Article

OBJECTIVES: To construct profiles of self-reported health indicators to examine
differences and similarities between people with lower limb loss and a normative
sample (hereafter called the norm) and to compare health indicators between
subgroups based on level and etiology of limb loss. DESIGN: Survey. SETTING: General community. PARTICIPANTS: Adults with unilateral lower limb loss (N=1091)
participated in this study. Eligibility criteria included lower limb loss due to
trauma or dysvascular complications and regular use of a prosthesis.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The Patient-Reported
Outcomes Measurement Information System 29-item Health Profile version 1.0
measures physical function, pain interference, fatigue, sleep disturbance,
anxiety, depression, and satisfaction with participation in social roles. The
norm includes 5239 individuals representative of the U.S. general population in
sex, age, race, ethnicity, and education. RESULTS:
People with lower limb loss
reported statistically significantly worse physical function, pain interference,
and satisfaction with participation in social roles and significantly less
fatigue than did the norm. People with transfemoral
(ie, above-knee) amputation
significantly differed in physical function from people with transtibial (ie,
below-knee) amputation. Similarly, people with amputation due to trauma and
dysvascular etiology significantly differed in physical function and satisfaction
with social roles after adjusting for relevant clinical characteristics.
CONCLUSIONS: People with lower limb loss generally report worse physical
function, pain interference, and satisfaction with social roles than do the norm.
People with dysvascular amputation reported worse physical function and
satisfaction with social roles than did people with traumatic amputation. Health
indicator profiles are an efficient way of providing clinically meaningful
information about numerous aspects of self-reported health in people with lower
limb loss.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS