Poster 301: Phantom Pain, Phantom Sensation, and Spine Pain in Bilateral Lower Limb Amputees

2008 ◽  
Vol 89 (11) ◽  
pp. e120
Author(s):  
Seyedmansoor Rayegani ◽  
Batol Mousavi ◽  
Abbas Aryanmehr
Keyword(s):  
Lower Limb ◽  
Phantom Pain ◽  
Spine Pain ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

2006 ◽  
Vol 30 (2) ◽  
pp. 155-164 ◽  
Author(s):  
Ji Cheol Shin ◽  
Eun Joo Kim ◽  
Chang Il Park ◽  
Eun Sook Park ◽  
Kyoo-Ho Shin
Keyword(s):  
Clinical Features ◽  
Lower Limb ◽  
Daily Living ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Medical Problems ◽  
Amputation Level ◽  
Significant Difference ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

The objectives of this study were to evaluate the clinical features and outcomes of 43 bilateral lower limb amputees. The clinical features obtained included the causes of amputation, level of amputation, concurrent medical problems, and stump condition. Outcome measures were obtained using the activities of daily living (ADL) index, the Frenchay Activities Index (FAI), and mobility grading with prostheses or wheelchair. Of 33 amputees who were prosthetic ambulators, 22 (67%), mainly bilateral trans-tibial (TT) amputees, were community ambulators, and participated in activities which included stair-walking, and six of 11 household ambulators were combination trans-femoral (TF) and TT amputees. Of 10 amputees who were wheelchair ambulators, only one was able to perform wheelchair transfers independently and five were independent wheelchair ambulators. Using the ADL index and FAI, there was no significant difference in scores according to the level of amputation ( p > 0.05), but the scores of community prosthetic ambulators were significantly higher than those of wheelchair ambulators ( p < 0.05). Age was found to be negatively correlated with ADL index and FAI scores ( r = −0.518 vs. r = −0.550) ( p < 0.01). This study concludes that overall independence in ADL after bilateral lower limb amputation improved with young age and prosthetic mobility.

Mobility, prosthesis use and health-related quality of life of bilateral lower limb amputees from the 2008 Sichuan earthquake

2018 ◽  
Vol 43 (1) ◽  
pp. 104-111 ◽  
Author(s):  
Wing Sum Li ◽  
Sze Ying Chan ◽  
Wai Wang Chau ◽  
Sheung-wai Law ◽  
Kai Ming Chan
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Sichuan Earthquake ◽  
Factors Associated ◽  
Rehabilitation Outcomes ◽  
Related Quality ◽  
Health Related ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

Background: The 2008 Sichuan Earthquake resulted in many amputees, yet due to the rare incidence, few studies have explored the rehabilitation outcomes and quality of life of bilateral lower limb amputees after major natural disasters. Objectives: To evaluate rehabilitation outcomes of 17 young and adult bilateral lower limb amputees under the StandTall rehabilitation programme and to identify factors associated with successful functional recovery of bilateral amputees after large-scale disasters. Study Design: Cross-sectional study. Methods: Mobility (amputee mobility predictor), prosthesis use (Houghton Scale) and health-related quality of life (Trinity Amputation and Prosthesis Experience Scale, Short Form 12) were evaluated through questionnaires and performance-based assessments. Means of scores were compared using T-tests. Results: Subjects with bilateral through-knee or transtibial amputations had less activity restriction ( p < 0.01) and higher mobility ( p = 0.03). Subjects using prostheses more than 50% waking time had better general adjustment ( p = 0.02) and less functional restriction ( p = 0.01). Exercise and education were associated with higher mobility ( p = 0.06) and mental quality of life, respectively ( p = 0.09). Conclusions: Amputation level and knee joint salvage, prosthesis use, exercise and education were associated with better rehabilitation outcomes including ambulation, adjustment and quality of life in bilateral lower limb amputees from the 2008 Sichuan Earthquake. Clinical relevance The study examined a unique group of traumatic bilateral lower limb amputees who were young and healthy before having traumatic amputations from a single episode of natural disaster. The factors associated with better functional recovery after the earthquake were investigated and may support future development of post-disaster rehabilitation strategies for bilateral lower limb amputees.

Outcome of prosthetic management of bilateral lower-limb amputees

1992 ◽  
Vol 14 (2) ◽  
pp. 98-102 ◽  
Author(s):  
D. Datta ◽  
P. N. Nair ◽  
J. Payne
Keyword(s):  
Lower Limb ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

scholarly journals Phantom Pain and Health-Related Quality of Life in Lower Limb Amputees

2002 ◽  
Vol 24 (4) ◽  
pp. 429-436 ◽  
Author(s):  
Cees P van der Schans ◽  
Jan H.B Geertzen ◽  
Tanneke Schoppen ◽  
Pieter U Dijkstra
Keyword(s):  
Quality Of Life ◽  
Lower Limb ◽  
Phantom Pain ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Lower Limb Amputees

The fate of bilateral lower limb amputees in end-stage vascular disease

1992 ◽  
Vol 6 (3) ◽  
pp. 321-326 ◽  
Author(s):  
R. Inderbitzi ◽  
M. Büttiker ◽  
D. Pfluger ◽  
B. Nachbur
Keyword(s):  
Vascular Disease ◽  
Lower Limb ◽  
Bilateral Lower Limb ◽  
End Stage ◽  
Lower Limb Amputees

Evaluation of disabilities and activities of daily living of war-related bilateral lower extremity amputees

2014 ◽  
Vol 40 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Mohammad H Ebrahimzadeh ◽  
Ali Moradi ◽  
Shahram Bozorgnia ◽  
Mohammad Hallaj-Moghaddam
Keyword(s):  
Activities Of Daily Living ◽  
Lower Limb ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Daily Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Bilateral Lower Limb ◽  
Lower Limb Amputees

Background:Long-term consequences and the activities of daily living of bilateral lower limb amputation are not well documented.Objectives:The aims of our study were to identify the long-term effects of bilateral lower extremity amputations on daily activities and understand how these amputees cope with their mobility assistive devices.Study design:Cross-sectional study.Methods:A total of 291 veterans with war bilateral lower limb amputations accepted to participate in a cross-sectional study.Results:The average of follow-up was 25.4 years. A total of 152 amputees (54%) were involved in sports averagely 6.7 h per week. Bilateral amputees walk 10 m by the average of 15 ± 33 s, and they could walk continuously with their prosthesis 315 ± 295 m. They wore their prosthesis 6.8 ± 1.7 days per week and 7.9 ± 8.1 h per day. Of these, 6.7% of bilateral lower limb amputees needed help to wear their prosthesis; 88.3% of amputees used assistant device for walking. According to this survey, 73 (42%) prostheses in right limb were appropriate, 95 (54.6%) needed to be replaced, and 6 (3.4) needed to be fixed. On the left side, it was 76 (42%), 92 (52.0%), and 9 (5.1%), respectively. A total of 203 (74.9%) amputees reported limitations in at least one domain of the activities of daily living. The most common single item that affected the patients was ascending and descending stairs by the score of 66% of normal population.Conclusion:Veterans with bilateral lower limb amputations suffering from vast categories of daily problems.Clinical relevanceThis study and its results confirm that bilateral lower limb amputees have major progressive disabilities in daily activities and their social performance. This should attract the attention of amputees’ administrative organizations, social workers, health-care providers and caregiver providers.

scholarly journals FACTORS ASSOCIATED WITH MOBILITY APPREHENSION IN AMPUTEES

2018 ◽  
Author(s):  
Shannon L Mathis
Keyword(s):  
Lower Limb ◽  
Pain Catastrophizing ◽  
Limb Amputation ◽  
Phantom Pain ◽  
National Assembly ◽  
Factors Associated ◽  
Avoidance Behaviors ◽  
Patient Will ◽  
Residual Limb Pain ◽  
Lower Limb Amputees

INTRODUCTION Studies report that after lower-limb amputation, patients have high levels of pain in the form of chronic low back pain, residual limb pain, and phantom pain leading to restrictions in functional activity1. Patients with high levels of pain and disability may develop avoidance behaviors. Vlaeyen et al. presents the fear-avoidance model, which suggests that after an injury there are two pathways a patient will take based on their interpretation of acute pain 2. Pain that is perceived as non-threatening leads to the patient’s recovery and return to normal activities of daily life. Pain that is perceived as threatening, or pain catastrophizing, causes anxiety and induces mobility apprehension which leads to avoidance behaviors. Avoidance behaviors may then lead to greater pain, depression, and disability3 . Factors described in the literature that are related to mobility apprehension were measured in a sample of lower limb amputees. The purpose was to determine which of pain intensity, interference, and catastrophizing lead to increased mobility apprehension. Abstract PDF  Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32040/24454 How to cite: Mathis S.L. FACTORS ASSOCIATED WITH MOBILITY APPREHENSION IN AMPUTEES. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32040 Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee.  http://www.aopanet.org/  

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