Correlation Between Mobility Restriction, Body Image Perception and Prosthesis Satisfaction Among Lower Limb Amputee Prosthesis Users : Lower Limb Amputee Prosthesis Users

Farah  Javaid; Fareeha  Amjad; Syed Asadullah  Arslan; Ashfaq ` Ahmad; Adnan Hashim; Seemab  Javaid; Khadija  Irfan

doi:10.54393/pbmj.v5i5.363

Authors

Farah Javaid 1. University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Fareeha Amjad University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Syed Asadullah Arslan University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Ashfaq ` Ahmad University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Adnan Hashim University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan
Seemab Javaid Nephrology, Sir Ganga Ram Hospital, Lahore
Khadija Irfan University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i5.363

Keywords:

Amputation, Amputees, Body image, Lower extremity, Quality of life, Satisfaction

Abstract

Amputation is known as the surgical removal of the body part. Amputation occurs as a result of many conditions. The most common reason is poor blood circulation which results in a result of narrowing or damage of arteries. Objective: To determine the correlation between mobility restriction, body image perception and prosthesis satisfaction among lower-limb amputee prosthesis users. Methods: This cross-sectional study was conducted on 63 participants after taking consent from IRB from University of Lahore. The data was collected from PSRD, Ghurki Trust Teaching Hospital of Lahore. Both males and female amputees were included with 18 to 60 years. Data was collected by using TAPES, Amputee body image scale and amputee mobility predictor assessment scale. Results: The results showed that the average age out of 63 amputees were 39.37. Female were 21 (33.3%) and male were 42 (66.7%). According to result people with below the knee amputation had more mobility (20.00), more satisfaction level (62.04) and less disruption of body image (18.15) in comparison with people who had above the knee level amputation (15.50, 68.50 and 16.50). The result showed that satisfaction level and mobility were directly correlated with one another but on the other hand inverse correlated relationship was seen of body image disruption with mobility and satisfaction level (P<0.05). Conclusions: Based on these results, it was concluded that body image perception, mobility and prosthesis satisfaction are correlated to one another in people with lower limb amputation who uses a prosthesis.

References

Kumar GK, Souza CD, Diaz E. Incidence and causes of lower-limb amputations in a tertiary care center: evaluation of the medical records in a period of 2 years. Int J Surg Sci. 2018;2(3):16-9.

Fujioka M. A Retrospective Analysis of Amputation Risk Due to Diabetic Foot and Angioplasty and Free Flap Transfer to Reduce Major Amputation. Limb Amputation: IntechOpen; 2019.

Davies M, Burdett L, Bowling F, Ahmed N, McClennon J. The epidemiology of major lower-limb amputation in England: a systematic review highlighting methodological differences of reported trials. Diabet Foot J. 2019;22:53-61.

Silva AdM, Furtado G, Dos Santos IP, da Silva CB, Caldas LR, Bernardes KO, et al. Functional capacity of elderly with lower-limb amputation after prosthesis rehabilitation: a longitudinal study. Disability and Rehabilitation: Assistive Technology. 2021;16(5):556-60.

van Schaik L, Geertzen JH, Dijkstra PU, Dekker R. Metabolic costs of activities of daily living in persons with a lower limb amputation: A systematic review and meta-analysis. PloS one. 2019;14(3):e0213256.

Miller MJ, Cook PF, Magnusson DM, Morris MA, Blatchford PJ, Schenkman ML, et al. Self‐Efficacy and Social Support are Associated with Disability for Ambulatory Prosthesis Users After Lower‐Limb Amputation. PM&R. 2021;13(5):453-60.

Burger H, Marinček Č, Isakov E. Mobility of persons after traumatic lower limb amputation. Disability and rehabilitation. 1997;19(7):272-7.

Côté-Martin M-É, Tremblay A, Couture M, Roy J-S. Translation, Reliability, and Validity of the French Version of the Amputee Mobility Predictor. JPO: Journal of Prosthetics and Orthotics. 2020;32(2):101-6.

Luthi F, Praz C, Léger B, Vouilloz A, Favre C, Loiret I, et al. Cross-cultural adaptation and measurement properties of the French version of the Trinity Amputation and Prosthesis Experience Scales—revised (TAPES-R). PloS one. 2020;15(2):e0229084.

Gallagher P, Horgan O, Franchignoni F, Giordano A, MacLachlan M. Body image in people with lower-limb amputation: a Rasch analysis of the Amputee Body Image Scale. American journal of physical medicine & rehabilitation. 2007;86(3):205-15.

Østlie K, Franklin RJ, Skjeldal OH, Skrondal A, Magnus P. Assessing physical function in adult acquired major upper-limb amputees by combining the Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Questionnaire and clinical examination. Archives of physical medicine and rehabilitation. 2011;92(10):1636-45.

Pedras S, Vilhena E, Carvalho R, Pereira MG. Quality of life following a lower limb amputation in diabetic patients: a longitudinal and multicenter study. Psychiatry. 2020;83(1):47-57.

Batch JW, Spittler AW, McFaddin JG. Advantages of the knee disarticulation over amputations through the thigh. JBJS. 1954;36(5):921-30.

Fanciullacci C, McKinney Z, Monaco V, Milandri G, Davalli A, Sacchetti R, et al. Survey of transfemoral amputee experience and priorities for the user-centered design of powered robotic transfemoral prostheses. Journal of neuroengineering and rehabilitation. 2021;18(1):1-25.

Gholizadeh H, Osman NAA, Eshraghi A, Ali S, Yahyavi ES. Satisfaction and problems experienced with transfemoral suspension systems: a comparison between common suction socket and Seal-In liner. Archives of physical medicine and rehabilitation. 2013;94(8):1584-9.

Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: a prospective study. Journal of rehabilitation research and development. 2012;49(10):1453.

Gallagher P, MacLachlan M. The Trinity Amputation and Prosthesis Experience Scales and quality of life in people with lower-limb amputation. Archives of physical medicine and rehabilitation. 2004;85(5):730-6.

Roșca AC, Baciu CC, Burtăverde V, Mateizer A. Psychological Consequences in Patients With Amputation of a Limb. An Interpretative-Phenomenological Analysis. Frontiers in Psychology. 2021;12.

Burden N, Simpson J, Murray C, Overton PG, Powell PA. Prosthesis use is associated with reduced physical self-disgust in limb amputees. Body image. 2018;27:109-17.

Brier MJ, Williams RM, Turner AP, Henderson AW, Roepke AM, Norvell DC, et al. Quality of relationships with caregivers, depression, and life satisfaction after dysvascular lower extremity amputation. Archives of physical medicine and rehabilitation. 2018;99(3):452-8.

MacKenzie EJ, Bosse MJ, Castillo RC, Smith DG, Webb LX, Kellam JF, et al. Functional outcomes following trauma-related lower-extremity amputation. JBJS. 2004;86(8):1636-45.

Smith H. Amputation above or below the knee for primary peripheral vascular disease. The Journal of Bone and Joint Surgery British volume. 1950;32(3):392-5.

Hagberg E, Berlin Ö, Renström P. Function after through-knee compared with below-knee and above-knee amputation. Prosthetics and Orthotics International. 1992;16(3):168-73.

O'Keeffe B, Rout S. Prosthetic rehabilitation in the lower limb. Indian Journal of Plastic Surgery. 2019;52(01):134-43.

Wongwan S. The effect of self-compassion on depression, anxiety, stress mediated by perceived body image in poeple with mobility impairment and disability in phrae province. 2021.