scholarly journals The development of quality of life psychosocial model in cancer patients after lower limb amputation

2021 ◽  
Vol 67 (4) ◽  
pp. 559-568
Author(s):  
Olga Yu. Shchelkova ◽  
Maria Iakovleva ◽  
Ekaterina Usmanova ◽  
Denis Sofronov ◽  
Pavel Rylnikov ◽  
...  

The general trend of humanization in medicine in recent decades, along with the biopsychosocial approach to health and illness, has put on the agenda the problem of patients’ quality of life, which resulted in numerous researches. The relevancy of this issue and the need of its investigation is substantiated in the present article on the ground of the analysis of modern literature and the work experience in the oncoorthopedic clinic; the results of the first stage of quality of life study and number of factors determining it in patients with bone and soft tissues tumors in lower extremities who underwent amputation are presented. Such a study should be comprehensive and should include an analysis of the objective functional capabilities and clinical indicators of patients, the subjective assessment of the main aspects of quality of life after amputation, as well as the psychological, social, demographic characteristics of patients. This implies the development of a theoretical model including the components of analysis in their integrated unity and interaction, as well as mathematical and empirical verification of the model. The development of quality of life psychosocial model can help to create scientifically based programs of individualized psychological assistance and social rehabilitation of cancer patients undergoing amputation of lower limb. The authors –doctors and clinical psychologists of the N.N. Blokhin Cancer Research Center and the St. Petersburg State University– put forward a research program in order to develop such a model, as well as present the first results of its implementation.

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan L. Eskridge ◽  
Amber L. Dougherty ◽  
Jessica R. Watrous ◽  
Cameron T. McCabe ◽  
Jill M. Cancio ◽  
...  

Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 47-57
Author(s):  
Susana Pedras ◽  
Estela Vilhena ◽  
Rui Carvalho ◽  
M. Graça Pereira

Spine ◽  
2020 ◽  
Vol 45 (19) ◽  
pp. 1368-1375
Author(s):  
Brittney Mazzone ◽  
Shawn Farrokhi ◽  
Brad D. Hendershot ◽  
Cameron T. McCabe ◽  
Jessica R. Watrous

2011 ◽  
Vol 35 (1) ◽  
pp. 97-105 ◽  
Author(s):  
Catharina Sjödahl Hammarlund ◽  
Maria Carlström ◽  
Rebecca Melchior ◽  
Björn M Persson

Background and Objectives: The prevalence of back pain and its effect on function and health-related quality of life across three levels of lower limb amputation secondary to trauma or tumour was studied. Study design: Cross-sectional survey. Methods: Forty-six lower limb amputees, aged 19–78 years, participated. The Roland Morris disability questionnaire (RMDQ) and the short form 36 health survey (SF-36) were used. Results: Participants reported more back pain after amputation than before ( p < 0.001). There was a significant association between back pain daily or several times/week and severe or moderate disability reporting on the RMDQ ( p = 0.003). On the SF-36, the group as a whole scored significantly lower in health-related quality of life with regard to physical functioning, role physical, bodily pain, general health, social functioning and the physical component summary (PCS), and significantly higher in the mental component summary (MCS) compared to normative Swedish data. When all three levels of amputation were compared, no statistically significant differences were found in the RMDQ or SF-36 results. Conclusions: There was a high prevalence of back pain after amputation. Almost all participants having back pain daily or several times per week reported severe or moderate disability on the RMDQ. The group as a whole scored significantly lower for health-related quality of life in the PCS and significantly higher in the MCS compared to normative Swedish data. Clinical relevance The high prevalence of back pain, and the significant association between back pain daily or several times per week and severe or moderate disability on the RMDQ, and the negative correlation between RMDQ and SF-36, may have clinical relevance with regard to rehabilitation and follow-up of lower limb amputation.


2021 ◽  
Vol 67 (7) ◽  
pp. 985-990
Author(s):  
Victor Hugo De Melo ◽  
Ricardo Augusto Leoni de Sousa ◽  
Alex Cleber Improta-Caria ◽  
Marco Antônio Prado Nunes

2021 ◽  
Vol 28 (3) ◽  
pp. 1-10
Author(s):  
Sofía Mosteiro-Losada ◽  
Silvia Varela ◽  
Oscar García-García ◽  
Iván Martínez-Lemos ◽  
Carlos Ayán

Background/aims Exercise can be a useful rehabilitation approach for people with lower-limb amputation. However, there is a lack of research in this regard. The aim of this study was to analyse functional mobility, walking speed, range of motion and quality of life changes experienced by people with lower-limb amputation after taking part in a comprehensive exercise programme that included core strengthening exercises. Methods This was a pilot study including six individuals who carried out a comprehensive exercise programme, which was performed once a week for 5 months. During the first 2 weeks, the participants attended 1-hour sessions that focused on the execution of diaphragmatic breathing and body scheme exercises. From the fourth week until the end of the intervention, the sessions were much longer, and included a warm-up phase, two circuit training workouts for core strength and balance, and a final stretching routine. Results Significant improvements were found in the participants' functional mobility (P=0.007) and walking speed (P=0.001). The exercise intervention did not have a significant impact on the participants' range of motion and quality of life. Conclusions In a group of people with lower-limb amputation, the performance of a comprehensive exercise programme that included core strengthening, was found to be beneficial for functional mobility and walking speed, although no significant effect was observed for range of motion and quality of life measures.


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