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.

scholarly journals Participation restrictions and vocational rehabilitation needs experienced by persons with a unilateral lower limb amputation in the Western Cape, South Africa

2019 ◽  
Vol 8 ◽  
Author(s):  
Tak Wing Yu ◽  
Liezel Ennion
Keyword(s):  
South Africa ◽  
Vocational Rehabilitation ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
World Health ◽  
Limb Amputation ◽  
Western Cape ◽  
Participation Restrictions ◽  
Health Organization ◽  
Rehabilitation Needs

Background: Vocational rehabilitation (VR) aims to rehabilitate a person with an amputation back into actively participating in society. Even though lower limb amputation (LLA) surgery is commonly performed in South Africa (SA), little research has been published on the participation restrictions experienced by and vocational needs of persons with LLA in the Western Cape (WC).Objectives: The aim of this study was to determine and explore the participation restrictions and VR needs of persons with a unilateral LLA in the WC.Method: A mixed-methods approach and a sequential exploratory design were utilised to collect data from 50 persons with an LLA. Participants were conveniently sampled within the Cape Metropole region of the WC, SA. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) tool was used to collect the quantitative data, and telephonic interviews were conducted for qualitative data collection.Results: A third (28%) of participants in this study were unemployed, and only 14% (n = 7) of the participants owned or used a prosthesis. In addition, 50% of the participants either had a disability grant or were on pension. The participation restrictions identified were mainly related to mobility where 74% (n = 37) of participants had extreme difficulty with mobility in general, 92% (n = 46) struggled with walking distances longer than 1 km and 80% (n = 40) had extreme difficulty in completing household tasks quickly. The main VR needs identified in this study were the inadequate rehabilitation services that target ambulation (standing and walking) to facilitate employment.Conclusion: Persons with a unilateral LLA still experience significant difficulties in mobility 3 months post-amputation, which negatively affects their participation in society and vocational activities.

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

Prostheses Use and Satisfaction among People with Lower-limb Amputation in 10 districts of Bhutan

2019 ◽  
Vol 5 (2) ◽  
pp. 21-27
Author(s):  
Ugyen Norbu ◽  
Tandin Zangpo ◽  
Jit Bahadur Darnal ◽  
Hari Prasad Pokhrel ◽  
Roma Karki
Keyword(s):  
Service Delivery ◽  
Lower Limb ◽  
Cross Sectional Study ◽  
Functional Mobility ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
Lower Limb Prostheses

Introduction: The use of lower-limb prostheses restores functional mobility and improves quality of life for people with lower limb amputation. However, the use of prostheses is significantly impacted by users’ satisfaction with their prostheses and service delivery. Therefore, the excellence of prosthetic rehabilitation is not only assessed by the number of prostheses users but is also determined by the level of satisfaction with the prostheses and services received. The study was conducted to determine prostheses use and satisfaction among people with lower-limb amputation. Methods: A cross-sectional study was conducted among lower-limb prosthetic users in 10 districts of Bhutan. Data was collected by face-to-face interview using the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) questionnaire. Participants were recruited by purposive sampling. Results: The study found that 96.4% of persons with lower-limb amputation currently used prostheses and 79% of them have used it for more than 7 hours/day. However, 44% of prostheses needed repair. The total QUEST score of satisfaction was 4.0 (SD 0.5). Conclusion: Majority of lower-limb prostheses are in use and the users reported being quite satisfied with their prostheses and service delivery. The study recommends initiating follow-up services to improve prosthetic use and overall satisfaction scores for both prostheses and service delivery.

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

Effects of including core strengthening exercise as part of a comprehensive rehabilitation programmes on people with lower-limb amputation: a pilot study

2021 ◽  
Vol 28 (3) ◽  
pp. 1-10
Author(s):  
Sofía Mosteiro-Losada ◽  
Silvia Varela ◽  
Oscar García-García ◽  
Iván Martínez-Lemos ◽  
Carlos Ayán
Keyword(s):  
Quality Of Life ◽  
Pilot Study ◽  
Range Of Motion ◽  
Lower Limb ◽  
Walking Speed ◽  
Exercise Programme ◽  
Functional Mobility ◽  
Lower Limb Amputation ◽  
Limb Amputation

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.

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.

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