Functional status and prosthesis use in amputees, measured with the Prosthetic Profile of the Amputee (PPA) and the short version of the Sickness Impact Profile (SIP68)

Function and Pain in Community-Dwelling, Adult Mid-Southerners with Limb Loss

“…These studies measured global function with the Sickness Impact Profile 68 (SIP68) in persons with limb loss from the Netherlands. 2,3,60 Studies of persons with limb loss have reported impaired global function using the SIP136 in persons with limb loss from the Lower Extremity Assessment Project (LEAP), 4,5,10 persons with diabetes and vascular limb loss from Texas, 6 and persons with limb loss from the Netherlands. 7,9 Participants in the LEAP study were male 81.5%, White 73.0%, Black 19.7%, and other race/ethnicity 7.3%, with over half under age 35 years who had undergone traumatic amputations at one of eight level one trauma centers throughout the United States.…”

“…Physical impairment was demonstrated with the SIP68 categories somatic autonomy, mobility control, and mobility range in persons with limb loss from the Netherlands. 3 Mobility control is the ability to control one's body, or what one's true ability is and mobility range is the ability to perform expected tasks, or the physical activities that an individual is actually performing 67 . The mean physical function sub-scores of the SIP136 showed impairment in LEAP study participants, 4,5,10 in persons with limb loss from Texas with diabetes and vascular limb loss, 6 and in persons with limb loss recruited in Washington state.…”

“…Impaired psychosocial function was reported as measured with the SIP68 categories of psychic autonomy and communication, social behavior, and emotional stability in persons with limb loss from the Netherlands. 3 Impaired psychosocial function was shown in LEAP study participants using the psychosocial subscales of the SIP136. 4,5,10 However, there was no difference reported between persons with diabetes recruited from Texas with or without limb loss in the psychosocial function sub-scales of the SIP136.…”

“…3 The PPA was developed specifically for persons with lower extremity limb loss to assess for prosthetic limb use and activities. 124 A direct statistical analysis to compare all of the specific results of the instruments was not entirely practical since the PPA has many qualitative questions.…”

“…1 The loss of a limb impairs function. [2][3][4][5][6][7][8][9][10] Maintenance and improvement of function in persons with limb loss is important to the individual and society. The cost of a limb loss and the supportive care for the first two years that follow an amputation can reach over half a million dollars.…”