Return to work after lower limb amputation

Burger, Helena; Marinček, Črt

doi:10.1080/09638280701320797

Cited by 127 publications

(95 citation statements)

References 34 publications

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“…Our hypothesis that greater mobility aids (walking aids or wheelchair) would present a barrier to employment was not demonstrated, even though use of orthoses was suggestive of being a limiting factor to work participation. While dependency in basic activities and restrictions in mobility were found to represent major limitations to work participation among other health conditions such as traumatic brain injury, 28 stroke, 29 amputations, 30 and spinal cord injury, 11,12 driving a car as a facilitating factor of employment was seldom described. 31 There are many potential explanations for B-ADL dependency being a barrier to work participation.…”

Section: Discussionmentioning

confidence: 99%

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Zeilig

Weingarden

Shemesh

et al. 2012

The Journal of Spinal Cord Medicine

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Introduction: Remunerative employment is a major concern of individuals with chronic disabilities, among them, those with longstanding poliomyelitis (LSP). Although LSP is not rare there are almost no data related to work participation. Purpose: The aims of the current study were to determine the effects of a number of social and functional variables as barriers or facilitators to work participation in persons with LSP. Patients and methods: Charts of 123 LSP patients of working age that were seen in the post-polio outpatient clinic, between the years 2000 and 2005 were reviewed for the study. Data on age, gender, family status, level of function in activities of daily living, basic, and extended (B-ADL and E-ADL), and mobility were then analyzed for correlation to the vocational status. Results: Seventy-two people (58.5%) were employed at the time of the survey. Gender and marital status were not found to significantly differ as regard to employment. Using assistive devices for mobility or being dependent for basic ADL were associated with lower levels of employment. Driving was positively associated with the employment status of the LSP individuals. Conclusion: Persons with LSP encounter important barriers to work participation, particularly on the International Classification of Functioning, Disability, and Health (ICF) components of activity and environment.

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Section: Discussionmentioning

confidence: 99%

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Zeilig

Weingarden

Shemesh

et al. 2012

The Journal of Spinal Cord Medicine

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“…Lower limb amputees show a relatively high grade of job participation compared to people with other diseases or handicaps or compared to healthy persons. [1][2][3] Furthermore, lower limb amputees tend to be more satisfied with their occupational status than controls. 2 After an upper limb amputation, job reintegration is high, 4,5 but nothing has yet been revealed on job satisfaction after an upper limb amputation.…”

Section: Introductionmentioning

confidence: 99%

Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees

Sluis¹,

Hartman²,

Schoppen³

et al. 2009

Prosthetics &Amp; Orthotics International

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Objectives: To explore job adjustments, job satisfaction, and health experience among employees with an upper limb amputation and to compare the results with those of lower limb amputees and control subjects. Methods: Amputees were recruited from data files of a large European University Medical Centre and orthopaedic workshops. Controls were matched colleagues of the lower limb amputees. All participants filled out the VAG questionnaire (Vragenlijst Arbeid en Gezondheid), assessing job satisfaction and job adjustments, and the RAND-36. Results: 28 upper limb amputees were compared to 144 lower limb amputees and 144 controls. Job adjustments were necessary in 38% and 28% of upper and lower limb amputees, respectively. All three groups were equally satisfied with their jobs (p ¼ 0.90). Vocational rehabilitation was applied to 26% and 8% of upper and lower limb amputees, respectively. Upper limb amputees rated their general health worse (18 points, 95% CI: 12-25) compared to lower limb amputees, corrected for effects of confounders (age and co-morbidity). Conclusions: Upper and lower limb amputees have high job satisfaction and a minority need job adjustments. In upper limb amputees, the causes of the worrisome general health experience need further investigation. In upper and lower limb amputees, vocational rehabilitation deserves additional attention.

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“…Most were unemployed both preoperatively and postoperatively and had low or no formal education. This has also been shown in other studies by Burger and Marincek (2007) Amosun et al (2005). This would then make it difficult for them to either return to work if they had a physically demanding occupation or to find alternative employ ment (Burger and Marincek 2007).…”

Section: Discussionmentioning

confidence: 84%

Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.

Godlwana

Stewart

Musenga

2012

South African Journal of Physiotherapy

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The preoperative and postoperative median VAS of the EQ-5D was 60 and 70 respectively showing no significant improvement in Qol (median eQ-5d VAs). The preoperative and postoperative median total bI score was 20 and 19 respectively, showing a significant reduction in function (median total BI) three months postoperatively (p<0.001).Preoperative mobility was a predictor of postoperative quality of life. being female was a predictor of higher quality of life.The average eQ-5d VAs score and overall function (total bI) were generally scored high both preoperatively and postoperatively but there was no significant improvement in EQ-5D VAS score and there was a significant reduction in function after three months. higher scores in mobility preoperatively is a predictor of higher quality of life postoperatively.

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Return to work after lower limb amputation

Cited by 127 publications

References 34 publications

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Functional and environmental factors affecting work status in individuals with longstanding poliomyelitis

Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees

Quality of life following a major lower limb ampu tation in Johann esburg, South Africa.

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