Article

Positive adjustments to amputation and an artificial limb play
important roles in the rehabilitation process. OBJECTIVES: To study the different
facets of adjustments to amputation and an artificial limb in lower limb amputees
and to assess the possible role of different background and amputation-related
factors that could potentially influence these adjustments. STUDY DESIGN:
Cross-sectional. METHODS: Adult unilateral and non-congenital lower limb amputees
(n = 368) met the inclusion/exclusion criteria. Face-to-face interviews were
conducted using structured questionnaires including patient's background,
amputation and the Trinity Amputation and Prosthesis Experience Scales. RESULTS:
Amputees were on average satisfied with the functioning of the prosthesis,
moderately psychosocially adjusted and not restricted in performing functional
and social activities, except for athletic activities. Age, employment, daily use
of prosthesis and assistive device use were the most important factors associated
with adjustments to amputation and prosthesis, followed by gender, co-morbidity
and amputation level. CONCLUSIONS: Evaluation of employment status and measures
to curb unemployment through vocational rehabilitation and providing assistance
for placement should be intrinsic to the rehabilitation programme. Future studies
are envisaged to understand the underlying factors determining the extent of
daily use of prosthesis and the reasons for the use of assistive devices by the
amputees. Clinical relevance Proper appraisal and measures to alleviate
employment and co-morbidity, related issues, routine evaluation of daily use of
prosthesis and providing appropriate gait training might facilitate immediate and
long-term adjustment.

Langue : ANGLAIS