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- Title
Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study.
- Authors
Webster, Joseph B.; Hakimi, Kevin N.; Williams, Rhonda M.; Turner, Aaron P.; Norvell, Daniel C.; Czerniecki, Joseph M.
- Abstract
Providing a satisfactory, functional prosthesis following lower-limb amputation is a primary goal of rehabilitation. The objectives of this study were to describe the rate of successful prosthetic fitting over a 12 mo period; describe prosthetic use after amputation; and determine factors associated with greater prosthetic fitting, function, and satisfaction. The study design was a multicenter prospective cohort study of individuals undergoing their first major lower-limb amputation because of vascular disease and/or diabetes. At 4 mo, unsuccessful prosthetic fitting was significantly associated with depression, prior arterial reconstruction, diabetes, and pain in the residual limb. At 12 mo, 92% of all subjects were fit with a prosthetic limb and individuals with transfemoral amputation were significantly less likely to have a prosthesis fit. Age older than 55 yr, diagnosis of a major depressive episode, and history of renal dialysis were associated with fewer hours of prosthetic walking. Subjects who were older, had experienced a major depressive episode, and/or were diagnosed with chronic obstructive pulmonary disease had greater functional restriction. Thus, while most individuals achieve successful prosthetic fitting by 1 yr following a first major nontraumatic lower-limb amputation, a number of medical variables and psychosocial factors are associated with prosthetic fitting, utilization, and function.
- Subjects
WASHINGTON (State); DIABETES complications; AGE distribution; AMPUTATION; ARTIFICIAL limbs; VASCULAR diseases; CHI-squared test; COMPARATIVE studies; CONFIDENCE intervals; MENTAL depression; DIALYSIS (Chemistry); HEALTH behavior; INTERVIEWING; LEG; LEG amputation; LIFE skills; LONGITUDINAL method; OBSTRUCTIVE lung diseases; NEUROPSYCHOLOGICAL tests; MEDICAL cooperation; MENTAL health surveys; MULTIVARIATE analysis; PAIN; PATIENT satisfaction; PROSTHETICS; PSYCHOLOGICAL tests; RESEARCH; RESEARCH funding; SCALE analysis (Psychology); T-test (Statistics); COMORBIDITY; STATISTICAL significance; PAIN measurement; BODY mass index; DATA analysis software; DISEASE complications
- Publication
Journal of Rehabilitation Research & Development, 2012, Vol 49, Issue 10, p1493
- ISSN
0748-7711
- Publication type
Article
- DOI
10.1682/JRRD.2012.01.0001