Lower Extremity Amputation

Moore, Wesley S.; Malone, James M.; Saunders, W. B.; Howey, Tom

doi:10.1097/00005131-199003000-00022

Cited by 19 publications

(4 citation statements)

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“…A negative body image can be in the form of mild feelings of unattractiveness to extreme obsession with physical appearance that impairs normal functioning as discussed by Rosen, R e i t e r a n d O r o s a n ( 1 9 9 5 ) . I t i s a l s o understandable that body image involves perception, feelings, emotions and physical sensation about one's own body, which were summarized by Parker (1975), Price (1990), Van Deusen (1997, Salter (1988), Miller (1991), Moore & Malone (1989). Moreover, body image is not static, but ever changing; and is sensitive to changes in mood, environment and life experience as shown by the research works of Schontz (1990), Breakey (1997), Flannery & Faria (1999), Watanabe, McCluskie and Hakin (1999), Livneh, Antonak & Gerhart (1990).…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of a Body Image Assessment for Patient after Lower Limb Amputation—The Chinese Amputee Body Image Scale-CABIS—

Lai

Wong

et al. 2005

Asian J OT

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Rehabilitation professionals increasingly understand that psychological issue is an important key to achieve rehabilitation goals. Previous studies proved that body image has significant relationship with amputation rehabilitation, however, measurements on body image are not well stated. The aim of this study is to develop a Chinese version of Amputee Body Image Scale (CABIS). In this study, linguistic validity, content validity, test-retest reliability and construct-validity were examined. The 20 items CABIS showed with clear presentation and good content understandability. Expert panel agreed that CABIS covered major constructs in body image for patients after amputation. Moreover, test-retest reliability was found to be good (α= .857, p< .01). A three-factor structure can be extracted from factor analysis. These three factors were personal factor, social factor and functional factor. Furthermore, the internal consistency of the three individual factors and the overall CABIS were .852, .826, .636, and .694 respectively. The moderate internal consistency further confirmed that the items within each factor of the CABIS measure the same construct. Some psychometric properties of CABIS were collected. Further research on criterion-related validity and improvement on factor stability are recommended.

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Section: Introductionmentioning

confidence: 99%

Development and Validation of a Body Image Assessment for Patient after Lower Limb Amputation—The Chinese Amputee Body Image Scale-CABIS—

Lai

Wong

et al. 2005

Asian J OT

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“…This meta-analysis showed moreover similar results in both LSS and amputation patients and, when compared with the normal population, there was a huge difference. Hence, the management for this, after reviewing some literature, can be listed as early psychological consultation even before surgery for better acceptance of treatment, active family and group member talking, and regular counseling by the surgical team ( 44 ). In our study, two included studies were recently conducted and published in the Years 2021 and 2022 ( 27 , 28 ), which highlights that these two treatment methods are in practice and established the validity of conducting this meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

Comparing quality of life in lower extremity tumor patients undergoing limb salvage surgery and amputation: a meta-analysis

Banskota,

Lei,

Yuan

et al. 2024

Front. Oncol.

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PurposeLimb salvage surgery and amputation are two commonly performed procedures for lower extremity tumors. When comparing these procedures in tumor patients, it is important to consider their impact on quality of life (QOL) and functional mobility. These patients often experience physical, emotional, and psychological challenges, making these factors crucial in determining the most suitable treatment approach.MethodThe outcomes of lower extremity tumors patients for QOL were collected from PubMed, MEDLINE, EMBASE, Cochrane, and Google Scholar until 28 February 2023. The physical function, mental health, role function, social function, emotional function, Toronto Extremity Salvage Score, and Musculoskeletal Tumor Society Score outcomes were analyzed to determine the differences between the two procedures.ResultsFive articles were included according to the selection criteria with a total of 245 patients. The standard mean difference (SMD) values of each parameter were slightly higher in limb salvage surgery patients but not higher enough to produce statistically significant results; the SMD values for physical function and mental health were 0.72 and 0.04, respectively. This study did not report any heterogeneity or publication bias.ConclusionsQOL is a large and enhanced term, which carries its importance and is challenging to compare between any procedures. The minimal rise in SMD of different QOL parameters highlighted only a slight advantage of limb salvage surgery over amputation. Therefore, further research is required to explore the impact of this crucial topic.

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“…A number of studies have claimed to identify parameters with power in diagnostic or prognostic discrimination, in evaluation of interventions, or in predicting amputation levels. 6,7,8,10,16,18,20,23,24 However, definitions of critical levels and cutoff points vary. Reliability data are scarce, though it is recognized that biological changes in the patient (somatic or psychological), temporal variability, and measurement variability can influence measurements of the skin circulation.…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous Oximetry, Laser Doppler Fluxmetry, and Capillary Microscopy: Variability in Patients with Advanced Atherosclerotic Disease of the Lower Extremity

2000

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Purpose. Noninvasive methods of studying the microcirculation have been advocated in patients with advanced peripheral vascular disease to assess skin viability. Good reliability is a prerequisite for such parameters. This study was carried out to evaluate the variability of three methods: transcutaneous oxygen tension measurement (tc.pO9, diode laser Doppler fluxmetry (dLDF), and capillary microscopy (CM). Methods. Repeated measurements were performed in 20 patients with restpain or severe disabling intermittent claudication (ankle/brachial pressure index <0.5). Tc.pO2 was performed on the dorsum of the foot and measured under baseline conditions, during 4 minutes of O2-inhalation, and during reperfusion after 3 minutes of tourniquet occlusion. dLDF was performed on the palmar skin of the hallux, at rest, and during reperfusion after 3 minutes of tourniquet occlusion. CM was performed at the nailfold of the hallux; capillary density, morphologic changes of the capillaries, and perfusion with fluorescein were studied. Results. Increased tc.pO2 rates during the oxygen inhalation and reperfusion tests are well-reproducible and show discriminative power. Resting tc.pO2 seems less valuable. Some dLDF parameters are highly reproducible, but only resting flux and the flux increase rate during reperfusion demonstrate discriminative power. CM is highly reproducible as performed by one observer. The capillary morphology score allows for severity grading. Conclusion. Controversies on interpretation and cutoff values of microcirculatory parameters could well be associated with the variability of some of the parameters. Only parameters with adequate reproducibility and discriminatory power can be used to evaluate intervention procedures or to determine amputation levels.

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Lower Extremity Amputation

Cited by 19 publications

References 0 publications

Development and Validation of a Body Image Assessment for Patient after Lower Limb Amputation—The Chinese Amputee Body Image Scale-CABIS—

Development and Validation of a Body Image Assessment for Patient after Lower Limb Amputation—The Chinese Amputee Body Image Scale-CABIS—

Comparing quality of life in lower extremity tumor patients undergoing limb salvage surgery and amputation: a meta-analysis

Transcutaneous Oximetry, Laser Doppler Fluxmetry, and Capillary Microscopy: Variability in Patients with Advanced Atherosclerotic Disease of the Lower Extremity

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