Quality of life and functionality after lower limb amputations (original) (raw)
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A study on quality of life among lower limb amputees at a tertiary prosthetic rehabilitation center
Medical Journal Armed Forces India, 2019
Background: Limb loss is one of the most physically and psychologically devastating events causing major disfigurement, rendering people less mobile, and at risk for loss of independence. This research aims to study the quality of life (QoL) among lower limb amputees (LLAs) at a tertiary prosthetic rehabilitation center. Methods: The present study is based on the self-perceived QoL of new LLAs reporting to a tertiary prosthetic rehabilitation center for prosthesis using World Health Organization Quality of Life-BREF scale. Results: 35% of this study population were currently serving personnel of Indian Armed Forces, while 17.3% were dependents. 17.3% of the study participants were retired Indian Armed Forces personnel. 51.5% of study participants had undergone a lower limb amputation following trauma; 22.7% of the traumatic amputations had resulted from road traffic accidents, 16.7% from trauma sustained following railway accidents, and combat-related injuries accounted for 11.4% of traumatic lower limb amputations. Diabetic foot/gangrene was responsible for 32% of lower limb amputations in the current study. Overall QoL score of 78.76 (standard deviation [SD] ¼ 15.03) was seen revealing highest mean score in environmental domain 26.59 (SD ¼ 5.38), followed by physical domain, psychological domain, and lowest score being in social domain. Conclusion: When judging the success or failure of lower limb amputation, the assessment of QoL outcome is paramount. A number of factors need to be taken into consideration to ensure holistic reintegration of the amputees back into the society.
Quality of life in persons with lower limb amputations
International Journal Of Community Medicine And Public Health
Background: Large number of individuals live with various disabilities in India. Amputation is a major disability which causes irreversible changes and drastically alters everyday functioning. Quality of Life (QOL) in persons with lower limb amputations has been found to be affected. This study aimed to assess the QOL in persons with lower limb amputations using SF-36 via telephone. Methods: This was an observational study. Individuals with lower limb amputations who were enrolled in an orthotic and prosthetic clinic in Vadodara, Gujarat, were interviewed on the telephone to assess their QOL. Individuals with lower limb amputations, 18 years and above and both genders were included and those with impaired vision, hearing, cognition and upper limb amputations were excluded. QOL was assessed using SF-36 questionnaire on the telephone. Results: Total 140 individuals: 119 males, 21 females. 123 had unilateral and 17 had bilateral amputation. There was a significant difference found betw...
QUALITY OF LIFE IN INDIVIDUALS WITH LOWER LIMB AMPUTATION
Journal of Xi’an Shiyou University, Natural Science Edition
The main objective of this study was to assess the quality of life (QOL) in individuals with lower limb amputation. An observational cross sectional study was carried out on 196 amputees participants whose age was >18 years. Participants were selected through convenient sampling between May to August 2022 from Services hospital, Lahore, Aziz Bhatti Shaheed Teaching hospital Gujrat, Civil hospital Kharian. SF-36 questionnaire was used for the assessment of QOL' in this 0 indicates the poor whereas 100 indicates higher quality of life. All information were put and analyzed by SPSS Version 24. Average age of patients was found 44.44 ± 12.52 years. Out of 196 patients, 159(81.10%) were male. Segments of QOL, physical functioning (61.5±19.6), physical role (34.5±26.8), bodily pain (44.2±28.09), general health (55.90±10.7), vitality (54.4±9.70), social functioning (60.3±29.06), emotional role (50.3±43.4) and mental health (63.3±17.3) was observed respectively. Findings of this study was concluded that physical functioning, social functioning and mental health noted high score and fair quality of life as compare to other segments of quality of life however in segments; role physical and bodily pain were very compromised and poor quality of life with lower score .
Arch Phys Med Rehabil, 2004
Objective: To evaluate the responsiveness to change and the floor and ceiling effects of the Houghton Scale. Design: One-week and 3-month test-retest to evaluate reliability, validity, and responsiveness to change. Setting: Amputee rehabilitation program. Participants: Persons (Nϭ125) with unilateral or bilateral lower-extremity amputation who were wearing a prostheses: 1 group (nϭ49) for the reliability component and another group (nϭ76) for the responsiveness and validity component. Interventions: Not applicable. Main Outcome Measures: Responsiveness to change, ceiling and floor effects, and reliability and convergent validity. Results: Evaluation of responsiveness to change (nϭ76) showed that the total score increased from a mean Ϯ standard deviation of 6.14Ϯ2.40 at discharge to 7.70Ϯ2.62 (PϽ.001) at follow-up 3 months later. Floor and ceiling effects were not detected for the overall score but were noted for the individual subscales. The internal consistency was moderate at discharge (Cronbach ␣ϭ.71) and follow-up (Cronbach ␣ϭ.70). The Houghton Scale correlated significantly, although moderately, with the physical composite score of the Medical Outcomes Study 36-Item Short-Form Health Survey (rϭ.393, PϽ.01) and the 2-minute walk test at admission (rϭ.620, PϽ.01) and discharge (rϭ.653, PϽ.01). The reliability (intraclass correlation coefficientϭ.96) of the Houghton Scale was high (nϭ49). Conclusions: The Houghton Scale is appropriately responsive to change in prosthetic use in individuals with lower-limb amputation after rehabilitation.
Annals of Physical and Rehabilitation Medicine, 2020
Background: High-tech prostheses are supposed to achieve better functional recovery over mechanicalcontrolled prostheses in lower-limb amputees. However, quantitative data are insufficient. Objective: We aimed to evaluate changes in quality of life, life satisfaction, perception of body image, and functional performance of lower-limb amputees when using a mechanical-controlled prosthesis versus a microprocessor-controlled knee (MPK) or transtibial vacuum-assisted suspension system (VASS) prosthesis. Methods: In this pragmatic study, 57 lower-limb amputees were assessed with the Satisfaction with the Prosthesis Questionnaire (SATPRO), revised Amputee Body Image Scale (ABIS-R), Trinity Amputation and Prosthesis Experience Scales (TAPES), Medical Outcomes Study Short Form-36 (SF-36) and 6-min walk test (6MWT). All assessments were performed under 2 conditions (i.e., using a mechanical-controlled prosthesis vs. an MPK/VASS prosthesis. Results: Amputees who used an MPK/VASS prosthesis showed significant increases in all SF-36 subscale scores and all subscale scores of TAPES except adjustment to limitation (P = 0.156). The amputees showed clinically relevant improvements in 6MWT (P < 0.001) and in SATPRO and ABIS-R scores (P < 0.001). Conclusion: Lower-limb amputees using an MPK/VASS prosthesis had better life satisfaction, quality of life and functional performance than those using a mechanical-controlled prosthesis.
Physical, Mental, and Social Predictors of Functional Outcome in Unilateral Lower-Limb Amputees
Archives of Physical Medicine and Rehabilitation, 2003
Schoppen T, Boonstra A, Groothoff JW, de Vries J, Göeken LN, Eisma WH. Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees. Arch Phys Med Rehabil 2003;84:803-11.