scholarly journals Barriers and Facilitators of Participation in Sports: A Qualitative Study on Dutch Individuals with Lower Limb Amputation

PLoS ONE ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. e59881 ◽  
Author(s):  
Mihai Bragaru ◽  
C. P. van Wilgen ◽  
Jan H. B. Geertzen ◽  
Suzette G. J. B. Ruijs ◽  
Pieter U. Dijkstra ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Limb Amputation

scholarly journals Barriers and facilitators to utilisation of rehabilitation services amongst persons with lower-limb amputations in a rural community in South Africa

2018 ◽  
Vol 43 (1) ◽  
pp. 95-103 ◽  
Author(s):  
Ugendrie Naidoo ◽  
Liezel Ennion
Keyword(s):  
South Africa ◽  
Lower Limb ◽  
Rural Areas ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Rural Setting ◽  
Limb Amputation ◽  
Rehabilitation Services ◽  
Personal Factors ◽  
Persons With Disabilities

Background: Persons with disabilities who reside in rural areas experience challenges accessing and utilising health services and rehabilitation. Due to the high prevalence of diabetes mellitus in rural regions, the risk of having a lower-limb amputation is increasing. Comprehensive rehabilitation is vital to mitigate the negative impact that a lower-limb amputation has on a person. Objective: To explore the barriers and facilitators to accessing rehabilitation experienced by persons with lower-limb amputations in a rural setting. Study Design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 11 conveniently sampled participants from three sub-district hospitals in the rural iLembe district, Kwa-Zulu Natal, South Africa. Data were collected using semi-structured interviews to explore the barriers and facilitators perceived by persons with lower-limb amputations in a rural region. Results: The three main barriers identified in this study were environmental factors, financial constraints and impairments. These barriers negatively impacted the participant’s utilisation of rehabilitation. The two main facilitators identified were environmental facilitators and personal factors which aided participant’s utilisation of rehabilitation. Conclusion: Access to rehabilitation was mainly hindered by the challenges utilising transport to the hospital, while self-motivation to improve was the strongest facilitator to utilising rehabilitation. Clinical relevance Rehabilitation is essential in preparation for prosthetic fitting. If a person cannot access rehabilitation services, they will remain dependent on caregivers. Highlighting the challenges to utilisation of rehabilitation in rural areas can assist to reduce these barriers and improve the functional status of persons with lower-limb amputations.

A qualitative study exploring individuals’ experiences living with dysvascular lower limb amputation

2020 ◽  
pp. 1-9
Author(s):  
Crystal MacKay ◽  
Stephanie R. Cimino ◽  
Sara J. T. Guilcher ◽  
Amanda L. Mayo ◽  
Michael Devlin ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation

scholarly journals Beyond the body image: a qualitative study on how adults experience lower limb amputation

2011 ◽  
Vol 26 (2) ◽  
pp. 180-191 ◽  
Author(s):  
Hugo Senra ◽  
Rui Aragão Oliveira ◽  
Isabel Leal ◽  
Cristina Vieira
Keyword(s):  
Body Image ◽  
Qualitative Study ◽  
Lower Limb ◽  
The Body ◽  
Lower Limb Amputation ◽  
Limb Amputation

The Perspectives and Experiences of Individuals with Dysvascular Lower Limb Amputation: A Qualitative Study

2019 ◽  
Vol 100 (10) ◽  
pp. e132
Author(s):  
Crystal MacKay ◽  
Stephanie Cimino ◽  
Sara Guilcher ◽  
Michael Devlin ◽  
Steven Dilkas ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation

scholarly journals Expectations of rehabilitation following lower limb amputation: a qualitative study

2013 ◽  
Vol 36 (14) ◽  
pp. 1169-1175 ◽  
Author(s):  
Chantel Ostler ◽  
Caroline Ellis-Hill ◽  
Maggie Donovan-Hall
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation

Let's talk about sex: lower limb amputation, sexual functioning and sexual well-being: a qualitative study of the partner's perspective

2013 ◽  
Vol 22 (23-24) ◽  
pp. 3557-3567 ◽  
Author(s):  
Jesse EA Verschuren ◽  
Mariya A Zhdanova ◽  
Jan HB Geertzen ◽  
Paul Enzlin ◽  
Pieter U Dijkstra ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Sexual Functioning ◽  
Well Being ◽  
Lower Limb Amputation ◽  
Limb Amputation

scholarly journals The Mental Health of Individuals With Post-Traumatic Lower Limb Amputation: A Qualitative Study

2020 ◽  
Vol 7 (6) ◽  
pp. 1665-1670
Author(s):  
Nuray Şimsek ◽  
Gülhan Küçük Öztürk ◽  
Zeliha Nilüfer Nahya
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Lower Extremity ◽  
Lower Limb ◽  
Self Esteem ◽  
Lower Extremity Amputation ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Post Traumatic ◽  
Extremity Amputation

Aim: The study was performed in order to identify how the post-traumatic amputation of the lower extremity affects the mental health of the individuals. Methods: This study is a qualitative study. A total of 12 individuals with post-traumatic lower extremity amputation were interviewed. The data were collected using the personal information form and the interview form that includes the questions on the effect of amputation on mental health, which were designated by the researchers. Data obtained from the survey were evaluated to attain descriptive situation determination. Based on the analysis, the effects of post-traumatic lower extremity amputation on mental health were found 5 themes. Results: In the study, it was found that individuals with post-traumatic lower limb amputation changed their emotions and behaviors after amputation, their body image and self-esteem were negatively affected, their families and the society differentiated themselves, they had negative feelings about their future, and they needed mental support to develop coping skills. Conclusion: The study shows that after amputation, individuals have severe mental problems such as anger, introversion, helplessness, and decreased self-esteem. Negative attitude of their families, who are expected to be supportive during this period, negatively affect the adaptation process of the individuals. A notable point is that the individuals stated that they could talk and feel relieved and get supported if they had access to a mental health professional.

Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

2020 ◽  
Vol 44 (5) ◽  
pp. 279-289
Author(s):  
Rwth Stuckey ◽  
Pam Draganovic ◽  
Mohammad Mosayed Ullah ◽  
Ellie Fossey ◽  
Michael P Dillon
Keyword(s):  
Gender Roles ◽  
Lower Limb ◽  
Motor Vehicle ◽  
Work Participation ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Convenience Sample

Background: Lower limb amputation due to workplace injury and motor vehicle accident is common in Bangladesh. Qualitative research may extend our understanding of how physical impairment and other factors, such as cultural norms, family roles and the built environment, facilitate or hinder work participation following lower limb amputation and prosthetic rehabilitation. Objectives: The aim of this study was to explore the experience of people in Bangladesh following lower limb amputation and prosthetic rehabilitation to understand the facilitators and barriers to their work participation. Study Design: Qualitative interviews with thematic analysis. Methods: The Worker Role Interview was used to guide semi-structured interviews in a convenience sample of 10 adults living in Bangladesh following lower limb amputation and prosthetic rehabilitation. Interviews were interpreted, and the themes that emerged were evidenced with first-person quotes. Results: Barriers and facilitators to work participation were synthesised into the following themes: spirituality, attitudes, meaning of work, planning for work participation, traditional gender roles, social support, mobility aids, environmental challenges and ergonomic adaptations. Conclusion: This qualitative approach identified barriers and facilitators to work participation, such as the role of spirituality and the effect of gender roles, that have not been well researched in this population. Being aware of their effects can help clinicians reduce barriers to work participation. Clinical relevance Greater awareness of the barriers and facilitators to work participation, such as the role of spirituality or the effect of gender roles, can assist clinicians to reduce barriers and help facilitate work participation for people living in Bangladesh following lower limb amputation and prosthetic rehabilitation.

scholarly journals Suitability of ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ for the Eastern Cape, South Africa: A qualitative study

2018 ◽  
Vol 74 (1) ◽  
Author(s):  
Luphiwo L. Mduzana ◽  
Surona Visagie ◽  
Gubela Mji
Keyword(s):  
Qualitative Study ◽  
Lower Limb ◽  
Resistance To Change ◽  
Occupational Therapists ◽  
Functional Mobility ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Western Cape ◽  
Eastern Cape ◽  
Group Discussions

Background: Major lower limb amputation has a severe impact on functional mobility. Mobility can be salvaged with a prosthesis, but this is not always the best option. It is often difficult to decide whether to refer someone for a prosthesis or not. A prosthetic screening tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ was developed and is used for prosthetic prescription in parts of the Western Cape province of South Africa.Objectives: This study aimed to explore the suitability of the tool ‘Guidelines for Screening of Prosthetic Candidates: Lower Limb’ for use in the Eastern Cape province of South Africa.Method: A qualitative study was conducted with conveniently sampled occupational therapists (OTs) (n = 10), physiotherapists (PTs) (n = 12) and prosthetists (n = 6) in government employment in the Buffalo City Metro Municipality. Participants were trained in the use of the tool and used it for four weeks with patients. Their experiences of the tool were assessed through three focus group discussions with emergent themes being identified during inductive data analysis.Findings: Participants indicated that the tool could assist with prosthetic prescription, goal setting, communication and teamwork. They thought that the tool was multidisciplinary in nature, comprehensive and practical. Findings showed a lack of teamwork in this study setting. Resistance to change and a lack of time might also hamper implementation of the tool.Conclusion: The tool can assist with managing the backlog for prostheses and to guide prosthetic prescription in the Eastern Cape province.Clinical implications: A prosthesis can help to salvage functional mobility after lower limb amputation. However, not all people who had above knee amputation manage to walk with a prosthesis. The tool reported on in this article provides information that can guide prosthetic prescription and rehabilitation goals.

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