss.
Research by Al-Modallal (2023) emphasizes the importance of cultural considerations in rehabilitation for Palestinian children. Our workshops integrate traditional concepts like sumud (steadfastness) and community solidarity while addressing practical adaptations for cultural activities.
For Palestinian children, successful prosthetic adaptation often means relearning culturally significant activities. This might include traditional crafts like embroidery, preparing familiar foods like bread with zaatar, or adapting religious practices such as prayer movements and ablution. Our occupational therapy components specifically address these meaningful activities rather than generic exercises.
Language matters too. We provide materials in Arabic and work with facilitators who understand Palestinian cultural nuances. Children need to process their experiences in their native language, using familiar concepts and metaphors that resonate with their worldview.
Religious frameworks provide important resources for healing. Many Palestinian families find comfort in Islamic concepts of patience (sabr) and divine purpose during times of hardship. Our workshops create space for families to explore how their faith traditions can support the rehabilitation journey, without imposing any particular religious interpretation.
Gender considerations are also crucial, particularly for adolescent girls and women. Al-Najjar et al. (2022) found that gender-concordant care significantly improved rehabilitation outcomes for female patients in Gaza. Our women’s workshops address specific concerns about prosthetic use with traditional dress, marriage prospects, and motherhood roles.
Community reintegration is another area where cultural sensitivity proves essential. Children need preparation for explaining their prosthetics to community members, handling curious questions from peers, and participating in social events where their limb difference might draw attention.
The research consistently shows that culturally-adapted interventions produce better outcomes than generic approaches. When children see their cultural identity reflected and honored in their rehabilitation program, they engage more fully and achieve greater success.