scholarly journals Participation in Sports by Lower Limb Amputees in the Province of Drenthe, the Netherlands

2009 ◽  
Vol 33 (4) ◽  
pp. 356-367 ◽  
Author(s):  
Cojanne Kars ◽  
Marianne Hofman ◽  
Jan H. B. Geertzen ◽  
Gert-Jan Pepping ◽  
Rienk Dekker
Keyword(s):  
The Netherlands ◽  
Lower Limb ◽  
Sports Participation ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Recreational Activity ◽  
Recreational Activities ◽  
Lower Limb Amputees

The numbers of lower limb amputees participating in recreational activity date back more than 25 years. Previous studies have shown that 60% of lower limb amputees participated in recreational activities, including sports. To date, research in The Netherlands into sports participation of this specific amputee population is insufficient. The purpose of the reported survey was to investigate the sports participation habits of lower limb amputees in the Province of Drenthe, The Netherlands, using a self-constructed questionnaire. A total of 105 lower limb amputees responded (36%), a large proportion of whom were traumatic amputees (31%). Of the respondents, 34 (32%) participated in some form of sport. Results indicated that participation in sport before the amputation was a predetermining factor for amputees to participate in sports whilst the level of amputation, age and etiology were not predetermining factors of participation in sports after a lower limb amputation.

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.

Preoperative characteristics and functional outcomes of lower limb amputees treated at Southern Älvsborg Hospital, Sweden

2013 ◽  
Vol 37 (4) ◽  
pp. 298-304 ◽  
Author(s):  
Maria Glemne ◽  
Nerrolyn Ramstrand ◽  
Jessica Crafoord ◽  
Linus Nygren
Keyword(s):  
Lower Limb ◽  
Functional Outcomes ◽  
Daily Practice ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Clinical Practices ◽  
Timed Up And Go ◽  
Significant Difference ◽  
Research Findings ◽  
Lower Limb Amputees

Background:Within the prosthetics profession, there is a lack of evidence to support many clinical practices. It is therefore important that clinicians systematically document and evaluate their daily practices.Objectives:To record preoperative characteristics and functional outcomes for patients with a lower limb amputation and to investigate variations between prosthetic users and non-prosthetic users.Study Design:Prospective cohort study.Methods:A total of 23 patients (mean age = 80 years, standard deviation = 7.3) who underwent a major lower limb amputation were assessed within 2 weeks of admission and 6 months post-operatively. Locomotor Capabilities Index-5, the Timed-Up-and-Go Test and prosthetic use were used to evaluate functional outcomes.Results:A total of 13 participants (57%) received a prosthesis within 6 months of amputation. Mean time to prosthetic fitting was 48 days (range = 28–97). No statistically significant difference was found between prosthetic users and non-prosthetic users regarding age, time to rehabilitation and Locomotor Capabilities Index-5 (p > 0.05). Locomotor Capabilities Index-5 basic was significantly lower at 6 months than prior to amputation (p = 0.039).Conclusion:The functional outcome at 6 months indicates a sizable restriction in mobility among lower limb amputees. No variation in preoperative characteristics between prosthetic users and non-prosthetic users could be confirmed in this study.Clinical relevanceThis study highlights the need for prosthetists to better incorporate research findings into their daily practice and presents an example of how to implement a procedure for assessment and documentation of patients’ functional outcomes in a clinical setting. Results confirm difficulties in identifying amputees who will become prosthetic users based on preoperative characteristics.

scholarly journals The Study of Prevalence of Low Back Pain and Its Correlation with Functional Disability in Patients with Lower Limb Amputation

2021 ◽  
Vol 10 (30) ◽  
pp. 2233-2238
Author(s):  
Arya Shirish Ashtaputre ◽  
Ayman Shaad Gondekar ◽  
Govinda Varadharajulu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Limb ◽  
Functional Disability ◽  
Study Data ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Low Back ◽  
Pain Disability ◽  
Lower Limb Amputees

BACKGROUND Low back pain (LBP) is a very common and disabling condition experienced by individuals during their lifetime. However, the causes of low back pain may vary and include musculoskeletal impairments, biomechanical abnormalities, gait deviations, primary medical causes, and deleterious or excessive activity.1 The different levels at which amputation is done in the lower limb are hip disarticulation, transfemoral amputation (above knee), knee disarticulation, transtibial amputation (below knee), ankle disarticulation and transmetatarsal amputation. Lower limb amputation (LLA) is known to cause LBP and may result in functional disability in lower limb amputees. Different parameters such as level of amputation, use of prosthesis etc. affect low back pain in amputees. The purpose of this study was to find out the prevalence of low back pain and its correlation with functional disability in patients with lower limb amputation. METHODS This is a community based observational study. 41 participants were included in the study. Data was collected using a questionnaire including the demographic information of each participant, pain assessment and revised Oswestry low back pain disability (RODQ) questionnaire to assess functional disability. RESULTS The study revealed that the prevalence of the reported back pain in the studied sample was 60.9 %. In 60 % of the patients, the Oswestry disability index depicted moderate disability. CONCLUSIONS The study concludes that low back pain is a significant problem in lower limb amputees. Several factors such as level of amputation, age, time since amputation put the lower limb amputees at a risk of developing back pain. Back pain intensity is important to assess the back pain related functional disability. KEY WORDS Amputation, Low Back Pain, Disability, Prosthesis

scholarly journals Osseointegrated prostheses for lower limb amputees

2021 ◽  
Vol 4 (1) ◽  
pp. 56-62
Author(s):  
Sadhishaan Sreedharan ◽  
Steven Gray ◽  
Frank Bruscino-Raiola
Keyword(s):  
Lower Limb ◽  
Retrospective Chart Review ◽  
Rehabilitation Program ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Suitable Alternative ◽  
Targeted Muscle Reinnervation ◽  
Superficial Skin ◽  
Implant System ◽  
Lower Limb Amputees

Background: Traditional socket-based prostheses are an important rehabilitation tool in lower limb amputation, however, patients often experience skin-related problems, pain, stump volume fluctuations and poor suspension. Osseointegration offers a suitable alternative by providing direct skeletal attachment for limb prosthesis. This study aims to review the complications following osseointegration for lower limb amputation, with attention to mechanical abutment failure. Method: A retrospective chart review was undertaken of all patients who underwent transfemoral osseointegration between January 2000 and June 2019 through the osseointegration and targeted muscle reinnervation surgical and rehabilitation program at The Alfred in Victoria, Australia. Ethics approval was obtained through The Alfred’s ethics committee (414/16). In 2016 this program was redesigned and in 2017 the osseointegration implant system was modified. Patients underwent a two-stage surgical procedure followed by a rehabilitation protocol that gradually increased their activity. Results: A total of 19 limbs were osseointegrated in 18 patients during the study period. Two patients had their implant removed due to failure of osseointegration. The most common complication was a mechanical abutment failure, occurring 46 times in 11 patients. Patients who suffered an abutment failure reported higher levels of postoperative activity. Soft-tissue infections occurred in five patients: three superficial skin infections and two collections. There were no mechanical abutment failures noted in the updated program.Conclusion: Osseointegration is a good option for patients who may have difficulties with traditional socket prosthesis. However, complications such as abutment fracture can occur, and appropriate patient selection and counselling are required

Employment status, job characteristics, and work-related health experience of people with a lower limb amputation in The Netherlands

2001 ◽  
Vol 82 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Tanneke Schoppen ◽  
Annemarijke Boonstra ◽  
Johan W. Groothoff ◽  
Jaap de Vries ◽  
Ludwig N.H. Göeken ◽  
...  
Keyword(s):  
The Netherlands ◽  
Lower Limb ◽  
Employment Status ◽  
Job Characteristics ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Work Related

scholarly journals Cycling in people with a lower limb amputation

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Jutamanee Poonsiri ◽  
Rienk Dekker ◽  
Pieter U. Dijkstra ◽  
Juha M. Hijmans ◽  
Jan H. B. Geertzen
Keyword(s):  
The Netherlands ◽  
Median Duration ◽  
Lower Limb ◽  
Odds Ratio ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Limb Amputation ◽  
Future Research ◽  
Personal Motivation ◽  
Underlying Diseases

Abstract Background To evaluate cycling participation and identify barriers and facilitators related to cycling participation in people with a lower limb amputation (LLA) in the Netherlands. Methods A questionnaire was sent to adults with a LLA between March and August 2019 to obtain information regarding prosthesis, individual’s characteristics, amputation, cycling barriers and facilitators, and prosthetic satisfaction. The questionnaires were distributed via 8 orthopedic workshops, post and were given directly. To find cycling predictors, variables associated with cycling (p < 0.1) were entered into a logistic regression analysis. Non-significant variables were removed manually. Results Participants (n = 207, 71% males) had a mean age of 62.0 ± 13.0 years. The most frequent level of amputation was transtibial (42%), and trauma was the most frequent cause of amputation (43%). After the LLA, 141 participants (68%) cycled for recreation (80%), physical fitness (74%), and transport (50%). In the past six months, cyclists cycled for recreation (79%) and transport (66%). Most cycled less than once a day. Recreational cyclists cycled alone (75%) for a median duration of 45 min or 14 km per ride. Cyclists with a transportation purpose usually cycled to go shopping (80%) or to visit friends (68%), with a median duration of 20 min or five kilometers per ride. Cyclists reported more facilitators (median (IQR) = 5 (3, 7) than non-cyclists 0 (0, 3). The majority of cyclists reported a positive attitude toward cycling (89%) and cycled because of health benefits (81%). A dynamic foot (odds ratio: 5.2, 95% CI 2.0, 13.3) and a higher number of facilitators (odds ratio: 1.3, 95% CI 1.2, 1.5) positively predicted cycling, whereas the presence of other underlying diseases (odds ratio: 0.4, 95% CI 0.2, 0.9) negatively predicted cycling (R2: 40.2%). Conclusion In the Netherlands, the majority of adults cycled after a LLA, mainly for recreational purposes. A dynamic foot, a higher number of facilitators, and no other underlying diseases increases the likelihood of cycling after a LLA. The results suggest that personal motivation and a higher mobility level could be the key to increasing cycling participation. Future research should determine the association between motivation, mobility levels, and cycling with a LLA.

Demographics and discharge outcomes of dysvascular and non-vascular lower limb amputees at a subacute rehabilitation unit: a 7-year series

2015 ◽  
Vol 39 (1) ◽  
pp. 76 ◽  
Author(s):  
Heather R. Batten ◽  
Suzanne S. Kuys ◽  
Steven M. McPhail ◽  
Paulose N. Varghese ◽  
Jennifer C. Nitz
Keyword(s):  
Length Of Stay ◽  
Lower Limb ◽  
Inpatient Rehabilitation ◽  
Functional Independence ◽  
Community Services ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Discharge Outcomes ◽  
Social Demographics ◽  
Lower Limb Amputees

Objective To examine personal and social demographics, and rehabilitation discharge outcomes of dysvascular and non-vascular lower limb amputees. Methods In total, 425 lower limb amputation inpatient rehabilitation admissions (335 individuals) from 2005 to 2011 were examined. Admission and discharge descriptive statistics (frequency, percentages) were calculated and compared by aetiology. Results Participants were male (74%), aged 65 years (s.d. 14), born in Australia (72%), had predominantly dysvascular aetiology (80%) and a median length of stay 48 days (interquartile range (IQR): 25–76). Following amputation, 56% received prostheses for mobility, 21% (n = 89) changed residence and 28% (n = 116) required community services. Dysvascular amputees were older (mean 67 years, s.d. 12 vs 54 years, s.d. 16; P < 0.001) and recorded lower functional independence measure – motor scores at admission (z = 3.61, P < 0.001) and discharge (z = 4.52, P < 0.001). More non-vascular amputees worked before amputation (43% vs 11%; P < 0.001), were prescribed a prosthesis by discharge (73% vs 52%; P < 0.001) and had a shorter length of stay (7 days, 95% confidence interval: –3 to 17), although this was not statistically significant. Conclusions Differences exist in social and demographic outcomes between dysvascular and non-vascular lower limb amputees. What is known about the topic? Lower limb amputation occurs due to various aetiologies. What does this paper add? Lower limb amputee rehabilitation over 7 years was investigated, comprising 425 admissions, 80% due to dysvascular aetiology. Personal and social demographics, and discharge outcomes are compared by aetiology. What are the implications for practitioners? Demographic and discharge outcome differences exist between dysvascular and non-vascular lower limb amputees. Twenty-one percent were required to change residence and 28% required additional social supports. Discharge planning should begin as soon as possible to limit time spent waiting for new accommodation or major modifications for current homes. Lower limb amputees are not homogeneous, so care should be taken if extrapolating from combined amputee aetiologies or from one aetiology to another.

The multiple meanings of ‘disability’ in interviews with amputees

2014 ◽  
Vol 10 (2) ◽  
pp. 129-139
Author(s):  
Emily Heavey
Keyword(s):  
Lower Limb ◽  
Medical Model ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Models Of Disability ◽  
Multiple Meanings ◽  
Medical Model Of Disability ◽  
Social Causes ◽  
Official Status ◽  
Lower Limb Amputees

The link between having a lower-limb amputation and being disabled might seem self-evident. Indeed, the medical model of disability would suggest that lower-limb amputation causes disability, and that all lower-limb amputees are disabled people. Conversely, social models of disability would argue that limb loss does not determine disability, but that disabilities are rather caused by social structures and prejudices, while the interactional model suggests that there are both individual and social causes of disability. This paper draws on interviews with nine lower-limb amputees to address amputees’ own accounts of disability, in order to determine how (if at all) they make links between being an amputee and being disabled. The analysis shows that participants draw on various models of disability, as well as their own lived experiences, to construct subjective and diverse definitions of disability. Three interlinking definitions of disability recurred across the data: disability as a measure of personal (in)abilities; disability as a stigmatizing mask; and disability as an official status. Overall, disability was constructed as a complex, context-dependent label, which could not be reduced to any singular concept.

scholarly journals Pszichológiai alkalmazkodás alsóvégtag-amputációt követően. Kvantitatív és kvalitatív kutatási eredmények

2015 ◽  
Vol 156 (39) ◽  
pp. 1563-1568 ◽  
Author(s):  
Lilla Krisztina Panyi ◽  
Beatrix Lábadi
Keyword(s):  
Lower Limb ◽  
Psychological Functioning ◽  
Well Being ◽  
Body Image Dissatisfaction ◽  
Lower Limb Amputation ◽  
Self Concept ◽  
Limb Amputation ◽  
Adjustment Process ◽  
Psychological Consequences ◽  
Lower Limb Amputees

Rehabilitation of lower limb amputees and the fitting of their prosthesis depend highly on the psychological adjustment process and motivational state of the patient. The loss of a limb is extremely challenging and can cause various physical and psychological problems. Depression, anxiety, decreased well-being and quality of life, body image dissatisfaction and changes in self-concept and identity are frequent after lower limb amputation. In the interest of adjustment patients have to cope with the emerging changes and difficulties in their lifes as well as the problems in psychological functioning. It is important for them to accept the alterations in their body and identity, and integrate them in a new self-concept in which process motivation is a fundamental issue. The aim of this article is to review the literature on psychological consequences of lower limb amputation, and to propose an integrative way of rehabilitation for lower limb amputees. Orv. Hetil., 2015, 156(39), 1563–1568.

scholarly journals Prosthetic prescription in the Netherlands: An observational study

2003 ◽  
Vol 27 (3) ◽  
pp. 170-178 ◽  
Author(s):  
H. van der Linde ◽  
J. H. B. Geertzen ◽  
C. J. Hofstad ◽  
J. van Limbeek ◽  
K. Postema
Keyword(s):  
Clinical Practice ◽  
The Netherlands ◽  
Observational Study ◽  
Lower Limb ◽  
Clinical Guideline ◽  
Activity Level ◽  
Limb Amputation ◽  
Prescription Data ◽  
Clinical Expertise ◽  
Lower Limb Amputees

Prosthetic prescription for lower limb amputees and the methodology used are primarily based on empirical knowledge. Clinical expertise plays an important role that can lead to an adequate prescription; however, a clear evidence based motivation for the choices made cannot be given. This can lead to local prescription variations with regard to overuse or underuse of prosthetic care and a lack of transparency for consumers and health insurance companies. Hence a clinical guideline may lead to a more consistent and efficient clinical practice and thus more uniformly high quality care. The purpose of this study was to get insight into potential similarities in prescription criteria in clinical practice in the Netherlands. Secondly, the authors were interested to know if prosthetic prescription was primarily based on the level of activity or intended use of the prosthesis. As part of the development of a consensus-based clinical guideline a multi-centred, cross-sectional study was carried out in order to observe the prosthetic prescription for a group of lower limb amputees. Therefore prescription data were collected from 151 amputees with trans-femoral amputation, knee disarticulation or trans-tibial amputation. Results of the multiple logistic regression show no relationship between the activity level and any of the variables included in the equation such as the hospital or medical doctor in Physical and Rehabilitation Medicine (MD in P&RM), prosthetic components, age of the amputee or reason of amputation. The criteria used are merely based on the clinical expertise and local experience whereas the actual prescriptions differ from location to location. In conclusion the development of a clinical guideline for prosthetic prescription in lower limb amputation is recommended. The information gained from this observational study will be used in a clinical guideline procedure for prosthetic prescription in the Netherlands.

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