Life Habits and Prosthetic Profile of Persons With Lower-Limb Amputation During Rehabilitation and at 3-Month Follow-Up

Zidarov, Diana; Swaine, Bonnie; Gauthier-Gagnon, Christiane

doi:10.1016/j.apmr.2009.06.011

Cited by 38 publications

(29 citation statements)

References 20 publications

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“…One of the main goals is to enable potential prosthetic users to regain mobility (Murray, 2004(Murray, , 2009Zidarov et al, 2009). To improve support and care for potential prosthetic users following a leg amputation, the experience of being supplied with a prosthesis needs further investigation.…”

Section: Articlementioning

confidence: 99%

“…Several studies have shown a direct link between locomotor capabilities with prosthesis and increased levels of autonomy, self-esteem, and improved social life (Jefferies, 2015;Murray, 2009;Murray & Forshaw, 2013;Schaffalitzky et al, 2011;Senra, Oliveira, Leal, & Vieira, 2012;Zidarov, Swaine, & Gauthier-Gagnon, 2009). However, not everyone will benefit from the provision of a lower limb prosthetics or will learn to master its use.…”

Section: Articlementioning

confidence: 99%

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Being In-Between

et al. 2016

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Many persons with leg amputations experience that using a prosthesis enriches their quality of life. However, there is an ongoing concern with underuse and non-use of artificial limbs in lower limb prosthetic rehabilitation. Studies have identified an initial critical stage among potential prosthetic users. The aim of this study was to explore the lived experience of becoming a prosthetic user as seen from the perspective of patients. The study is based on the phenomenological framework of Reflective Lifeworld Research (RLR). Data were collected through three in-depth interviews with each of the eight participants during the first year post-amputation. Data were analyzed according to the guidelines given in RLR. The findings showed that the participants found themselves in a state of in-between existence. They felt disconnected from their usual lives and not yet integrated in a new and different life. In this in-between existence, the participants oscillated between experiences of victory and defeat. The study adds to increased understanding of the initial critical stage of becoming a prosthetic user by showing that this in-between existence is inherent in the process of becoming a prosthetic user. To become a prosthetic user requires a high degree of stamina and resilience as this in-between existence takes its toll on patients' recovering process.

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Section: Articlementioning

confidence: 99%

Section: Articlementioning

confidence: 99%

Being In-Between

et al. 2016

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“…Few studies have explicitly examined the impact of limb loss on participation, despite its 5 status as a key rehabilitation outcome (8). The limited evidence available indicates that amputation results in significant restrictions in participation, particularly in the areas of physical recreation, leisure activities, and employment (9,10). Little is currently known about the experience of disability in the activity and participation component of the ICF among people with LLA, its trajectory over time, or associations with personal and environmental factors in this population (1,9).…”

mentioning

confidence: 99%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

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Objective: (1) To identify significant changes in disability and quality of life (QoL) across three time points (T1 = admission to rehabilitation, T2 = six weeks post-discharge, T3 = six months post-discharge) in individuals with lower limb amputation, and (2) to examine whether goal pursuit and goal adjustment at T1 were predictive of these outcomes at T3.Design: Prospective cohort study. Setting: Inpatient rehabilitation.Participants: Consecutive sample of 64 persons aged 18 years and over with major lower limb amputation.Interventions: Not applicable. Main Outcome Measures: World Health Organisation Disability Assessment ScheduleVersion 2.0 (WHODAS 2.0); World Health Organisation Quality of Life Questionnaire-Brief Version (WHOQOL-BREF).Results: Mean WHODAS 2.0 scores were in the 95 th percentile at each time point. Scores on the WHODAS 2.0 and the physical, psychological and social relationships domains of the WHOQOL-BREF remained stable across the study period. Environmental QoL scores decreased from T1 to T2, but returned to near-baseline levels between T2 and T3. Having a greater tendency towards goal pursuit at T1 was predictive of higher physical and psychological QoL at T3, while having a stronger disposition towards goal adjustment at T1 predicted lower disability and higher environmental QoL at T3. Conclusions:High levels of disability were experienced from admission to rehabilitation up to six months post-discharge. QoL in the physical, psychological and social relationships domains remained stable over the study period. Stronger goal pursuit and goal adjustment 3 tendencies on admission predicted lower disability and higher QoL six months postdischarge. and health classification system that offers a generic framework for describing the consequences of illness and disability and the dynamic interplay of personal and environmental factors (5), and has been applied to a number of conditions, including LLA (5, 6). The ICF classifies functioning and disability into two components: (1) body functions and structures (at the level of the body or body part), which are interpreted through changes in physiological systems or anatomical structures; and (2) activities (at the level of the whole person) and participation (at the level of the whole person in a social context), which are interpreted through capacity and performance.The primary goal of rehabilitation is to achieve optimal functioning (as appropriate to the individual) at each of these levels (7). Recent reviews indicate that most rehabilitation outcomes research among persons with LLA has been at the level of body functions and structures (2) or specific activities such as mobility (6) Theories of self-regulation may help to increase understanding of adjustment to LLA (17, 18). According to this perspective, human behaviour is organised around the pursuit of goals, which energise activities and give structure and meaning to people's lives and are thus closely linked with their subjective well-being (19-21). Indeed, negative associations hav...

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“…A second challenge faced by individuals with LL amputation is maintaining engagement in various leisure and productive activities. Previous research using subjective assessments has found that this population participates in fewer leisure activities after amputation compared to before amputation, and this decreased participation persists following inpatient rehabilitation [2][3].…”

Section: Introductionmentioning

confidence: 99%

Balance confidence and activity of community-dwelling patients with transtibial amputation

Mandel¹,

Paul

Paner

et al. 2016

J Rehabil Res Dev

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Abstract-The purpose of this study was to examine the relationship between balance confidence and community-based physical activity. Twenty-two community-dwelling patients with right or left unilateral transtibial amputation who reported no falls in the past 6 mo completed the Activities-Specific Balance Confidence Scale (ABC) and wore a StepWatch Activity Monitor for 7 consecutive d in the community. Subjects were subsequently stratified as low (<3,000 steps/d) or high (3,000 steps/ d) activity groups. Balance confidence was significantly lower among the low activity weekday group (LAG) (70.8 +/-12.0 vs 88.9 +/-8.7, t(20) = 3.97, p = 0.001). Further, correlation analysis revealed a positive correlation between ABC score and step total (r = 0.55, p < 0.01). It is unknown whether the LAG limited ambulation as an intentional strategy of fall-risk avoidance. Although clinicians routinely inquire about falls in the community among patients with lower-limb amputation, the results of this study emphasize the importance of contextualizing recent fall history relative to activity level. Clinicians can use this contextual information when considering the inclusion of appropriate fall-risk mediation strategies relative to activity levels and counseling patients on the benefits of physical exercise for maintaining functional capacity and general health.

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Life Habits and Prosthetic Profile of Persons With Lower-Limb Amputation During Rehabilitation and at 3-Month Follow-Up

Cited by 38 publications

References 20 publications

Being In-Between

Being In-Between

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Balance confidence and activity of community-dwelling patients with transtibial amputation

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