Status of Mobility in Patients with Lower Limb Amputation Using Prostheses

Lower Limb Amputation

Authors

  • Fazal Rehman Khyber Teaching Hospital, Peshawar, Pakistan
  • Ghulam Hussain Mardan Medical Complex, Mardan, Pakistan
  • Muheebur Rehman Abasyn University, Peshawar, Pakistan
  • Rida Shabbir Khyber Medical University, Peshawar, Pakistan
  • Zardad Khan Khyber Medical University, Institute of Health Sciences, Mardan, Pakistan
  • Saif Ullah Mardan Medical Complex, Mardan, Pakistan
  • Majeeda Ghani Rafsan Neuro Rehab Center, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v6i10.955

Keywords:

Amputation, Employment, Mobility, Prosthesis, Rehabilitation

Abstract

Amputation a loss of limb, results in chronic pain and disability of the limbs. People with amputations are limited in their daily mobility, and quality of life. Objective: To determine the mobility status in people with lower limb amputation using prosthesis. Methods: A total of 37 participants, both male and female with lower limb amputation and using lower limb prosthesis for four weeks or longer, took part in this cross-sectional study, conducted at the Pakistan Institute of Prosthetic and Orthotic Sciences Peshawar from 2020. Demographic data together with cause for amputation, time of use of prosthesis and employment status was determined by the researchers via a structured pre tested questionnaire after consent. Results: A total sample of 37 participants, 27 males (73%) and 10 females (27%), was collected where the mean age of participants was 43.65 ±14.72. Among the 37 participants, 30 (81.1%) were married and 7(18.9%) were unmarried. A total of 32(86.5%) participants underwent below-knee amputation while 5(13.5%) participants had above-knee amputation. The causes of amputation were bomb blast (n=8), diabetes (n=11), RTA (n=9) and bullet injury (n=9). All the participants underwent rehabilitation. A total of 2 participants (5.4%) experienced high difficulty in mobility, 24 participants (64.9 %) had moderate difficulty and 11 participants (29.7 %) had little difficulty. Conclusions: Perceived status of mobility was moderate (64.9%) in most of the prosthesis users. About 29.7% had little difficulty and very few number (5.4%) had high difficulty using prosthesis.

Author Biographies

Muheebur Rehman, Abasyn University, Peshawar, Pakistan

 

 

Rida Shabbir, Khyber Medical University, Peshawar, Pakistan

 

 

References

Dumanian GA, Potter BK, Mioton LM, Ko JH, Cheesborough JE, Souza JM, et al. Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial. Annals of Surgery. 2019 Aug; 270(2): 238-46. doi: 10.1097/SLA.0000000000003088. DOI: https://doi.org/10.1097/SLA.0000000000003088

Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthetics and Orthotics International. 2008 Jun; 32(2): 231-43. doi: 10.1080/03093640802024955. DOI: https://doi.org/10.1080/03093640802024955

Clemens SM, Gailey RS, Bennett CL, Pasquina PF, Kirk-Sanchez NJ, Gaunaurd IA. The Component Timed-Up-and-Go test: the utility and psychometric properties of using a mobile application to determine prosthetic mobility in people with lower limb amputations. Clinical Rehabilitation. 2018 Mar; 32(3): 388-97. doi: 10.1177/0269215517728324. DOI: https://doi.org/10.1177/0269215517728324

Wurdeman SR, Stevens PM, Campbell JH. Mobility Analysis of AmpuTees (MAAT I): Quality of life and satisfaction are strongly related to mobility for patients with a lower limb prosthesis. Prosthetics and Orthotics International. 2018 Oct; 42(5): 498-503. doi: 10.1177/0309364617736089. DOI: https://doi.org/10.1177/0309364617736089

Sinha R, Van Den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthetics and Orthotics International. 2011 Mar; 35(1): 90-6. doi: 10.1177/0309364610397087. DOI: https://doi.org/10.1177/0309364610397087

Wong CK, Young RS, Ow-Wing C, Karimi P. Determining 1-yr prosthetic use for mobility prognoses for community-dwelling adults with lower-limb amputation: development of a clinical prediction rule. American Journal of Physical Medicine & Rehabilitation. 2016 May; 95(5): 339-47. doi: 10.1097/PHM.0000000000000383. DOI: https://doi.org/10.1097/PHM.0000000000000383

Wyss D, Lindsay S, Cleghorn WL, Andrysek J. Priorities in lower limb prosthetic service delivery based on an international survey of prosthetists in low-and high-income countries. Prosthetics and Orthotics International. 2015 Apr; 39(2): 102-11. doi: 10.1177/0309364613513824. DOI: https://doi.org/10.1177/0309364613513824

Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthetics and Orthotics International. 2008 Jun; 32(2): 186-200. doi: 10.1080/03093640802016514. DOI: https://doi.org/10.1080/03093640802016514

Riaz M, Miyan Z, Waris N, Zaidi SI, Tahir B, Fawwad A, et al. Impact of multidisciplinary foot care team on outcome of diabetic foot ulcer in term of lower extremity amputation at a tertiary care unit in Karachi, Pakistan. International wound journal. 2019 Jun; 16(3): 768-72. doi: 10.1111/iwj.13095. DOI: https://doi.org/10.1111/iwj.13095

Rommers GM, Vos LD, Groothoff JW, Eisma WH. Mobility of people with lower limb amputations: scales and questionnaires: a review. Clinical rehabilitation. 2001 Feb; 15(1): 92-102. doi: 10.1191/026921501677990187. DOI: https://doi.org/10.1191/026921501677990187

Saaiq M. Epidemiology and outcome of childhood electrical burn injuries at Pakistan Institute of Medical Sciences Islamabad, Pakistan. Journal of Burn Care & Research. 2016 Mar; 37(2): e174-80. doi: 10.1097/BCR.0000000000000202. DOI: https://doi.org/10.1097/BCR.0000000000000202

Amjad T, Kalsoom UK, Bairam S. Quality of life among lower limb prosthesis users attending artificial limb center of fauji foundation hospital Rawalpindi: Prosthesis Users And Quality of Life. Pakistan Armed Forces Medical Journal. 2018 Feb; 68(1): 114-8.

Rathore FA, Ayaz SB, Mansoor SN, Qureshi AR, Fahim M. Demographics of lower limb amputations in the Pakistan military: a single center, three-year prospective survey. Cureus. 2016 Apr; 8(4): 1-5. doi: 10.7759/cureus.566. DOI: https://doi.org/10.7759/cureus.566

Spaan MH, Vrieling AH, van de Berg P, Dijkstra PU, van Keeken HG. Predicting mobility outcome in lower limb amputees with motor ability tests used in early rehabilitation. Prosthetics and Orthotics International. 2017 Apr; 41(2): 171-7. doi: 10.1177/0309364616670397. DOI: https://doi.org/10.1177/0309364616670397

Miller WC, Deathe AB, Speechley M, Koval J. The influence of falling, fear of falling, and balance confidence on prosthetic mobility and social activity among individuals with a lower extremity amputation. Archives of physical medicine and rehabilitation. 2001 Sep; 82(9): 1238-44. doi: 10.1053/apmr.2001.25079. DOI: https://doi.org/10.1053/apmr.2001.25079

Miller WC, Speechley M, Deathe AB. Balance confidence among people with lower-limb amputations. Physical Therapy. 2002 Sep; 82(9): 856-65. doi: 10.1093/ptj/82.9.856. DOI: https://doi.org/10.1093/ptj/82.9.856

Randolph MG, Elbaum L, Wen PS, Brunt D, Larsen J, Kulwicki A, et al. Functional and psychosocial status of Haitians who became users of lower extremity prostheses as a result of the 2010 earthquake. Journal of Prosthetics and Orthotics: JPO. 2014 Oct; 26(4): 177. doi: 10.1097/JPO.0000000000000039. DOI: https://doi.org/10.1097/JPO.0000000000000039

Geertzen JH, Martina JD, Rietman HS. Lower limb amputation part 2: Rehabilitation-A 10 year literature review. Prosthetics and Orthotics International. 2001 Apr; 25(1): 14-20. doi: 10.1080/03093640108726563. DOI: https://doi.org/10.1080/03093640108726563

Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis-related quality of life. Archives of Physical Medicine and Rehabilitation. 1998 Aug; 79(8): 931-8. doi: 10.1016/S0003-9993(98)90090-9. DOI: https://doi.org/10.1016/S0003-9993(98)90090-9

Franchignoni F, Orlandini D, Ferriero G, Moscato TA. Reliability, validity, and responsiveness of the locomotor capabilities index in adults with lower-limb amputation undergoing prosthetic training. Archives of Physical Medicine and Rehabilitation. 2004 May; 85(5): 743-8. doi: 10.1016/j.apmr.2003.06.010. DOI: https://doi.org/10.1016/j.apmr.2003.06.010

Harker J. Wound healing complications associated with lower limb amputation. World Wide Wounds. 2006 Sep; 9: 1-.

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Published

2023-10-31
CITATION
DOI: 10.54393/pbmj.v6i10.955
Published: 2023-10-31

How to Cite

Rehman, F., Hussain, G., Rehman, M., Shabbir, R., Khan, Z., Ullah, S., & Ghani, M. (2023). Status of Mobility in Patients with Lower Limb Amputation Using Prostheses: Lower Limb Amputation. Pakistan BioMedical Journal, 6(10), 14–18. https://doi.org/10.54393/pbmj.v6i10.955

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Original Article

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