Factors influencing access to and participation in rehabilitation for people with lower limb amputation in East, South, and Southeast Asian developing countries: the perspective of rehabilitation professionals – a qualitative study

Sayeed, Shapin Ibne; Oakman, Jodi; Stuckey, Rwth

doi:10.1080/09638288.2023.2217383

Disability and Rehabilitation

2023

DOI: 10.1080/09638288.2023.2217383

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Factors influencing access to and participation in rehabilitation for people with lower limb amputation in East, South, and Southeast Asian developing countries: the perspective of rehabilitation professionals – a qualitative study

Shapin Ibne Sayeed

Jodi Oakman

Rwth Stuckey

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2024

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Cited by 3 publications

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A disparity in prosthetic access for Ecuadorians with lower-limb amputation

Lipski,

Waters,

Kenworthy

et al. 2024

Prosthetics &Amp; Orthotics International

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Background: Individuals with disabilities in low- and middle-income countries face barriers to rehabilitation services, including prosthetic care. Many countries, such as Ecuador, have adapted policies toward achieving universal health care coverage. For optimal functional outcomes, understanding the physical potential of prosthetic users is critical for appropriate prosthetic services. Objective: To determine the association between the functional level of Ecuadorians with lower-limb amputations and the functional level of their prosthetic componentry. Study design: Retrospective study. Methods: A data set containing functional level (K-Level) of Ecuadorians with lower-limb amputations and the K-Level of their prosthesis was analyzed. Results: A diverse cohort of 164 participants with unilateral lower-limb amputation was recruited. Most participants were male (76.8%) with transfemoral amputations (56.1%) due to traumatic causes (51.2%). There was a small, positive, and statistically significant correlation between participants’ functional levels and prosthetic componentry. Participants's functional levels were typically superior (median = 3) to their prostheses’ functional abilities (median = 1), and 37.2% of participants did not have a prosthesis at the time of assessment. Conclusions: These data indicated that participants whose physical ability exceeded basic ambulation lacked access to prostheses to match their functional abilities. The detailed disparity between physical potential and prosthetic access derived from the study’s analysis supports investment into high functioning prosthetic componentry and further investigation into where gaps in care exist.

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A disparity in prosthetic access for Ecuadorians with lower-limb amputation

Lipski,

Waters,

Kenworthy

et al. 2024

Prosthetics &Amp; Orthotics International

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Community Based Rehabilitation in People With Lower Limb Amputation: A Systematic Review

Zárate Rueda,

López Gualdrón,

Beltrán Villamizar

2024

Sage Open

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The purpose of this paper is to identify the intervention components, key actors and models of social innovation that can contribute to the improvement of health rehabilitation services from a biopsychosocial perspective, aimed at people with lower limb amputation in a situation of disability. Likewise, it aims to analyze the ways in which Community Based Rehabilitation (CBR) facilitates the elimination of barriers in rehabilitation services and promotes a better quality of life for people with disabilities. A systematic review of scientific literature for the period 2001 to 2019 was carried out, starting with a bibliometric analysis of publications found in the Web of Science and Scopus databases; followed by content analysis with NVivo 12 software. Among the findings, it was identified that the optimization of health services for the population with disabilities in emerging countries requires investment and training. In addition, the success and deficiencies in CBR programs were analyzed, since according to the systematic review, these are limited to the care of people with lower limb amputation in contexts of armed conflict.

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Lifestyle Adjustments in Diabetic Individuals Following Lower Extremity Amputations: A Qualitative Study

Atinga,

Henyo,

Addah

et al. 2024

Cureus

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Factors influencing access to and participation in rehabilitation for people with lower limb amputation in East, South, and Southeast Asian developing countries: the perspective of rehabilitation professionals – a qualitative study

Cited by 3 publications

References 69 publications

A disparity in prosthetic access for Ecuadorians with lower-limb amputation

A disparity in prosthetic access for Ecuadorians with lower-limb amputation

Community Based Rehabilitation in People With Lower Limb Amputation: A Systematic Review

Lifestyle Adjustments in Diabetic Individuals Following Lower Extremity Amputations: A Qualitative Study

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