Psychosocial and physical adjustments and prosthesis satisfaction in amputees: a systematic review of observational studies

Luza, Lisiane Piazza; Ferreira, Elizandra Gonçalves; Minsky, Rafaela Coelho; Pires, Greicy Kelly Wosniak; Silva, Rudney da

doi:10.1080/17483107.2019.1602853

Cited by 40 publications

(33 citation statements)

References 28 publications

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“…Additionally, psychosocial factors may also be related factors that lead to differences. 29 Larbig et al reported that the severity of PLP 1 year after amputation was related to depression and anxiety. 9 Emotional state may be a risk factor for chronic pain, but it is difficult to accurately collect emotional status in retrospective studies, so it was not discussed in this study.…”

Section: Discussionmentioning

confidence: 99%

Phantom Limb Pain and Sensations in Chinese Malignant Tumor Amputees: A Retrospective Epidemiological Study

Jiang¹,

Zheng²,

Wang³

et al. 2021

NDT

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Objective: Phantom limb pain (PLP) was a common problem in malignant tumor amputees that can cause considerable suffering. The purposes of this study were to determine the incidence and factors associated with the occurrence of post-operation PLP, stump limb pain (SLP), and phantom limb sensations (PLS) in tumor amputees within the first month after surgery. Additionally, differences in phantom phenomena between upper and lower extremities were investigated. Methods: In total, 162 amputees participated in this retrospective study who underwent malignant limb amputation between 2012 and 2019. Clinical characteristics were collected from medical records and reconfirmed by telephone interviews. A numerical rating scale (NRS) was used to quantitate phantom phenomena. We used analysis of variance and nonparametric statistics for categorical variables and ordinal variables separately. Results: In the first month after malignant amputation, the incidence of PLP was 54.3%, that of PLS was 65.4%, and that of SLP was 32.7%. The duration of preoperative pain and amputation level was significantly different for the incidence of acute PLP. Further subgroup analysis of amputation level showed that patients whose amputation level was below the wrist and ankle joints had a significantly reduced incidence of PLP (p<0.0083 in Bonferroni test). Binary logistics regression analysis determined that amputation level was the primary risk factor for the incidence of PLP. Factors related to the severity of postoperative PLP also included amputation level, preoperative pain, and amputation times. By comparing the differences between upper and lower limbs after amputation, we found that the incidence of PLS was higher after lower limb amputation, but there was no significant difference in the incidence of PLP and SLP. Preoperative experience of chemotherapy was not a risk factor for PLP. Conclusion:Proximal amputation and long-term preoperative pain seemed to count more for PLP incidence. Further research may be required to individually determine factors associated with the occurrence and chronicity of phantom phenomena.

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Section: Discussionmentioning

confidence: 99%

Phantom Limb Pain and Sensations in Chinese Malignant Tumor Amputees: A Retrospective Epidemiological Study

Jiang¹,

Zheng²,

Wang³

et al. 2021

NDT

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“…The greatest prosthetic dissatisfaction areas found were color and weight. Transtibial amputees tend to be more satisfied than transfemoral amputees [153].…”

Section: A Qol Satisfaction and Psycho-social Adjustmentmentioning

confidence: 96%

Advancements, Trends and Future Prospects of Lower Limb Prosthesis

et al. 2021

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Amputees with lower limb loss need special care during daily life activities to make the movement natural as before amputation. No such work exists covering the main aspects from causes of amputation to the psycho-social impact of the amputees after using the prosthetic device. This review presents for lower limb prosthesis; the study of lower limb amputation, design & development, control strategies & machine learning algorithms, the psycho-social impact of prosthetic users, and design trends in patents. Research articles, review papers, magazines, letters, study reports, surveys, and patents, etc. have been used as sources for this review. Traumatic injuries and different diseases have been found as common causes of amputation. Design & development section illustrates design mechanisms, the categories of passive, active, & semi-active prostheses, an overview of a subset of commercially available prosthetic devices, and 3D printing of the accessories. The control section provides information about control techniques, sensors used, machine learning algorithms, and their key outcomes. Quality of life, phantom limb pain, and psycho-social impact of prosthetic users have been summarized for different countries that are believed to attract the interest of the readers. We have also developed an opensource database "FAKH-50" for patents to emphasize the design trends and advancements in lower limb prostheses from 1970 to 2020. Overall trend analysis determined is in the descending order as the knee (48%) > ankle (28%) > foot (22%) > hip (2%) patents in the current version of our database. The forthcoming section highlights the challenges and prospects of the domain. A mutual observation demands the design of a bio-compatible, lightweight, and economic prosthesis to track the normal human gait by eliminating phantom limb pain. This will empower the amputees to live a quality life in society. This work may be beneficial for researchers, technicians, clinicians, and amputees.INDEX TERMS Causes of amputation, lower limb amputation, lower limb prosthesis, design mechanisms, semi-active prosthesis, human gait cycle.

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“…One of the most common challenges for new prosthesis users is for the patients to accept the fitting of any kind of prosthetic device to their own body. Many of the patients reject the prosthesis because of the unfamiliarity of the artificial limb on their arm [26,23,32]. The rejection rate is even higher for congenital deficiency patients [2].…”

Section: Acceptance Of the Myoelectric-powered Prosthetic Devicementioning

confidence: 99%

“…Prosthetic wearers who reported to be satisfied with the artificial limb reported limited improved mobility and quality of life since they were also encountered difficulties with the prosthetic arm control [30,32]. As a result, adjustment to prosthesis use and prosthetics satisfaction of an artificial limb in people with limb amputation has been a complex and sensitive process because of the physiological (e.g., presence of physical pain and sensations related to the missing body part) and psychological (e.g., depressive and anxiety episodes emerging from body image dissatisfaction) boundaries it encompasses [10,23,26].…”

Section: Introductionmentioning

confidence: 99%

“…The necessity of comprehensive patient training is required to increase artificial limb acceptance by influencing positively the prosthetic fitting and the patient's satisfaction, which will improve the movement capacity and promote early return to functional activities and abilities of daily living [6,26,48]. However, this type of training is considered to be expensive since it needs high-end technologies (e.g., myoelectric prostheses) and substantial monitoring by medical and paramedical staff [31].…”

Section: Introductionmentioning

confidence: 99%

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Designing a Virtual Reality Myoelectric Prosthesis Training System for Amputees

Phelan

Arden

Matsangidou

et al. 2021

Extended Abstracts of the 2021 CHI Conference on Human Factors in Computing Systems

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Electrical signals produced by muscle contractions are found to be effective in controlling accurately artificial limbs. Myoelectric-powered can be more functional and advantageous compared to passive or body-powered prostheses, however extensive training is required to take full advantage of the myoelectric prosthesis' usability. In recent years, computer technology has brought new opportunities for improving patients' training, resulting in more usable and functional solutions.Virtual Reality (VR) is a representative example of this type of technology. These preliminary findings suggested that myoelectric-powered training enhanced with VR can simulate a pain-free, natural, enjoyable, and realistic experience for the patient. It was also suggested that VR can complement prosthesis training, by improving the functionality of the missing body part. Finally, it was shown that VR can resolve one of the most common challenges for a new prosthesis user, which is to accept the fitting of the prosthetic device to their own body.

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Psychosocial and physical adjustments and prosthesis satisfaction in amputees: a systematic review of observational studies

Cited by 40 publications

References 28 publications

Phantom Limb Pain and Sensations in Chinese Malignant Tumor Amputees: A Retrospective Epidemiological Study

Phantom Limb Pain and Sensations in Chinese Malignant Tumor Amputees: A Retrospective Epidemiological Study

Advancements, Trends and Future Prospects of Lower Limb Prosthesis

Designing a Virtual Reality Myoelectric Prosthesis Training System for Amputees

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