Prevalence of low back pain after transfemoral amputation related to physical activity and other prosthesis-related parameters

Stam, Henk J.; Dommisse, Anne-Marieke V; Bussmann, Hans

doi:10.1080/09638280410001696683

Cited by 23 publications

(29 citation statements)

References 6 publications

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“…Positive report of OP was 62.7%, which was consistent with studies that have reported back pain in 26.3%-76% of people with LE limb loss, 24,26,87 as well as previous studies reporting pain in persons with upper extremity limb loss in the neck/upper back/contra-lateral shoulder in 45% of participants. 62 The mean and standard deviation and range of OP intensities after converting them to a numeric value of 0-4 were current OP (0.7 ± 0.9 [0-3]), approaching the lowest quartile; usual OP (1.1 ± 1.1 [0-3]) just over the lowest quartile, worst OP (2.0 ± 1.7 [0-4]) at the mid-point, and least OP (0.4 ± 0.7 [0-3]), approaching no pain.…”

Section: Other Painsupporting

confidence: 79%

“…87 There has also been pain reported in the neck/upper back/contra-lateral shoulders in persons with upper extremity limb loss from the United Kingdom. 62 In persons with unilateral traumatic lower extremity limb loss, pain in the contra-lateral or sound limb knee secondary to osteoarthritis has also been reported in a sample of all male veterans recruited in Washington state.…”

Section: Other Painmentioning

confidence: 99%

“…132 However, studies have documented pain in more than one location and not just PLP and RLP. 23,24,26,62,87 …”

Section: Number Of Pain Locationsmentioning

confidence: 99%

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

Evans¹

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Section: Other Painsupporting

confidence: 79%

Section: Other Painmentioning

confidence: 99%

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

Evans¹

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“…To our knowledge, the only study to investigate the relationship between LBP and PA in TFA reports a lack of significant association between LBP and PA levels [28]. However, the sample included TFAs of multiple causes, including vascular disease and malignancy, which could have confounded the results.…”

Section: Introductionmentioning

confidence: 94%

“…According to the Dillman sample size estimation equation [33] for a population of 458, a sample of 209 participants was needed at a 95 percent confidence interval (CI) with a ±5 percent sampling error and assuming a 50/50 split in choosing the responses (yes or no) for the LBP question. Based on the results of similar previous studies [4,28], we calculated the sample size (n = 322) assuming a response rate of 65 percent.…”

Section: Methodsmentioning

confidence: 99%

Physical activity and lower-back pain in persons with traumatic transfemoral amputation: A national cross-sectional survey

Devan

Tumilty²,

Smith³

2012

JRRD

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Abstract-Lower-back pain (LBP) is a common secondary condition following lower-limb amputation. The purpose of this study was to investigate LBP prevalence and the relationship between LBP and physical activity (PA) levels in a national sample of persons with traumatic transfemoral amputation (TFA). Questionnaires were mailed to a random sample of people with traumatic TFA (n = 322) from the New Zealand Artificial Limb Board national database. Of the participants who completed the survey (55% response rate), 64.1% reported LBP and 39.1% reported restricted PA due to LBP. There was no relationship between the PA levels of persons with and without LBP (chi-square = 2.11, p > 0.05). There was an equal distribution of persons with LBP in low, medium, and high PA subgroups. However, persons who reported restricted PA due to LBP had lower PA scores than persons with LBP and no restricted PA (chi-square = 11.56, p < 0.05). Based on our results, LBP is prevalent in the traumatic TFA population. PA levels are not influenced by the presence or absence of LBP. However, future studies investigating LBP coping strategies and using objective PA outcome measures might further elucidate the relationship between PA and LBP in this population.

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Low Back Pain in Adults With Transfemoral Amputation: A Retrospective Population‐Based Study

Luetmer

Mundell

Kremers

et al. 2019

PM&R

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Background Low back pain (LBP) is common among individuals with transfemoral amputation (TFA) and has a negative impact on quality of life. Little is known about health care utilization for LBP in this population and whether utilization varies by amputation etiology. Objective To determine if individuals with TFA have an increased likelihood of seeking care or reporting symptoms of acute or chronic LBP during physician visits after amputation compared with matched individuals without amputation. Design Retrospective cohort. Setting Olmsted County, Minnesota (2010 population: 144 248). Participants All individuals with incident TFA (N = 96), knee disarticulation, and transfemoral amputation residing in Olmsted County between 1987 and 2014. Each was matched (1:10 ratio) with non‐TFA adults on age, sex, and duration of residency. Individuals were divided by etiology of amputation: dysvascular and trauma/cancer. Interventions Not applicable. Main Outcome Measurements Death and presentation for evaluation of LBP (LBP event) while residing in Olmsted County. LBP events were identified using validated International Classification of Diseases, Ninth Revision (ICD‐9) codes and corresponding Berkson, Hospital International Classification of Diseases Adapted (HICDA), and ICD‐10 diagnostic codes. Hurdle and competing‐risk Cox proportional hazard models were used. Results Having a TFA of either etiology did appear to correlate with increased frequency of LBP events, although this association was only statistically significant within the dysvascular TFA cohort (dysvascular TFA cohort: relative risk [RR] 1.80, 95% confidence interval [CI] 1.07‐3.03, median follow‐up 0.78 years; trauma/cancer TFA cohort: RR 1.14, 95% CI 0.58‐2.22, median follow‐up 7.95 years). In time to event analysis, dysvascular TFA had an increased risk of death and event. Obesity did not significantly correlate with increased frequency of LBP events or time to event for either cohort. At any given point in time, individuals with TFA of either etiology who had phantom limb pain were 90% more likely to have an LBP event (hazard ratio [HR] 1.91, 95% CI 1.11‐3.31). Conditional on not dying and no LBP event within the first 2.5 years, individuals with prosthesis had a decreased risk of LBP events in subsequent years. Conclusions Risk of LBP events appears to vary by TFA etiology. Obesity did not correlate significantly with increased frequency of LBP event or time to event. Phantom limb pain correlated with decreased time to LBP event after amputation. The association between prosthesis receipt and LBP events is ambiguous. Level of Evidence III.

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Prevalence of low back pain after transfemoral amputation related to physical activity and other prosthesis-related parameters

Cited by 23 publications

References 6 publications

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

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

Physical activity and lower-back pain in persons with traumatic transfemoral amputation: A national cross-sectional survey

Low Back Pain in Adults With Transfemoral Amputation: A Retrospective Population‐Based Study

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